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Table 5 Synthesis of themes and factors found in sustainability frameworks/models/theories for acute care (n = 8)

From: Identifying relevant concepts and factors for the sustainability of evidence-based practices within acute care contexts: a systematic review and theory analysis of selected sustainability frameworks

Theme/concept Core factors Unspecified setting Fwks Acute care Fwks
1 2 3 5 6 4 7 8
Innovation (defined as: new process/change/product/practice or program, innovation, intervention) *Relevance/consistent with competitive strategy       
*Characteristics (scale, shape and form, age, nature, type, integrity)       
*Perceived centrality to organizational performance/platform/services       
Fit with org’s vision/mission, procedures/strategies        
Adaptability of innovation         
*Benefits to patient, staff, organization (cost-effective, efficiency and quality of care)      
Barrier identification         
Adopters (defined as staff, stakeholder, user, adopter, actor, and or individual) Human resources - recruitment, processes, succession and leave planning (staffing)        
*Individual commitment to innovation       
*Individual competency (skill knowledge, absorptive capacity) to perform innovation     
Internal cohesion between individual and commitment within the organization/stakeholder engagement leads to increased performance       
Stakeholder commitment to innovation        
Stakeholder beliefs, attitude, perceptions, emotions, expectations towards innovation        
Champion presence and involvement         
Leadership and management (defined as style, approach, behaviors, engagement support, or feedback) *Management approach and engagement   
*Senior leadership involvement and actions      
Inner context (defined as context, practice setting or organization) *Infrastructure support—policies and procedures based on innovation      
Infrastructure support for innovation in the job description with the mechanism for recognizing achievement        
*Infrastructure support-equipment and supplies for innovation      
Organization—absorptive capacity for innovation       
Cultural—beliefs, values, and perceptions to innov        
*Cultural—climate       
Cultural—innovation integrated into Norms (documents, protocols, manuals)        
Political internal stakeholder coalition, power, influence        
Financial performance budgeting and measurement        
Financial-internal funds and other non-financial resources of innovation         
Inner processes (defined as processes, methods, systems, structures, or strategies) *Education and training processes     
Processual—planning, method, and timing of embedding innovation       
*Processual—project structure and system to monitor/manage innovation      
*Organization—communication capacity for monitoring (exchange and feedback)  
Behavioral change strategies        
Outer context
(defined as external condition, context, system, or environment)
Socio-economic political threats, stability        
*External conditions, compatibility for innovation       
Connection to broader external context         
External support for innovation from stakeholders       
*Political—policy, legislation, and interests        
Financial-internal funds and other non-financial resources of innovation         
Outcomes (defined as outcomes, teamwork behaviors, consequences, or continuation of benefits) No factors explicitly defined in frameworks for this concept      
  1. 1 = Buchanan SOCF, 2 = Racine MSI, 3 = Maher NHS-SM, 4 = Slaghuis FMIS-WP, 5 = Chambers DSF, 6 = Fox SITF, 7 = Fleiszer SIHF, 8 = Frykman DCOMF
  2. *Common factorsoccurs in 4 or more frameworks