Table 2 Summary of themes by Consolidated Framework for Implementation Research (CFIR) domain and constructs
From: Barriers and facilitators to implementing priority inpatient initiatives in the safety net setting
CFIR domain | Key constructs | Themes as barriers or facilitators to implementation efforts |
|---|---|---|
Inner setting | • Available resources • Organizational incentives and rewards • Access to knowledge and information | Barrier: Limited resources delayed implementation efforts and uptake of innovations |
Barrier: Organizational recognition is critical to sustaining initiatives, but is not sufficient without financial investment | ||
Facilitator: Implementation approaches that combined passive and active communication styles promoted initiative fidelity and sustainability | ||
Outer setting | • Needs and resources of those served by the organization • Peer pressure • External policy & incentives | Facilitator: Knowledge of patient needs and competitive pressure spurred innovation |
Barrier: Implementation strategies that did not adequately address patients’ biopsychosocial complexities delayed initiative progress | ||
Characteristics of individuals involved | • Individual identification with organization • Other personal attributes | Facilitator: Individuals’ personal commitment to reducing health inequities in the safety net population motivated initial participation and ongoing support for new initiatives |
Implementation Process | • Planning • Engaging | Facilitator: Multidisciplinary task forces conducted successful implementation efforts |