“Reality rarely looks like the guidelines”: a qualitative study of the challenges hospital-based physicians encounter in war wound management

Table 3 A summary of categories and subcategories making up the theme “Conflict between reality and adherence to protocols and commonly agreed praxis”

Theme	Category	Sub-category
Conflict between reality and adherence to protocols and commonly agreed praxis	Adherence to protocols and commonly agreed praxis	Surgical interventions
		Dressing routines
		Antibiotic use
		Wound assessment and treatment of infection
	Inability to adhere to protocols	Lack of medication or equipment
		Lack of space
		Patient and caregiver behaviour
	Deviations from protocols due to uncertainty or due to deliberate decisions	Mixed messages due to a high turnover of expatriates
		Lack of consensus on hygiene routines
		Deliberate antibiotic prescription deviations
		Deliberate hygiene routine deviations

ISSN: 1757-7241