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Table 3 Seven Domains for Implementing Patient-Centered Care and Associated CFIR Constructs

From: How can healthcare organizations implement patient-centered care? Examining a large-scale cultural transformation

Domain

CFIR broad construct

CFIR subconstruct

Leadership

Inner Setting

Leadership engagement

Opinion Leaders

Champions

Process

Engaging

Patient and family engagement

Intervention Characteristics

Intervention Source

Design quality and packaging

Outer Setting

Patient needs and resources

Staff engagement

Intervention characteristics

Design quality and packaging

Inner setting

Networks and communications

Culture

Implementation climate

Relative priority

Learning climate

Access to knowledge and information

Process

Engaging

Opinion leaders

Reflecting and evaluating

Focus on PCC innovations

Intervention characteristics

Intervention source

Relative advantage

Inner setting

Implementation climate

Relative priority

Learning climate

Readiness for implementation

Leadership engagement

Characteristics of individuals

Self-efficacy

Process

Opinion leaders

Champions

Alignment of staff roles and priorities

Intervention characteristics

Adaptability

Complexity

Characteristics of individuals

Identification with organization

Knowledge and beliefs about intervention

Self-efficacy

Inner setting

Networks and communication

Culture and climate

Organizational structures and processes

Inner setting

Networks and communication

Culture and climate

Outer Setting

External policy & incentives

Environment of care

Inner setting

Culture and climate