Impact of a health services innovation university program in a major public hospital and health service: a mixed methods evaluation

Martin, Elizabeth; Fisher, Olivia; Merlo, Gregory; Zardo, Pauline; Barrimore, Sally E.; Rowland, Jeffrey; Davies, Janet M.

doi:10.1186/s43058-022-00293-3

Implementation Science Communications

Table 2 Summary of executive interview and student focus group themes describing program implementation and research question address, mapped to Consolidated Framework for Implementation Research (CFIR) constructs and subconstructs

From: Impact of a health services innovation university program in a major public hospital and health service: a mixed methods evaluation

CFIR constructs	Theme	Sub-theme summary (research question number)
Characteristics of intervention
Intervention source	Organizational support in theory, barriers in practice	Breaking boundaries between healthcare and academic settings (3)^a
Adaptability	Organizational support in theory, barriers in practice	Responsiveness to needs of students (3)^a
Outer setting
Cosmopolitan	Organizational support in theory, barriers in practice	Interconnectedness with university (3)^a
Inner setting
Networks and communications	Increased individual and network capacity	Relationships with cohort network (2)^b
	Organizational support in theory, barriers in practice	Facilitation of greater interconnectedness (1, 2)^a
	Promising, but early days	Developing a shared language (1, 2)^b
Culture	Realization of knowledge gaps	Existing culture of improvement and EBM (1, 2)^a
	Realization of knowledge gaps	Difficulty of culture change (3)^a
	Promising, but early days	Culture change has already been experienced (2)^b
Implementation climate	Realization of knowledge gaps	Executives recognize need for change (3)^a
	Organizational support in theory, barriers in practice	Inelasticity of workforce (3)^a
	Promising, but early days	Influence on other projects (2)^b
Readiness for implementation	Organizational support in theory, barriers in practice	Leadership engagement–objectives of executives (3)^ab
Readiness for implementation	Organizational support in theory, barriers in practice	Support and quality of leadership (3)^ab Available resources (3)^b
Characteristics of individuals
Knowledge and beliefs about the intervention	Increased individual and organization/network capacity	Enthusiasm of course participants (2, 3)^a
Knowledge and beliefs about the intervention	Increased individual and organization/network capacity	Realistic understanding of challenges regarding sustainability (2)^b
Self-efficacy	Realization of knowledge gaps	Limited academic evaluation/implementation knowledge (1)^a Using new skills (2)^b Confidence and credibility (2)^b
Individual stage of change	Realization of knowledge gaps	Self-reflection on previous experiences (1)^b
Individual identification with organization	Realization of knowledge gaps	Frustration with slow pace of change (1, 2)^b
Other personal attributes	Realization of knowledge gaps	Identified gaps in stakeholder engagement (1, 2)^b
Process
External change agents	Organizational support in theory, barriers in practice	Responsiveness of university in delivering bespoke program (3)^a
Innovation participants	Increased individual and network capacity	Enthusiasm and successful engagement of students (3)^a

Subthemes sourced from ^aexecutive interviews and ^bstudent focus groups

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ISSN: 2662-2211

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