Table 5

Barriers and facilitators according to the CFIR

AuthorsCramer etal. (2014)Dugstad etal. (2020)Dugstad etal. (2019)Coccia (2014)Mikhailova (2018)Söderholm etal. (2010)Tannini etal. (2018)Van Bockhaven et dl. (2017)Melkas etal. (2020)

Type of innovation

Organizational

Organizational

Technological

Treatment

Technological

Technological

Technological

Technological

Technological

Study design

Longitudinal

Cross-sectional

Observational

Longitudinal

Single case

Single case

Single case

Multiple case

Observational

Level of evidence

4

3

4

4

4

4

4

3

4

Main categories CFIR

Sub-categories CFIR

 

 

 

 

 

 

 

 

 

I. Intervention characteristics

A. Intervention source

 

 

 

 

 

 

 

 

 

 

B. Evidence strength

 

 

 

 

 

 

 

 

 

 

C. Relative advantage

 

 

 

 

 

 

 

 

 

 

D. Adaptability

 

 

 

 

 

 

 

 

 

 

E. Trial ability

 

 

 

 

 

 

 

 

 

 

F. Complexity

 

 

 

 

 

 

 

 

 

 

G. Design quality

 

 

 

 

 

 

 

 

 

 

H. Cost

 

 

 

 

 

 

 

 

 

II. Outer setting

A. Patient needs and resources

 

 

 

 

 

 

 

 

 

 

B. Cosmopolitanism

 

 

 

 

 

 

 

 

 

 

C. Peer pressure

 

 

 

 

 

 

 

 

 

 

D. External policy and incentives

 

 

 

 

 

 

 

 

 

III. Inner setting

A. Structural characteristics

 

 

 

 

 

 

 

 

 

 

B. Network and communications

 

 

 

 

 

 

 

 

 

 

C. Culture

 

 

 

 

 

 

 

 

 

 

D. Implementation climate

 

 

 

 

 

 

 

 

 

 

1. Tension for change

 

 

 

 

 

 

 

 

 

 

2. Compatibility

 

 

 

 

 

 

 

 

 

 

3. Relative priority

 

 

 

 

 

 

 

 

 

 

4. Organizational incentives and rewards

 

 

 

 

 

 

 

 

 

 

5. Goals and feedback

 

 

 

 

 

 

 

 

 

 

6. Learning climate

 

 

 

 

 

 

 

 

 

 

E. Readiness for implementation

 

 

 

 

 

 

 

 

 

 

1. Leadership engagement

 

 

 

 

 

 

 

 

 

 

2. Available resources

3. Access to knowledge and information

 

 

—

 

 

 

 

 

 

IV. Individuals involved

A. Knowledge and beliefs about intervention

 

 

 

 

 

 

 

 

 

 

B. Self-efficacy

 

 

 

 

 

 

 

 

 

 

C. Individual state of change

 

 

 

 

 

 

 

 

 

 

D. Individual identification with organization

 

 

 

 

 

 

 

 

 

 

E. Other personal attributes

 

 

 

 

 

 

 

 

 

V. Implementation process

A. Planning

 

 

 

 

 

 

 

 

 

 

B. Engaging

 

 

 

 

 

 

 

 

 

 

1. Opinion leaders

 

 

 

 

 

 

 

 

 

 

2. Formally appointed internal implementation leader

 

 

 

 

 

 

 

 

 

 

3. Champions

 

 

 

 

 

 

 

 

 

 

4. External change agents

 

 

 

 

 

 

 

 

 

 

C. Executing

 

 

 

 

 

 

 

 

 

 

D. Reflecting and evaluating

 

 

 

 

 

 

 

 

 

Note(s): Red represents a barrier, blue a facilitator, and purple both a barrier and facilitator

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