Implementing immediate postpartum contraception: a comparative case study at 11 hospitals

Table 2 Relationship between site context, qualitative themes, and implementation success

Characteristic	Site 1	Site 2	Site 3	Site 4	Site 5	Site 6^a	Site 7	Site 8	Site 9	Site 10	Site 11^a
Organizational characteristics
Annual delivery volume	5500	3000	2400	3500	3000	5500	3000	2500	4500	4000	8500
Number of attendings on labor and delivery	36	30	15	33	45	NA^b	77	20	51	50	50
Qualitative measures of implementation success
Stakeholder satisfaction	High	High	High	High	Med	Med	Med	Med	Med	High	Low
Routinization	High	High	High	High	High	High	High	High	High	High	Low
Sustainability	High	High	Med	Med	Med	Med	Med	High	High	Low	NA^b
Organizational context for implementation^c
Essential conditions
Implementation champion(s)	2⁺	2⁺	2⁺	2⁺	2⁺	2⁺	2⁺	1⁺	1⁺	2⁺	2^-
Financial environment	2⁺	2^-	1⁺	2^-	2^-	1^-	2^-	2^-	0	2^-	2⁺
Hospital administrators’ engagement	2⁺	2⁺	1⁺	2⁺	1⁺	1⁺	1^X	2⁺	1⁺	1⁺	2^-
Highly influential conditions
Networks and communications	2⁺	2⁺	2⁺	1^X	0	2^X	1⁺	1⁺	0	1^X	1^X
Compatibility with norms and values	2⁺	2⁺	2⁺	1⁺	2⁺	2⁺	1⁺	2⁺	1⁺	2⁺	1⁺
Patient needs and resources	2⁺	2⁺	2⁺	1⁺	2⁺	2⁺	1⁺	2⁺	1⁺	2⁺	2^X
Learning climate	2⁺	1⁺	2⁺	2⁺	2⁺	2⁺	1⁺	1^X	0	2⁺	2^X
Compatibility with workflow	1^X	1^-	1⁺	0	1^-	1^-	1⁺	1^-	1^-	0	2^X
Clinician/staff attitudes, beliefs, & knowledge	2⁺	2⁺	2⁺	2⁺	1⁺	1⁺	2^X	2^X	2^X	1⁺	1^-
Contextual summary score^d	34	32	34	27	16	19	10	1	2	17	-18
Overview of implementation process
Number of implementation strategies used	20	16	22	19	17	16	20	22	11	16	13
Duration of implementation (months)	16	36	4	7	48	18	60	10	12	27	NA^e

^aMember-checking was not completed for these sites
^bData unavailable
^cOrganizational context ratings reflect influence of the contextual factor on implementation at each site, 2⁺ denotes a strong positive influence, 1⁺ denotes a weak positive influence, 1^- denotes a weak negative influence, 2^- denotes a strong negative influence, 2^X denotes a strong mixed influence, 1^X denotes a weak mixed influence, 0 denotes no apparent influence
^dSummary score reflects the sum of ratings for all 39 CFIR constructs (Score = [positive] – [negative + mixed])
^eImplementation was ongoing at time of interview

ISSN: 2662-2211