Table 4 Frequency table of cited Consolidated Framework for Implementation Research (CFIR) constructs (n = 39 studies)
CFIR domains (n = 5) and constructs (n = 39) | Barrier n (%) of studies | Facilitator n (%) of studies | Hypothetical facilitator n (%) of studies |
|---|---|---|---|
Intervention Characteristics | |||
Intervention source | 0 (0) | 0 (0) | 0 (0) |
Evidence strength and quality | 1 (3) | 0 (0) | 0 (0) |
Relative advantage* | 7 (18) | 12 (31) | 0 (0) |
Adaptability | 7 (18) | 1 (3) | 2 (5) |
Trialability | 0 (0) | 0 (0) | 0 (0) |
Complexity* | 12 (31) | 2 (5) | 3 (8) |
Design quality and packaging* | 10 (26) | 2 (5) | 11 (28) |
Cost | 6 (15) | 0 (0) | 0 (0) |
Outer setting | |||
Patient needs and resources* | 21 (54) | 9 (23) | 0 (0) |
Cosmopolitanism* | 15 (38) | 4 (10) | 5 (13) |
Peer pressure | 0 (0) | 0 (0) | 1 (3) |
External policy and incentives* | 6 (15) | 2 (5) | 11 (28) |
Inner setting | |||
Structural characteristics | 0 (0) | 3 (8) | 0 (0) |
Networks and communications | 2 (5) | 2 (5) | 0 (0) |
Culture | 0 (0) | 0 (0) | 0 (0) |
Implementation climate | |||
Tension for change | 1 (3) | 0 (0) | 0 (0) |
Compatibility* | 9 (23) | 12 (31) | 1 (3) |
Relative priority | 3 (8) | 0 (0) | 0 (0) |
Organisational incentives and rewards* | 1 (3) | 15 (38) | 0 (0) |
Goals and feedback | 2 (5) | 2 (5) | 6 (15) |
Learning climate | 0 (0) | 0 (0) | 0 (0) |
Readiness for implementation | |||
Leadership engagement | 3 (8) | 2 (5) | 0 (0) |
Available resources* | 28 (72) | 7 (18) | 10 (26) |
Access to knowledge and information* | 8 (21) | 5 (13) | 17 (44) |
Characteristics of individuals | |||
Knowledge and beliefs about the intervention* | 22 (56) | 21 (54) | 0 (0) |
Self-efficacy | 4 (10) | 6 (15) | 0 (0) |
Individual stage of change | 6 (15) | 9 (23) | 0 (0) |
Individual identification with organisation | 0 (0) | 0 (0) | 0 (0) |
Other personal attributes | 4 (10) | 5 (13) | 0 (0) |
Process | |||
Planning | 1 (3) | 0 (0) | 3 (8) |
Engaging | |||
Engaging stakeholders*^ | 1 (3) | 0 (0) | 12 (31) |
Engaging innovation participants*^ | 3 (8) | 1 (3) | 12 (31) |
Opinion leaders | 0 (0) | 0 (0) | 0 (0) |
Formally appointed internal opinion leaders | 0 (0) | 0 (0) | 0 (0) |
Champions | 0 (0) | 0 (0) | 0 (0) |
External change agents | 0 (0) | 0 (0) | 0 (0) |
Executing | 0 (0) | 0 (0) | 1 (3) |
Reflecting and evaluating | 0 (0) | 0 (0) | 1 (3) |