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Table 1 Barriers and Facilitators to Guideline Concordant Acute Stroke Treatment described via a Tailored Implementation in Chronic Disease (TICD) framework analysis

From: Understanding determinants of acute stroke thrombolysis using the tailored implementation for chronic diseases framework: a qualitative study

TICD Domain Barrier or Facilitator Construct
Guideline Factors Barrier Strength of recommendation
Quality of Evidence Supporting the Recommendation
Effort
Clarity
Observability
Compatibility
Facilitator Accessibility of the Intervention
Accessibility of the Recommendation
Trialability
Individual Healthcare Professional Factors Barrier Emotions
Intention and motivation
Self-monitoring or feedback
Agreement with the Recommendation
Domain Knowledge
Health care professional burnout*
Facilitator Self-Efficacy
Awareness & familiarity with the recommendation
Expected Outcome
Patient Factors Barrier Patient needs
Patient behavior
Patient beliefs and knowledge
Patient preferences
Surrogate decision makers*
Professional Interactions Barrier Referral processes
Facilitator Communication & Influence
Incentives and Resources Barrier Availability of necessary resources
Health care professional turnover*
Facilitator Quality Assurance & Patient Safety Systems
Assistance for Clinicians
Continuing Education System
Capacity for Organizational Change Barrier Monitoring and feedback
Regulations, rules, policies
Facilitator Capable Leadership
Guideline Factors Barrier Strength of recommendation
Quality of Evidence Supporting the Recommendation
Effort
Clarity
Observability
Compatibility
Facilitator Accessibility of the Intervention
Accessibility of the Recommendation
Trialability
Individual Healthcare Professional Factors Barrier Emotions
Intention and motivation
Self-monitoring or feedback
Agreement with the Recommendation
Domain Knowledge
Health care professional burnout*
Facilitator Self-Efficacy
Awareness & familiarity with the recommendation
Expected Outcome
Patient Factors Barrier Patient needs
Patient behavior
Patient beliefs and knowledge
Patient preferences
Surrogate decision makers*
Professional Interactions Barrier Referral processes
Facilitator Communication & Influence
Incentives and Resources Barrier Availability of necessary resources
Health care professional turnover*
Facilitator Quality Assurance & Patient Safety Systems
Assistance for Clinicians
Continuing Education System
Capacity for Organizational Change Barrier Monitoring and feedback
Regulations, rules, policies
Facilitator Capable Leadership
  1. *Inductive Codes