Domain 1: Characteristics of the Intervention | |
• Intervention source: Perception about whether intervention is externally or internally developed • Evidence Strength and Quality: Perception of the quality and validity of evidence supporting the belief that the intervention will have desired outcomes • Relative Advantage: Perception of the advantage of implementing the intervention versus an alternative solution • Adaptability: Degree to which an intervention can be tailored to meet the needs of an organization • Trialability: Ability to test the intervention on a small scale, and to reverse course if warranted • Complexity: Perceived difficulty of implementation • Design Quality and Packaging: Perceived excellence in how the intervention is bundled and presented • Cost: Cost of the intervention and costs associated with implementing the intervention | |
Domain 2: Outer Setting | |
• Patient Needs and Resources: Extent to which patient needs are accurately known and prioritized by the organization • Cosmopolitanism: Level of connectedness and networks with other organizations • Peer Pressure: Competitive pressure to implement an intervention • External Policy and Incentives: external strategies to spread interventions, including policy and regulations, mandates, recommendations and guidelines, etc. | |
Domain 3: Inner Setting | |
• Structural characteristics: Age, maturity, or size of the organization • Networks and Communication: Nature and quality of webs of social networks and the nature and quality of formal and informal communications within an organization • Culture: Norms, values, and basic assumptions of a given organization • Implementation climate: Relative priority of implementing the current intervention versus other competing priorities • Readiness for Implementation: Access to resources, knowledge, and information about the intervention | |
Domain 4: Individuals involved in implementation | |
• Knowledge and Beliefs about Intervention: Individual staff knowledge and attitude towards the intervention • Self-efficacy: An individual’s belief in their capabilities to execute the implementation • Individual State of Change: Phase an individual is in as he or she progresses toward skilled, enthusiastic, and sustained use of the intervention • Individual Identification with Organization: Individuals’ perception of the organization and their relationship and degree of commitment to the organization • Other Personal Attributes: Personal traits such as tolerance of ambiguity, intellectual ability, motivation, etc. | |
Domain 5: Process of implementation | |
• Planning: Planning for the implementation • Engaging: Engaging individuals in implementation processes • Executing: Executing the implementation plan • Reflecting and Evaluating: Reflecting and evaluating the progress of implementation |