Barriers and facilitators according to the CFIR
| Authors | Cramer 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 | ||||||||||
| Authors | Cramer | Dugstad | Dugstad | Coccia (2014) | Mikhailova (2018) | Söderholm | Tannini | Van Bockhaven | Melkas | |
|---|---|---|---|---|---|---|---|---|---|---|
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 | |
— | ||||||||||
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