Table 3 Barriers and ERIC moderate or strong recommendations
From: Overcoming barriers to evidence-based patient blood management: a restricted review
CFIR construct | ERIC strong or moderate recommendations | Â | Â |
|---|---|---|---|
Access to knowledge and information [10, 12, 13, 16, 18, 21, 22] | Conduct educational meetings [12, 18, 21] Develop educational materials [10, 13, 21] Distribute educational materials [16, 22] Create a learning collaborative [10] Conduct ongoing training [21] Capture and share local knowledge [18] Conduct educational outreach visits Identify and prepare champions Provide local technical assistance Shadow other experts | Capture and share local knowledge [18] Assess for readiness and identify barriers and facilitators Change physical structure and equipment Identify and prepare champions Conduct small cyclical tests of change Build a coalition Identify early adopters Promote adaptability Promote network weaving | |
Knowledge and beliefs about the intervention [12, 14,15,16, 19, 20, 23] | Conduct educational meetings [12, 15, 18, 19, 23] Identify and prepare champions [15] Develop educational materials [15, 20] Conduct educational outreach visits [20] Capture and share local knowledge [15, 18] Conduct a local needs assessment Assess for readiness and identify barriers and facilitators Facilitation Identify early adopters Increase demand Stage implementation scale-up Inform local opinion leaders | Conduct educational meetings [12] Conduct local consensus discussions [20] Conduct educational outreach visits [20] Distribute educational materials [16] Develop educational materials [20] Capture and share local knowledge Develop academic partnerships Identify early adopters Identify and prepare champions Inform local opinion leaders | |
Conduct educational meeting s[12, 15, 23] Identify and prepare champion s[15] Capture and share local knowledg e[15] Conduct local consensus discussion s[20, 23] Create a learning collaborative Facilitation Conduct a local needs assessment Assess for readiness and identify barriers and facilitators Recruit, designate and train for leadership Tailor strategies Inform local opinion leaders Promote adaptability Use advisory boards and workgroups | Complexity [18] | Develop a formal implementation blueprint Promote adaptability Conduct small cyclical tests of change Conduct ongoing training Create a learning collaborative Assess for readiness and identify barriers and facilitators Identify and prepare champions Stage implementation scale-up Capture and share local knowledge Model and simulate change Facilitation Identify early adopters Organize clinician implementation team meetings Provide ongoing consultation Tailor strategies | |
Available resources [18] | Capture and share local knowledge [18] Access new funding Change physical structure and equipment Develop resource sharing agreements Alter patient/consumer fees Fund and contract for clinical innovation Make billing easier Use other payment schemes | Relative advantage [20] | Conduct local consensus discussions [20] Identify and prepare champions Conduct a local needs assessment Conduct small cyclical tests of change Inform local opinion leaders Assess for readiness and identify barriers and facilitators Conduct educational meetings Alter incentive/allowance structures Increase demand Promote adaptability Visit other sites |
Engagement [18] | Conduct local consensus discussions [18] Conduct a local needs assessment Assess for readiness and identify barriers and facilitators Develop and implement tools for quality monitoring Identify and prepare champions Develop a formal implementation blueprint Conduct ongoing training Facilitation | Peer pressure [20] | Conduct local consensus discussions [20] Involve executive boards [20] Increase demand Identify early adopters Alter incentive/allowance structures Identify and prepare champions Involve patients/consumers and family members Inform local opinion leaders |
Identify and prepare champions [15] Conduct local consensus discussions [10, 17, 18] Facilitate relay of clinical data to providers [10, 21] Involve patients/consumers and family members Inform local opinion leaders Assess for readiness and identify barriers and facilitators Alter incentive/allowance structures Conduct a local needs assessment | Â | Â |