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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)