Table 2.
Domains and Categories of identified barriers and facilitators
| Barriers | Facilitators | |||
|---|---|---|---|---|
| DOMAIN | Categories | References | Categories | References |
| Policy | Financing issues | 25 | Health insurance organisation | 25 |
| Governmental regulations | 10 | |||
| Organisation | Organisational culture and vision | 1,2,4,5, 7,10, 11,15,16,18,21,22,25 | Organisational culture and vision | 3,4,7,15,16,18,21,22 |
| Management and leader support and commitment | 4,11,14,15,16,19,20,21,23 | Management and leader support and commitment | 1,2,3,4,5,7,9,10,11,14,15,17,19,20,21,22, 23,26 | |
| Resources | 1,2,3,4,5,6,8,9,10,11,12,13,15,16,17,18,20,23,24,25,26 | Resources | 1,2,4,10,11,12,13,15,17,18,25 | |
| Staff turnover and fluctuation | 2,5,15,17,20,22,23,25 | |||
| Demands competing with the intervention | 2,4,5,8,9,11,16,17,20, 21,23 | |||
|
Intervention/ Implementation |
Perceived value of the intervention | 9,15,19,20,25 | Perceived value of the intervention | 4,8,10,11,17,20 |
| Sufficiency of intervention training delivery | 4,23 | Sufficiency of intervention training delivery | 1,4,6,8,10,11,13,16,18,19,23 | |
| Degree of clarity of the intervention | 4,11,15,21 | Degree of clarity of the intervention | 1,4,5,7,11,15,17,20,21 | |
| Suitability for current practice | 2,15,20 | Suitability for current practice | 3,4,20 | |
| Environmental conditions | 12 | Environmental conditions | 12 | |
| Support from defined persons | 11,22 | Support from defined persons | 2,3,6,7,10,11,14,15,16 | |
| Qualification and enthusiasm of the supplying person | 11,15,16,23 | Qualification and enthusiasm of the supplying person | 15,16,23 | |
| Conditions for the supplying person | 11,16,19 | Conditions for the supplying person | 6,11,16 | |
| Collaboration with stakeholders | 16,25 | Involvement of staff in intervention development and delivery | 3,19 | |
| Implementation methods | 3,6,19 | Involvement of multiple disciplines and hierarchical levels | 1,2,3,4,11,13,16,18,20,21,22,25 | |
| Complexity of the intervention | 2,3,4,7,11,12,15,18,25 | |||
| Issues concerning the trial procedure | 6,7,15,19 | |||
| Staff | Team cultures | 4,5,20,22,25 | Team cultures | 1,3,4,6,7,8,10,12,17,19,22,23,25 |
| Knowledge, experience and skills of staff | 1,4,8,11,12,19,22,23,25 | Knowledge, experience and skills of staff | 1,11,12,18,19 | |
| Motivation and energy of staff | 4,9,12,19,22,23 | Motivation and openness of staff | 2,4,5,11,12,15,18,19,22,23,25 | |
| Degree and clarity of responsibilities | 1,4,21,25 | |||
| Degree of familiarity with the intervention | 4,5,12,18,25 | |||
| Attitude towards the intervention | 4,5,6,7,11,15,17,22,23 | |||
| Focus of care | 4,9 | |||
| Person with Dementia/Family | Family engagement | 4,5,18,23 | Family engagement | 5,10,16,18 |
| Attitude towards the intervention on the part of the family and other patients | 7,23 | Response to the intervention on the part of persons with dementia and the family | 4,10,17 | |
| Nature and stage of dementia | 3,4,9,12,13,18,26 | Education, knowledge and experience of the person with dementia and the family | 10,12,18 | |
| Background information about the person with dementia | 4 | |||
The references in this table do not refer to the references in the text. They refer to the numbers given in Table 1