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Table 3 Factors that reached consensus on importance of influence on the implementation of TCIs, in order of ranking

From: Fostering the implementation of transitional care innovations for older persons: prioritizing the influencing key factors using a modified Delphi technique

Factor

Rating: Very/Extremely Important

(Consensus level in %)

CFIR Domain

Round one

 Engaging key stakeholders

97

Process

 Leadership engagement

93

Inner setting

 Available resources

93

Inner setting

 Relative priority

86

Inner setting

 Relative advantage

79

Intervention characteristics

 External incentives

79

Outer setting

 Transition roles – frontline staff

76

Process

 Skills and competencies

72

Characteristics of individuals

 Role

72

Characteristics of individuals

 Planning

72

Process

 Knowledge and beliefs of healthcare professionals about the TCIs

72

Characteristics of individuals

 Culture

72

Inner setting

 Complexity

72

Intervention characteristics

 

Rating: Slightly/Moderately Important

(Consensus level in %)

 

 Other personal attributes of older persons

72

Characteristics of individuals

 

Rating: Very/Extremely Important

(Consensus level in %)

 

Round two

 Leadership engagementa

100

Inner setting

 Information continuity

96

Inner setting

 Financing of TCIs’ implementation

96

Inner/outer setting

 HIT systems

93

Inner setting

 Access to knowledge and information

89

Inner setting

 Engaging organizations, external context

89

Process

 Sense of urgency

89

Inner setting

 Reflecting and evaluating

86

Process

 Other personal attributes of healthcare professionals

82

Characteristics of individuals

 Adoption of change in work processes

82

Inner setting

 Networks and communications

79

Inner setting

 Inter-organizational collaborations

79

Inner/outer setting

 Codesign of TCIs

79

Intervention characteristics

 Power of decision-makers

75

Inner/outer setting

 Measurement capability/data availability

75

Process

 External policy

71

Outer setting

 

Rating: Slightly/Moderately Important

(Consensus level in %)

 

 Evidence strength and quality

71

Intervention characteristics

  1. aDefinition revised for round two, and therefore rating for this factor was repeated