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. 2022 Apr 25;3:46. doi: 10.1186/s43058-022-00293-3

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