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Table 5 Examples of quotes for key barriers by CFIR domain and construct

From: Evaluation of IMproving Palliative care Education and Training Using Simulation in Dementia (IMPETUS-D) a staff simulation training intervention to improve palliative care of people with advanced dementia living in nursing homes: a cluster randomised controlled trial

CFIR domain and construct

Example of quotes from qualitative data

Inner setting – Available resources

Unless you are covered on the floor and you are able to do your training…during protected time. (Interview with PCW158)

Different time sessions as I was on shift every time the sessions were held. (Survey, ID_224)

Inner setting – Leadership engagement

…that perhaps no one’s taking responsibility at the home level to make sure that we’ve got this compliance…(Interview with Project Consultant Supervisor)

Inner setting – Relative priority

… it's not about the topic. It is about the load that we had then… so finding the time and finding um a little bit because the new standards (Interview with GM04)

Intervention characteristics – Complexity and design

Not easily accessible, tried a few times but was issues with log in, incorrect password etc (Survey, ID_499)

Characteristics of individuals (Staff) – Educational preferences

Much prefer to come to a group session, away from home (Group interview, PCW022)