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 |