Table 2.

CFIR Constructs, Modified for Simulation Context

Significant Constructs
Adaptability The degree to which simulation can be adapted, tailored, refined, or reinvented to meet student's needs and the program curriculum.
Available Resources The level of resources dedicated to the implementation and on-going operation of a simulation program.
Organizational Culture Norms, values, and basic assumptions of a given organization. Culture of an organization may mirror culture of the external setting.
Design Quality Perceived excellence in how simulation program and materials are bundled, presented, and assembled.
Engaging Champions Attracting and involving early adopters in the implementation and use of simulation to overcome indifference/resistance to simulation.
Engaging Key Stakeholders Attracting and involving individuals within the organization and outside of the organization who have a vested interest in simulation.
Engaging Students Attracting and involving students who will participate in simulation.
External Policy External strategies that directly facilitated or hindered the implementation of simulation at an institution.
Faculty Engagement Commitment, involvement, and accountability of faculty with the implementation of simulation.
Innovation Source Perception of key stakeholders about whether the simulation is externally or internally developed.
Knowledge & Beliefs Individuals’ attitudes toward and the value placed on simulation, as well as familiarity with facts and principles related to simulation.
Planning The degree to which tasks for implementing simulation are developed in advance, and the quality of those schemes or methods.
Structural Characteristics The social architecture, age, maturity, and size of the organization/university where the simulation program was introduced.
Student Needs The extent to which the needs of students are met using simulation.