Table 1 Adapted and created CFIR items

Inner Setting

 Structural characteristics

The social architecture, age, maturity, and size of an organization

19 organizational characteristics variables

 Networks and communications

The nature and quality of webs of social networks and the nature and quality of formal and informal communications within an organization

4 items adapted from the Organizational readiness for change (Helfrich, Li, Sharp, & Sales, 2009)

1 item created

 Culture

Norms, values, and basic assumptions of a given organization

3 items adapted from Inner Setting Measures for Culture (Fernandez et al., 2018)

1 item created

 Implementation climate

The absorptive capacity for change, shared receptivity of involved individuals to an intervention, and the extent to which use of that intervention will be rewarded, supported, and expected within their organization

4 items adapted from Inner Setting Measures for Implementation Climate (Fernandez et al., 2018)

2 items created

 Readiness for implementation—leadership engagement

Commitment, involvement, and accountability of leaders and managers with the implementation

5 items adapted from Inner Setting Measures for Leadership Engagement (Fernandez et al., 2018)

 Readiness for implementation—available resources

The level of resources dedicated for implementation and on-going operations, including money, training, education, physical space, and time

4 items adapted from Inner Setting Measures for Available Resources (Fernandez et al., 2018)

2 created

Outer Setting

 Patient needs and resources

The extent to which patient needs, as well as barriers and facilitators to meet those needs, are accurately known and prioritized by the organization

3 items adapted from Escoffery et al. 2018

2 items created

 Cosmopolitanism

The degree to which an organization is networked with other external organizations

4 created

 External policy and incentives

A broad construct that includes external strategies to spread interventions, including policy and regulations (governmental or other central entity), external mandates, recommendations and guidelines, pay-for-performance, collaboratives, and public or benchmark reporting

1 item adapted from Escoffery et al. 2018

2 items created