3.1.4 Practitioner scepticism
In line with the CFIR construct of knowledge and beliefs of individuals involved in the implementation process,10participants, particularly practitioners, felt that colleagues who had doubts about new tools may be unwilling to use them, especially if they did not know much about how a tool could be used:
“Until you said this thing, you know initially I was very sceptical about this tool. But there was this chap who was here this morning, if he was to come tomorrow and I use the tool if he gets above 5% I will refer” (Practitioner 3 [GP]: individual interview).
However, many practitioners interviewed said they were willing to roll out the QCancer tool after the necessary preparation was completed:
“I have no problem using the tool, and I believe it will be good to use a cancer risk assessment tool to facilitate earlier diagnosis of cancer, and as you know, earlier diagnosis will help with earlier treatment” (Practitioner 2 [GP]: FG 3).