Table 1 Representative quotes for the theme “Reasons for variability in adopter responses to the intervention”
Sub-themes | Intervention components | Representative quotes for the sub-theme and intervention component | Contextual factors related to this sub-theme (CFIR Constructs) |
|---|---|---|---|
A. Variability in clinicians’ and patient’s characteristics and preferences | Prescribing data feedback | Nurse educator interviewee [about the prescribing feedback dashboard]: Do we think that they're getting in there and looking? Quality lead: Dr. [name] I do know is looking. She has talked about several times like how it's driven her change. She has also looked at her nurse practitioners. Dr. [name] has looked a couple of times I believe…But, he has some ideas about quality sending him his reports. ..he wants us to [send the reports]. | Innovation characteristics (design quality and packaging) |
Clinician education modules | Surgeon: Well, the computer modules, in all honesty, are kind of a pain. I spend way too much time on the computer doing things, so doing another thing, responding to another email, is just very time consuming, so it's actually more, probably, I don't want to say convenient, if it's in a form held at the surgery department meeting where someone has 15 to 20 minutes to talk about it. You got all the surgeons there, everybody can hear their questions. | Innovation characteristics (design quality and packaging) | |
Prescribing data feedback reports | Interviewer:..the final intervention was the surgical prescribing report and you said that you opened it.. Do you recall how you were doing or did you have any questions about it or any thoughts after seeing it? Surgeon 1: I was doing very poorly. I was like at the very bottom. I was one of the worst people.. I was definitely more proactive after that about every time I work with a new resident going over the correct number for each operation was. Surgeon 2: Without a report card, I know that I'm prescribing less and my patients are getting less than they were two years ago. It's a huge difference. | Characteristics of individuals (knowledge and beliefs about the intervention) | |
B. Need for interventions to be locally adaptable | Patient education: brochure | Patient interviewee: I had to call Dr. [name]'s office the next day to remind myself of the flip flopping Tylenol and Ibuprofen protocol, because I think the way their software is set up for these papers, if you get the prescription, the printout only gives you the prescription information, but because I didn't want to take the prescription, I [crosstalk] remind myself of the protocol of flip flopping | Innovation characteristics (design quality and packaging) |