Barriers to and Facilitators of Practice Implementation of APGAR Tools Captured by Staff Comments
| Measure | Staff Comments |
|---|---|
| Barriers | |
| Time | “It takes time to try something new—we don’t have time.” |
| Limited physician buy-in | “Some physicians are just not willing to try anything new.” |
| Limited nursing staff acceptance | |
| Lack of centralized mandate | “Some of the nursing staff only do what is required by their physicians.” |
| Unsure of need | “Our patients are doing OK.” |
| Facilitators | |
| Feedback from patients | “[With the Asthma APGAR tools] we actually knew what the patient was doing and thinking.” |
| Asthma as quality target for practice | |
| Case reports | “I got more information than I have ever had and…. it improved care.” |
| Ease of use of tools | |
| Tools developed in primary care | “Using the system definitely improved the asthma care and the patients liked it.” |
APGAR = Activities, Persistent, triGGers, Asthma medications, Response to therapy.