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