Table 1

CFIR domains and their role in the implementation project

CFIR domainRole in project
Inner settingGain insight into the hospital/implementation location, including internal network and communication, culture (norms and values), knowledge, current use of the intervention and implementation climate (tension for change, feedback, learning climate)
Outer settingGain insight into the needs of patients/proxies and pressure from peers (need for hospitals to use the same protocol)
Characteristics of individualsGain insight into the confidence/preparedness to discuss and apply NOM through SDM with the intended target group
Characteristics of the interventionGain insight into the SDM conversation as part of NOM, the needs of healthcare providers on how to conduct SDM and who participates in it, and what they need to apply NOM
  • CFIR, Consolidated Framework for Implementation Research; NOM, non-operative management; SDM, shared decision-making.