Table 2.
Summary of executive interview and student focus group themes describing program implementation and research question address, mapped to Consolidated Framework for Implementation Research (CFIR) constructs and subconstructs
| CFIR constructs | Theme | Sub-theme summary (research question number) |
|---|---|---|
| Characteristics of intervention | ||
| Intervention source | Organizational support in theory, barriers in practice | Breaking boundaries between healthcare and academic settings (3)a |
| Adaptability | Organizational support in theory, barriers in practice | Responsiveness to needs of students (3)a |
| Outer setting | ||
| Cosmopolitan | Organizational support in theory, barriers in practice | Interconnectedness with university (3)a |
| Inner setting | ||
| Networks and communications | Increased individual and network capacity | Relationships with cohort network (2)b |
| Organizational support in theory, barriers in practice | Facilitation of greater interconnectedness (1, 2)a | |
| Promising, but early days | Developing a shared language (1, 2)b | |
| Culture | Realization of knowledge gaps | Existing culture of improvement and EBM (1, 2)a |
| Difficulty of culture change (3)a | ||
| Promising, but early days | Culture change has already been experienced (2)b | |
| Implementation climate | Realization of knowledge gaps | Executives recognize need for change (3)a |
| Organizational support in theory, barriers in practice | Inelasticity of workforce (3)a | |
| Promising, but early days | Influence on other projects (2)b | |
| Readiness for implementation | Organizational support in theory, barriers in practice | Leadership engagement–objectives of executives (3)ab |
|
Support and quality of leadership (3)ab Available resources (3)b | ||
| Characteristics of individuals | ||
| Knowledge and beliefs about the intervention | Increased individual and organization/network capacity | Enthusiasm of course participants (2, 3)a |
| Realistic understanding of challenges regarding sustainability (2)b | ||
| Self-efficacy | Realization of knowledge gaps |
Limited academic evaluation/implementation knowledge (1)a Using new skills (2)b Confidence and credibility (2)b |
| Individual stage of change | Realization of knowledge gaps | Self-reflection on previous experiences (1)b |
| Individual identification with organization | Realization of knowledge gaps | Frustration with slow pace of change (1, 2)b |
| Other personal attributes | Realization of knowledge gaps | Identified gaps in stakeholder engagement (1, 2)b |
| Process | ||
| External change agents | Organizational support in theory, barriers in practice | Responsiveness of university in delivering bespoke program (3)a |
| Innovation participants | Increased individual and network capacity | Enthusiasm and successful engagement of students (3)a |
Subthemes sourced from aexecutive interviews and bstudent focus groups