Table 2.
Potential barriers and facilitators for use of the MyFood system, identified in stakeholder focus group discussions and semistructured interviews.
| CFIRa domain | Barriers | Facilitators |
| Intervention characteristics | Lack of automatic transfer to the electronic patient record; Hygienic aspects of using tablet computers among the patients; Potentially demotivational for patients who strive to meet their dietary needs | More trustworthy, systematic, fun, and easy to use than the current practice; May increase awareness on nutritional care and treatment; Positive attitudes among health care providers to test the MyFood tool in an intervention study; Intuitive, neat, and user-friendly design |
| Outer setting | Lack of current routines for screening for malnutrition risk; Nurses’ perceptions of nagging patients regarding food intake; Different cultural backgrounds among patients; Language barriers among non-native patients; Patients fasting before surgery or medical examinations; Elderly patients not familiar with tablet computers | Potentially earlier implementation of nutritional treatment among the patients; Empowerment of patients in the recording of dietary intake |
| Inner setting | Ambiguity among health care providers who have the primary responsibility for nutritional care and treatment; Prejudices among some physicians regarding the role of nutrition in the treatment process; Diverging focus between different health care providers, which may confuse the patients; Lack of culture and specific routines for nutritional care; Weak foundation on nutritional care among management; Limited availability of computers to use the MyFood report function; Limited available time | High stability in the departments’ staff of health care professionals; Good cooperation between health care professionals; Assumptions among nurses regarding the importance of nutrition; Desire among nurses for better tools for dietary assessment and follow-up; Potentially time saving if nurses do not have to do manual calculations of dietary intake themselves |
| Individual characteristics | —b | Perceived self-efficacy among nurses in the ability to use the MyFood tool. |
aCFIR: Consolidated Framework for Implementation Research.
bNot applicable.