Barriers and Facilitators Identified by Clinicians During Qualitative Interviews
| Qualitative Themes for Clinicians | |
|---|---|
| Subtheme | Common barriers to implementation for both forms |
| Time | • Almost all clinicians in both study arms reference the extra time required, ranging from 30 seconds to 20 minutes, averaging approximately 3 to 5 minutes extra. |
| • Several didn't mind finding the time because they felt it was important. Reimbursement codes help. | |
| Barriers and facilitators identified | • Forgetting to offer forms, misunderstandings about how to address existing/multiple forms, pts forgetting to complete forms, pts forgetting to return forms, new EHR implementation, location and managing forms in EMR. Facilitators: involvement of nursing staff as part of the introduction, important to be part of the check-in flow/routine, offer to everyone, script cards for nursing staff. |
| • Lack of sustainable reminders in place; numerous competing priorities; time pressures; EHR system change; Facilitators: systematic planning; effective teamwork; securing buy-in from entire clinic prior to implementation; professional experience with EOL conversations; “Bringing the attention.” | |
EHR, electronic health record; EOL, end-of-life.