Implementation of evidence-based guidance for dementia palliative care using participatory action research: examining implementation through the Consolidated Framework for Implementation Research (CFIR)

Table 2 Top barriers and facilitators to implementation identified by nurses/HCAs, number of times barrier/facilitator was identified and number of participants who identified each barrier/facilitator

Barriers	No. times identified	n	Facilitators	No. times identified	n
Staffing shortage	9	8	Ward manager/clinical nurse manager	12	11
Limited time	7	7	Support of other staff/colleagues	14	9
Support of other allied health professionals^a	15	6	Team work	3	3
Limited continuity of staff/care	4	4	Leadership	3	2
Engaging resident/challenging behaviour	4	4	Nursing administrative support	2	2
Lack of knowledge	4	2

Note: 23 nurses/HCAs identified at least one barrier and 16 identified at least one facilitator of implementation with a total or 50 barriers and 40 facilitators identified
^aAllied health professionals identified included doctors, occupational therapists, speech and language therapists, pharmacists and physiotherapists

ISSN: 2662-2211