Table 2 CFIR Inner Setting Constructs and Definitions [15]

Structural Characteristics

The social architecture, age, maturity, and size of an organization.

Networks & Communications

The nature and quality of webs of social networks and the nature and quality of formal and informal communications within an organization.

Organizational Culture

Norms, values, and basic assumptions of a given organization.

Implementation Climate

The absorptive capacity for change, shared receptivity of involved individuals to an intervention and the extent to which use of that intervention will be rewarded, supported, and expected within their organization.

 Learning climate

A climate in which: a) leaders express their own fallibility and need for team members’ assistance and input; b) team members feel that they are essential, valued, and knowledgeable partners in the change process; c) individuals feel psychologically safe to try new methods; and d) there is sufficient time and space for reflective thinking and evaluation.

 Compatibility

The degree of tangible fit between meaning and values attached to the intervention by involved individuals, how those align with individuals’ own norms, values, and perceived risks and needs, and how the intervention fits with existing workflows and systems.

 Goals and Feedback

The degree to which goals are clearly communicated, acted upon, and fed back to staff and alignment of that feedback with goals.

 Relative Priority

Individuals’ shared perception of the importance of the implementation within the organization.

 Organizational Incentives & Rewards

Extrinsic incentives such as goal-sharing awards, performance reviews, promotions, and raises in salary and less tangible incentives such as increased stature or respect.

 Tension for Change

The degree to which stakeholders perceive the current situation as intolerable or needing change.

Readiness for Implementation

Tangible and immediate indicators of organizational commitment to its decision to implement an intervention.

 Leadership Engagement

Commitment, involvement, and accountability of leaders and managers with the implementation.

 Available Resources

The level of resources dedicated for implementation and on-going operations including money, training, education, physical space, and time.

 Access to Knowledge and Information

Ease of access to digestible information and knowledge about the intervention and how to incorporate it into work tasks.