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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
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