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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.