| Category | Themes | Sub-themes |
| Organisational factors | Inadequate management support | Poor remuneration and lack of incentive Unavailable practice guide and standard of practice |
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| Insufficient opportunities for further training |
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| Work overload and time constraints |
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| Individual factors | Health personnel readiness to use PCC | Need for self-discipline and interest Dissatisfaction and discouragement of staff |
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| Dearth enthusiasm for change |
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| Poor nurses’ accountability |
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