Results of Delphi rounds 2 and 3 in relation to contextual barriers
| Contextual barrier | Participant agreement (%) | Consensus |
|---|---|---|
| Poor internal communication | 83.33% in round 2 | ✓ |
| Lack of teamwork | 84.61% in round 3 | ✓ |
| Inadequate organizational culture | 80.76% in round 3 | ✓ |
| Poor interpersonal relationships | 80.76% in round 3 | ✓ |
| Fear (of novelty, failure, risks) | 80.76% in round 3 | ✓ |
| Insufficient cooperation among staff | 65.38% in round 3 | - |
| Lack of trust between employees | 61.53% in round 3 | - |
| Contextual barrier | Participant agreement (%) | Consensus |
|---|---|---|
| Poor internal communication | 83.33% in round 2 | ✓ |
| Lack of teamwork | 84.61% in round 3 | ✓ |
| Inadequate organizational culture | 80.76% in round 3 | ✓ |
| Poor interpersonal relationships | 80.76% in round 3 | ✓ |
| Fear (of novelty, failure, risks) | 80.76% in round 3 | ✓ |
| Insufficient cooperation among staff | 65.38% in round 3 | - |
| Lack of trust between employees | 61.53% in round 3 | - |
Note(s): Consensus for barrier inclusion was reached when ≥ 80% of participants rated the barrier as “very important” or “extremely important,” and the IQR was ≤ 1. No consensus for inclusion occurred when > 20% but < 80% of participants rated the barrier as “very important” or “extremely important.”