Table 5 Barriers

Time constraints

N = 26; 66%

Changed timeline

N = 12; 31%

Costs

N = 18; 47%

Provided training

N = 8; 21%

Equipment problems

N = 11; 29%

Changed staffing

N = 5; 13%

Lack of properly trained/motivated staff

N = 10; 26%

Brought in external consultants

N = 2; 5%

Took more time than expected

N = 9; 24%

Changed systems/processes

N = 2; 5%

Lack of financial incentives

N = 8; 21%

Increased budget

N = 1; 3%

Resistance of clinical staff

N = 7; 18%

Changed leadership

N = 0

Staff turnover

N = 5; 13%

Process more difficult than expected

N = 4; 10%

Conflicting pressures from others

N = 4; 10%

Used more resources than expected

N = 3; 8%

Incompatible systems/processes

N = 3; 8%

Evaluation of results

N = 2; 5%

Tracking implementation

N = 2; 5%

Lacked information on process

N = 1; 3%

Lack of nonfinancial rewards

N = 1; 3%