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Table 2 Factor loadings from exploratory factor analysis (varimax rotation). Values in bold correspond to the most significant results which were used to group the new domains.

From: What drives junior doctors to use clinical practice guidelines? A national cross-sectional survey of foundation doctors in England & Wales

Question

Question direction

Factor loadings

1

2

3

4

5

6

7

8

9

10

Q33 As a clinician, I have a duty to practise evidence-based medicine

Agreement with

0.75

      

0.184

0.145

 

Q28 As a future senior clinician, I will need to serve as a role model in the practice of evidence-based medicine

Agreement with

0.75

      

0.12

  

Q38 I intend to practise evidence-based medicine as it is best for the patient

Agreement with

0.743

       

0.153

 

Q13 I am committed to practising evidence-based medicine

Agreement with

0.615

   

0.201

  

0.132

0.233

 

Q27 I want to use NICE guidelines to inform my every day clinical practice

Agreement with

0.591

 

0.176

 

0.23

 

0.143

   

Q06 I intend to incorporate relevant NICE guidelines into my clinical work

Agreement with

0.46

 

0.156

0.106

0.447

0.118

   

0.126

Q24 I would feel guilty if I did not follow a NICE guideline and my patient's care was compromised as a result

Agreement with

0.409

 

0.186

0.16

0.222

     

Q20 I find that evidence-based medicine is difficult to practise

Disagreement with

 

0.305

0.217

0.2

 

0.162

0.177

0.383

0.263

 

Q35 I am confident I can implement NICE guidelines in clinical situations, even when the time available is very limited.

Agreement with

 

0.602

0.108

0.264

0.113

0.109

  

0.257

 

Q23 Time pressures do not prevent me from keeping up to date with current guidelines

Agreement with

 

0.757

        

Q29 Using NICE guidelines increases the time needed to manage patients

Disagreement with

 

0.468

0.423

 

0.114

 

0.141

0.221

  

Q37 Time pressures prevent me from keeping up to date with current guidelines

Disagreement with

 

0.742

   

0.193

    

Q21 Following NICE guidelines can improve patient clinical outcomes

Agreement with

0.511

 

0.271

0.175

 

0.107

0.12

   

Q36 Senior clinicians' opinions have influenced me to be negative towards evidence-based medicine

Disagreement with

0.381

 

0.204

  

0.177

 

0.537

  

Q08 As a clinician, using NICE guidelines increases the risk of litigation

Disagreement with

0.283

 

0.534

  

0.128

 

0.145

 

0.15

Q25 Implementing NICE guidelines can reduce healthcare costs

Agreement with

0.244

 

0.525

0.183

     

0.124

Q26 The overall effect of using NICE guidelines is to increase the complexity of clinical practice

Disagreement with

0.235

 

0.628

    

0.114

  

Q39 Senior clinicians that I work with prioritise new guidelines over previous, older pathways

Agreement with

0.171

  

0.621

  

0.169

0.225

  

Q03 NICE guidelines and recommendations prioritise clinical effectiveness over cost effectiveness

Agreement with

0.145

  

0.202

0.141

 

0.512

  

0.124

Q30 I am able to find relevant NICE guidelines to apply to my clinical work

Agreement with

 

0.191

0.175

0.519

0.197

    

0.11

Q32 I have a clear plan of action for implementing relevant NICE guidelines in clinical situations

Agreement with

 

0.369

 

0.506

0.311

0.147

  

0.114

 

Q19 I am familiar with the content of the NICE guidelines relevant to my clinical area

Agreement with

 

0.258

 

0.414

0.362

0.153

  

0.35

 

Q10 I find it easy to apply NICE guidelines to the complex circumstances of individual patients

Agreement with

0.15

0.357

 

0.195

 

0.359

0.214

   

Q15 I am not expert enough to use NICE guidelines to influence clinical practice

Disagreement with

  

0.309

 

0.168

0.435

0.178

0.136

0.331

 

Q11 I am scared of colleagues' reactions if I follow guidelines instead of senior advice

Disagreement with

 

0.201

   

0.715

 

0.102

  

Q16 The complex circumstances of individual patients mean that NICE guidelines cannot be applied to many patients

Disagreement with

  

0.374

0.179

 

0.259

0.35

 

0.299

0.109

Q04 I refer more to handbooks than to guidelines for supporting my clinical practice

Disagreement with

 

0.208

0.177

0.146

0.206

0.403

   

0.237

Q09 My clinical decisions are influenced by senior advice rather than guidelines

Disagreement with

 

0.211

  

0.342

0.532

0.113

  

0.104

Q01 NICE guidelines and recommendations are developed in collaboration with clinicians

Agreement with

0.409

 

0.226

0.183

  

0.163

  

0.433

Q34 I can critically appraise evidence relevant to my clinical practice

Agreement with

0.252

0.147

      

0.751

 

Q18 The senior clinicians who I work with create a learning environment for juniors where evidence-based practice is discouraged

Disagreement with

0.21

 

0.156

0.157

   

0.663

  

Q12 I reflect on my clinical practice and try to identify occasions when I could have better followed NICE guidelines

Agreement with

0.16

   

0.694

     

Q02 I am able to maintain a good doctor-patient relationship even when following NICE guidelines means denying a patient a treatment they want

Agreement with

0.149

  

0.149

  

0.558

   

Q07 NICE guidelines and recommendations do not have direct input from the lay public

Disagreement with

0.147

        

0.759

Q05 I try to encourage my peers to follow NICE guidelines where applicable

Agreement with

0.127

  

0.212

0.701

0.138

    

Q22 The overall effect of using NICE guidelines is to decrease the complexity of clinical practice

Agreement with

0.114

 

0.178

0.276

 

0.176

0.133

   

Q31 Senior clinicians seem to want care to be influenced more by NICE guidelines than guidelines published by other groups (i.e. SIGN, European Respiratory Society)

Agreement with

 

0.163

 

0.451

      

Q14 Using NICE guidelines can decrease patient choice

Disagreement with

  

0.16

−0.141

 

0.107

0.691

   

Q17 NICE guidelines and recommendations have stakeholder input from drug companies

Agreement with

  

−0.533

0.148

 

0.133

−0.207

   
  1. (Factor loadings depicted = > .10)