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Table 2 Examples of matching barriers that may be identified in Aim 2 to deimplementation strategies

From: Measuring overuse of continuous pulse oximetry in bronchiolitis and developing strategies for large-scale deimplementation: study protocol for a feasibility trial

Examples of potential barriers to deimplementation Consolidated Framework for Implementation Research constructs [30] Elements of adapted Theory of Planned Behavior [51] Expert Recommendations for Implementing Change strategy types [42]
Belief that continuous monitoring is a safety net Characteristics of individuals: knowledge and beliefs Behavioral beliefs contributing to attitudes Educational outreach visits, build a coalition, learning collaborative
Reluctance to change comfortably entrenched practice of continuously monitoring all infants Characteristics of individuals: self-efficacy, Inner setting: implementation climate Self-efficacy, organizational culture and climate, habit Provide reminders (clinical decision support), audit and feedback, clinical champions, learning collaborative
Monitoring because of perceived parental preference that infant be monitored (preference may be real or assumed) Characteristics of individuals: knowledge and beliefs, Outer setting: patient needs Behavioral beliefs contributing to attitudes, self-efficacy Educational outreach visits, clinical champions, involving parents as active participants in deimplementation effort