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Table 2 Codebook: definition of the codes

From: Analyzing barriers and facilitators to the implementation of an action plan to strengthen the midwifery professional role: a Moroccan case study

Mega-codes Definition
Values The values, beliefs, principles, laws and rules of the system
Methods The organizational procedures used in the system and that include facilitators/barriers to implementation (e.g., communication and coordination mechanisms, availability and use of physical, human, financial resources, training, etc.)
Actors The actors involved in the system’s functioning whose characteristics (e.g. capacities, motivation, attitudes) can facilitate/hinder the implementation process
Targets The goals of the system which may facilitate/hinder the implementation process
Implementation process (Executing) How well the implementation is carried out according to plan
Characteristics Characteristics of the intervention perceived to influence the implementation (e.g., advantage, perceived difficulty of implementation)
CFIR’s constructs Definition
Executing Extent to which the activities of the plan were delivered as intended
 Fidelity Content adherence : adherence to the prescribed activities
  Coverage: whether the stakeholders who should be participating in the activities actually do
 Intensity (quality) The lived experience and the satisfaction towards the implemented activities
 Timeliness of task completion Adherence to timetable, compliance with deadlines
 Degree of engagement Active involvement of actors in the implementation process
External policy and incentives The external strategies to spread interventions including: local, national policies, regulations, external mandates, guidelines and recommendations that influenced the decision to implement the intervention
Patient needs and resources Extent to which patient needs are prioritized by the organization
Structural characteristics Structural challenges (e.g., social architecture, centralization, maturity, size, etc.) that facilitate/hinder the implementation
Culture Organization's beliefs, norms, values that affect the implementation
Networks and communications The nature of social networks and of formal and informal communications within an organization
Readiness for implementation Organizational commitment to its decision to implement an intervention
 Available resources Level of resources dedicated for implementation (e.g., money, training, education, physical space, equipment, etc.)
 Access to knowledge and information Access to information, knowledge and materials about the intervention
Characteristics of individuals/Personal attributes Personal traits such as tolerance of ambiguity, motivation, intellectual ability, competence, capacity (e.g. leadership, involvement of leaders with the intervention to help make implementation successful
Intervention source Perceptions of stakeholders about whether the intervention is externally or internally developed
Complexity How complicated the intervention is in: duration, radicalness, number of steps required to implement
Relative advantage Stakeholders’ perception of the advantage of implementing the intervention versus an alternative solution