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Table 1 Framework conceptualization from each stakeholder’s perspective

From: Implementation and sustainability factors of two early-stage breast cancer conversation aids in diverse practices

Construct component

Surgeon and stakeholder definition

Patient definition

Coherence — What is the work?

Differentiation

I can see how the Option Grid/Picture Option Grid differs from usual ways of working.

The Option Grid/Picture Option Grid seemed different/didnʼt seem different from other tools/things I’ve received since my diagnosis.

Communal specification

Staff in this organization have a shared understanding of the purpose of this Option Grid/Picture Option Grid.

No codes came from this component.

Individual specification

I understand how the Option Grid/Picture Option Grid affects the nature of my own work.

I understand how the Option Grid/Picture Option Grid affected the nature of my appointment with my surgeon.

Internalization

I can see the potential value of the Option Grid/Picture Option Grid for my work.

I'd recommend that other patients use this tool.

Cognitive participation — Who does the work?

Initiation

There are key people who drive the Option Grid/Picture Option Grid forward and get others involved.

No codes came from this component.

Legitimation

How likely I am to recommend the tool to another health professional.

How likely I am to recommend the tool to a friend or family member.

Enrollment

I'm open to working with colleagues in new ways to use the Option Grid/Picture Option Grid.

How I hypothetically would like to receive the tool.

Activation

I will continue to support the Option Grid/Picture Option Grid.

I will continue to support the Option Grid/Picture Option Grid.

Collective action — How does the work get done?

Interactional workability

I can easily integrate the Option Grid/Picture Option Grid into my existing work.

The Option Grid/Picture Option Grid was/was not well integrated into my visit with the surgeon.

It seemed like the Option Grid/Picture Option Grid was a usual part of the appointment with my surgeon.

Relational integration

The Option Grid/Picture Option Grid disrupts working relationships.

I have the confidence in other people's ability to use the Option Grid/Picture Option Grid.

No codes came from this component.

Skill set workability

Work is assigned to those with skills appropriate to the Option Grid/Picture Option Grid.

Sufficient training is provided to enable staff to use the Option Grid/Picture Option Grid.

Work is assigned to those with skills appropriate to the Option Grid/Picture Option Grid.

Contextual integration

Sufficient resources are available to support the Option Grid/Picture Option Grid.

Management adequately supports the Option Grid/Picture Option Grid.

No codes came from this component.

Reflexive monitoring — How is the work understood?

Systemization

I am aware of reports about the effects of the Option Grid/Picture Option Grid on outcomes and workflows.

I understand how the Option Grid/Picture Option Grid affected me and my decision I had to make.

Communal appraisal

The staff agree that the Option Grid/Picture Option Grid is worthwhile.

No codes came from this component.

Individual appraisal

I value the effects the Option Grid/Picture Option Grid has had on my work.

I understand the effect the Option Grid/Picture Option Grid had on my surgeon's work.

Reconfiguration

Feedback about how the Option Grid/Picture Option Grid can be used to improve it in the future.

I can modify how I work with the Option Grid/Picture Option Grid.

Feedback about how the Option Grid/Picture Option Grid can be used to improve it in the future.