Navigation programs to support community-dwelling individuals with life-limiting illness: determinants of implementation

Table 5 Determinants, and whether each was a facilitator and/or barrier, for each program. + indicates the determinant was a facilitator; – indicates the determinant was a barrier; ± indicates the determinant was both a facilitator and barrier; n/a indicates the determinant was not described by participants as being particularly relevant to the program’s implementation

Program	A	B	C	D	E	F	G	H	I	J	K
Outer Setting
Responding to client needs facilitates implementation (Patient needs and resources)	+	+	+	+	+	+	+	+	+	+	+
Strong inter-organizational relationships facilitate implementation (Cosmopolitism)	+	+	+	+	n/a	±	±	+	±	+	+
Limited awareness of program impedes implementation (No direct CFIR construct)	-	n/a	n/a	n/a	n/a	n/a	-	-	-	-	-
Inner Setting
Leadership support and engagement facilitate implementation (Leadership engagement)	n/a	+	+	n/a	n/a	+	n/a	+	n/a	n/a	+
Fit between staff values and skills and the program’s philosophy facilitates implementation (Compatibility)	+	+	n/a	n/a	+	+	+	n/a	+	+	n/a
Resource availability (or lack thereof) facilitate or impede implementation (Available resources)	-	±	+	±	n/a	+	+	+	+	+	-
Intervention Characteristics
Ability to adapt program components and delivery facilitates implementation (Adaptability)	+	+	n/a	+	n/a	+	n/a	+	+	+	+
Inadequate funding to deliver the program impedes implementation (Cost)	-	-	-	n/a	-	n/a	-	n/a	n/a	-	-
Process of implementation
Champions facilitate implementation (Champions)	+	+	n/a	n/a	n/a	+	n/a	+	n/a	n/a	+
Evaluation facilitates implementation, refinement, and scale-up (Reflecting and evaluating)	+	±	n/a	±	n/a	+	+	+	+	+	+
Characteristics of Individuals
Team members’ knowledge and attributes facilitate implementation (Personal attributes)	+	+	+	+	+	+	+	+	+	+	+

ISSN: 1472-6963