Table 2 Individual barriers illustrated with quotes

Low competence about visual functions

Several of us have now discussed that we really have not been thinking much about it [VIs after stroke], other than neglect of course. I can’t really remember that I really learned much more about it in school either (P10).

Lack of skills and experience in testing visual function

I try to test eye movements. If they can see in all directions, eh and visual field defects but I don’t feel confident and qualified that I am doing it right. However, I do get an impression if you know what I mean, but I am not sure if it is exactly right. But I get an impression if it may be something with the vision (P5).

Generalists, not stroke specialists

We have so many groups of patients, from functional decline, hip fractures, COPD and a lot of Parkinson lately. So, it varies how many stroke patients we have (P6).

Experience of unsuccessful implementation

It [implementation of new routines] often works fine the first week, and suddenly it is put a side. I don’t think it is bad will, because everyone agrees. It is easy to fall back to old habits, and suddenly it seems like it is forgotten in a way. Yes, it takes time to make a change. We keep going back to the old routines (P8).