Table 5 Qualitative content analysis of key informant interviews—intervention domain of the consolidated framework for implementation research
Intervention domain qualitative content analysis themes | |
|---|---|
Facilitators | Construct |
 Sites continued to utilize I-PASS SCORE during the COVID-19 pandemic with modest adaptations or adjustments | Adaptability |
 Learners find participating in structured FCR approaches like I-PASS SCORE valuable for professional development | Relative advantage |
Barriers | |
 Adhering to the order of presentation on structured FCR like I-PASS SCORE is not always ideal for answering a family’s questions | Adaptability |
 Learners have difficulty using plain language on rounds | Complexity |
 Participants have difficulty articulating a connection between structured FCR approaches like I-PASS SCORE and patient health outcomes | Relative advantage |
 Learners have a difficult time diplomatically soliciting teach back or collecting feedback | Complexity |
 Lack of clear parameters for defining acceptable, evidence-based variation using structured approaches like I-PASS SCORE make adaptation difficult | Adaptability |
 The existing structured FCR intervention design requires a new paradigm for teaching and learning at the bedside. | Complexity |
 Sites had difficulty operationalizing methods for adhering to the structured FCR approach with a limited English proficient family requiring interpreter services | Complexity |