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

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

Characteristic Site 1 Site 2 Site 3 Site 4 Site 5 Site 6a Site 7 Site 8 Site 9 Site 10 Site 11a
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 NAb 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 NAb
Organizational context for implementationc
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+ 1X 2+ 1+ 1+ 2-
Highly influential conditions
  Networks and communications 2+ 2+ 2+ 1X 0 2X 1+ 1+ 0 1X 1X
  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+ 2X
  Learning climate 2+ 1+ 2+ 2+ 2+ 2+ 1+ 1X 0 2+ 2X
  Compatibility with workflow 1X 1- 1+ 0 1- 1- 1+ 1- 1- 0 2X
  Clinician/staff attitudes, beliefs, & knowledge 2+ 2+ 2+ 2+ 1+ 1+ 2X 2X 2X 1+ 1-
Contextual summary scored 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 NAe
  1. aMember-checking was not completed for these sites
  2. bData unavailable
  3. 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, 2X denotes a strong mixed influence, 1X denotes a weak mixed influence, 0 denotes no apparent influence
  4. dSummary score reflects the sum of ratings for all 39 CFIR constructs (Score = [positive] – [negative + mixed])
  5. eImplementation was ongoing at time of interview