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Table 1 The Inner Setting constructs, definitions, items, and sources

From: Developing measures to assess constructs from the Inner Setting domain of the Consolidated Framework for Implementation Research

Construct name

Definition

Source

Items in the main survey

 Sub-constructa

Culture

Norms, values, and basic assumptions of a given organization

Practice Adaptive Reserve Scale

(Jaen 2010) [19]

A03, A05, A07, A08, A09, A10, A22, A16, A21

 Stressb

Perceived strain, stress, and role overload

TCU Organizational Readiness for Change

(Lehman 2002) [20]

A36, A37, A38, A39

 Effortb

How hard people in organizations work toward achieving goals

Organizational Climate Measure. (Patterson 2005) [21]

A40, A41, A42. A43, A44

Implementation climate-general

The shared receptivity of involved individuals to an intervention and the extent to which use of that intervention will be “rewarded, supported, and expected within their organization”

Community Clinical Oncology Program Survey

(Weiner, 2011) [35]

C11c, C12c, C13c

Implementation Climate Assessment

(Klein, Conn, and Sorra 2001) [31]

C05c

 Learning climate

A climate in which (a) leaders express their own fallibility and need for team members’ assistance and input; (b) team members feel that they are essential, valued, and knowledgeable partners in the change process; (c) individuals feel psychologically safe to try new methods; and (d) there is sufficient time and space for reflective thinking and evaluation (in general, not just in a single implementation)

Practice Adaptive Reserve

(Jaen 2010) [19]

A01, A06,A15, A19

Readiness for implementation

Tangible and immediate indicators of organizational commitment to its decision to implement an intervention, consisting of 3 sub-constructs. Implementation readiness is differentiated from implementation climate in the literature, by its inclusion of specific tangible and immediate indicators of organizational commitment to its decision to implement an intervention.

 Leadership engagement

Commitment, involvement, and accountability of leaders and managers

Practice Adaptive Reserve Scale

(Jaen 2010) [19]

A11, A12, A13, A14.

 Available resources

The level of resources dedicated for implementation and on-going operations including money, training, education, physical space, and time

ORCA

(Helfrich 2009) [42]

A35a, A35b, A35c, C20ac, C20bc, C20cc, C20dc

  1. aFrom CFIR except where noted
  2. bName and definition from the source of an item
  3. cItems asked about a specific EBA
  4. Item numbers correspond with the original survey