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Table 1 Predetermined factors (n = 28) for Delphi round one grouped into CFIR domains

From: Fostering the implementation of transitional care innovations for older persons: prioritizing the influencing key factors using a modified Delphi technique

CFIR Domain

Factors

Intervention (TCIs) Characteristics

â–ª Targeted groupsa (older persons as recipients of the TCIs)

▪ Complexity (perceived difficulty of TCIs’ implementation)

â–ª Relative advantage (perceived advantage and usefulness of the TCIs by stakeholders)

▪ Evidence strength and quality (evidence for TCIs’ effects on older persons’ outcomes)

Outer Setting

â–ª Cosmopolitanism (degree to which an organization is networked with other external organizations)

â–ª External policy (e.g., mandates and regulations supporting the implementation of TCIs)

â–ª External incentives (e.g., national funding schemes or sponsorship supporting the implementation of TCIs)

Inner Settingb

â–ª Networks and communications (communications within an organization, e.g., interdisciplinary teams)

â–ª Culture (organizational norms, values)

▪ Relative priority (healthcare professionals’/staff’s perception of the importance of the implementation of TCIs)

â–ª Leadership engagement (commitment and involvement of leaders with the implementation of TCIs)

â–ª Available resources (resources dedicated to the implementation of TCIs)

â–ª Access to knowledge and information on the TCIs

â–ª Information continuitya (exchange of medical data on the older person among caregivers and across organizations)

â–ª Health information technology (HIT) systemsa (e.g., electronic medical records to manage care)

Characteristics of Individuals

â–ª Knowledge and beliefs of healthcare professionals about the TCIs

â–ª Knowledge and beliefs of older persons about the TCIs

â–ª Rolea of healthcare professionals/staff in implementing the TCIs

â–ª Skills and competenciesa of healthcare professionals/staff involved in implementation of TCIs

â–ª Other personal attributes of healthcare professionals (values, motivation)

â–ª Other personal attributes of older persons (values, health literacy)

Process

â–ª Planning for the implementation of TCIs in advance

â–ª Transition roles of frontline staffa (e.g., transition nurses who will implement the TCIs)

â–ª Reflecting and evaluating the feedback and progress in the implementation of TCIs

â–ª Measurement capability/data availabilitya (capacity for the implementation process monitoring, evaluation, and improvement)

â–ª Engaging key stakeholders (individuals within the organization directly impacted by the TCIs)

â–ª Engaging organizations, external contexta (collaborations among various organizations and care providers involved in the implementation of TCIs)

â–ª Engaging innovation participants (older persons, family, and informal caregivers who participate in the implementation of TCIs)

  1. aThese factors are constructs from the Care Transitions Framework (CTF), which were added within the CFIR relative domains for the purpose of this study, check scoping review by Fakha et al. 2021 [6] for further details; bInner setting is also referred to as the organizational context