Table 4 CFIR Domain - Outer Setting
CFIR Constructsa | Ranking | Reason for Assigned Ranking | Score |
|---|---|---|---|
Patient Needs & Resources | Change over time B to F | Despite the purpose of the intervention being focused on managing the patient, it was designed for use amongst the healthcare force. Initially the perceived purpose of the checklist and usefulness for care of the COVID-19 patient was not clear to some staff, creating a barrier for implementation. After the experience gained from a real case and spread of knowledge from the debriefing process after the case, the perceived benefit of the checklist then acted as a facilitator. | 0 |
Cosmopolitanism | NA | Networking with external organizations did not apply in this circumstance. | NA |
Peer Pressure | B | Differences in international and regional guidelines for preparedness and practice for the clinical care of patients with COVID-19 on the L&D Unit resulted in interdepartmental conflicts that impacted behaviours and impacted the readiness for alignment. | 0 |
External Policy & Incentives | B | The leadership was in communication colleagues in China, Italy and other centers in the United States. In the early stages the practices and societal recommendations varied considerably, and this affected expectations and prevented shared mental models. This impacted the readiness for alignment. | 0 |