Table 3 CFIR domains and constructs per theme; barriers and facilitators
Theme | Subthemes (facilitators and barriers) | CFIR elements identified (domains; constructs) |
|---|---|---|
Instrument and process factors | Enabling: complete set; international consensus; instructions; effect proof; feedback professionals; patient engagement; combine registrations; interdisciplinary; leadership; IT-system | Intervention characteristics: intervention source, evidence strength, relative advantage, trialability, complexity, costs Outer setting: patient needs and resources, peer pressure Inner setting: implementation climate, readiness for implementation Individual characteristics: knowledge and beliefs, individual stage of change Process: planning, engaging |
Impeding: international consensus; effectivity; abstract; patient burden; resistance to change; professionals’ workload; lack of prioritizing; privacy; IT-system; costs | ||
Use in individual patient care | Enabling: patients’ benefits; time gain individual reaction; more unity | Intervention characteristics: relative advantage, complexity Outer setting: patient needs and resources Inner setting: implementation climate, readiness for implementation Individual characteristics: self-efficacy |
Impeding: PREM misinterpretation; professionals’ responsibility | ||
Use in quality improvement | Enabling: measures reflect goals; less fragmentation; motivation; improve quality; learn from benchmark; external policy | Intervention characteristics: relative advantage, complexity, cost Outer setting: patient needs and resources, external policy Inner setting: culture, implementation climate Individual characteristics: knowledge and beliefs about the intervention |
Impeding: data reliability; current QI; perceived influence; measures too general; transparency; scepticism PREMs | ||
Context of OCN | Enabling: local collaboration; trust; communication structures; more unity; integrated care | Intervention characteristics: relative advantage, complexity, cost Inner setting: structural characteristic, networks and communication, culture, implementation climate Individual characteristics: individual identification with organization |
Impeding: collaboration structure; financial incentives; interdisciplinary relations |