Table 3

Framework by Damschroder et al. (2009) 

DomainaDescription
Domain 1: characteristics of the intervention being implementedThese involve outlining the qualities of the initiatives being implemented into a particular setting. Initiatives may comprise essential components (the key and indispensable elements of the initiative) and adaptable surroundings (adaptable elements, structures and systems related to the initiative and organisation into which it is being implemented)
Domain 2: the outer settingThis involves the economic, political and social context within which an organisation is established
Domain 3: the inner settingThis is comprised of tightly or loosely coupled entities (e.g. a loosely affiliated medical centre and outlying contracted clinics or tightly integrated service lines within a health system); structural characteristics, networks and communications, culture, climate and readiness which may be associated and influence implementation
Domain 4: individuals involved in the initiative/serviceThis domain pertains to the individuals who are involved in the implementation of an initiative. Individuals have agency; they make choices and may have influence on others with predictable or unpredictable consequences for implementation. Individuals are responsible for cultural, organisational, professional and individual sets of beliefs, norms, values, interests and affiliations
Domain 5: implementation processSuccessful implementation of an initiative requires a dynamic change process aimed at achieving individual and organisational level use of the initiative as planned. Individuals may actively encourage the implementation process and may come from the inner or outer setting

Source(s): Damschroder et al. (2009) 

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