Table 2 CFIR barriers and facilitators during implementation period (n = 40)
Facilitator | Barrier | |||
|---|---|---|---|---|
n | % | n | % | |
Intervention characteristics | ||||
Intervention source | 3 | 7.5 | 2 | 5 |
Evidence, strength, and quality | 2 | 5 | 0 | 0 |
Relative advantage | 0 | 0 | 0 | 0 |
Adaptability | 21 | 52.5 | 8 | 20 |
Trialability | 9 | 22.5 | 2 | 5 |
Complexity | 2 | 5 | 14 | 35 |
Design, quality, and packaging | 8 | 20 | 5 | 12.5 |
Cost | 3 | 7.5 | 6 | 15 |
Outer setting | ||||
Patient needs and resources | 10 | 25 | 9 | 22.5 |
Cosmopolitanism | 8 | 20 | 2 | 5 |
Peer pressure | 3 | 7.5 | 1 | 2.5 |
External policies and incentives | 4 | 10 | 6 | 15 |
Inner setting | ||||
Structural characteristics | 3 | 7.5 | 6 | 15 |
Networks and communication | 19 | 47.5 | 7 | 17.5 |
Culture | 1 | 2.5 | 1 | 2.5 |
Inner setting—implementation climate | ||||
Tension for change | 5 | 12.5 | 5 | 12.5 |
Compatibility | 4 | 10 | 11 | 27.5 |
Relative priority | 10 | 25 | 1 | 2.5 |
Organizational incentives and rewards | 1 | 2.5 | 0 | 0 |
Goals and feedback | 6 | 15 | 2 | 5 |
Learning climate | 6 | 15 | 1 | 2.5 |
Inner setting—readiness for implementation | ||||
Leadership engagement | 16 | 40 | 5 | 12.5 |
Availability of resources | 11 | 27.5 | 7 | 17.5 |
Access to knowledge and information | 2 | 5 | 4 | 10 |
Characteristics of individuals | ||||
Knowledge and beliefs about intervention | 5 | 12.5 | 6 | 15 |
Self-efficacy | 6 | 15 | 9 | 22.5 |
Individual stage of change | 0 | 0 | 0 | 0 |