Table 3 Responses to the question “is it clear?” for each CFIR construct barrier narrative by implementation team
CIFR constructs (see Additional file 1 for barrier narratives) | QC | ON | MB1 | MB2 | NB1 | NB2 | BC | Number of implementation teams who responded “No” |
|---|---|---|---|---|---|---|---|---|
Intervention Source | Y | N | N | Y | Y | N | Y | 3 |
Evidence Strength & Quality | Y | Y | Y | Y | Y | N | Y | 1 |
Relative advantage | Y | N | N | Y | N | N | N | 5 |
Adaptability | Y | N | Y | Y | Y | Y | Y | 1 |
Trialability | Y | N | Y | Y | N | N | N | 4 |
Complexity | N | N | N | Y | N | N | N | 6 |
Design Quality and Packaging | Y | Y | Y | Y | Y | N | Y | 1 |
Cost | Y | Y | Y | Y | Y | Y | Y | 0 |
Patient Needs & Resources | Y | N | Y | Y | N | N | N | 4 |
Cosmopolitanism | Y | Y | Y | Y | Y | Y | Y | 0 |
Peer Pressure | Y | N | N | N | Y | Y | Y | 3 |
External Policy & Incentives | N | N | N | N | N | N | N | 7 |
Structural Characteristics | Y | N | Y | Y | N | N | Y | 3 |
Networks & Communications | Y | Y | Y | Y | Y | N | N | 2 |
Culture | Y | Y | Y | Y | Y | N | N | 2 |
Implementation Climate | Y | Y | N | Y | Y | N | N | 3 |
Tension for Change | Y | Y | Y | Y | N | N | N | 3 |
Compatibility | Y | N | Y | N | N | N | Y | 4 |
Relative Priority | Y | Y | Y | Y | Y | Y | Y | 0 |
Organizational Incentives & Rewards | Y | N | Y | Y | Y | N | N | 3 |
Goals and Feedback | Y | N | Y | Y | Y | N | Y | 2 |
Learning Climate | Y | N | N | N | Y | N | Y | 4 |
Readiness for Implementation | Y | N | Y | Y | Y | N | Y | 2 |
Leadership Engagement | Y | Y | Y | Y | Y | N | N | 2 |
Available Resources | Y | Y | Y | Y | Y | Y | Y | 0 |
Access to knowledge and information | Y | Y | N | Y | N | N | Y | 3 |
Knowledge & Beliefs about the Intervention | Y | Y | Y | Y | Y | N | Y | 1 |
Self-efficacy | Y | Y | Y | Y | Y | N | Y | 1 |
Individual Stage of Change | Y | Y | Y | Y | Y | Y | Y | 0 |
Individual Identification with Organization | Y | Y | Y | Y | Y | Y | Y | 0 |
Planning | Y | N | Y | Y | N | Y | Y | 2 |
Opinion Leaders | N | N | Y | N | N | Y | Y | 4 |
Formally appointed internal implementation leaders | Y | N | Y | Y | N | N | Y | 3 |
Champions | Y | N | N | N | N | N | N | 6 |
External Change Agents | Y | N | Y | N | N | N | Y | 4 |
Key Stakeholders | Y | N | N | N | N | N | Y | 5 |
Patients/Customers | Y | Y | N | Y | Y | Y | Y | 1 |
Executing | Y | Y | Y | Y | Y | Y | Y | 0 |
Reflecting & Evaluating | Y | Y | Y | N | N | N | Y | 3 |
Total unclear barrier narratives per site | 3 | 20 | 11 | 9 | 16 | 27 | 22 |