From: Implementation mapping to plan for the Supraglottic Airway for Resuscitation (SUGAR) trial
Domain | Barrier | Potential Implementation Strategies | Potential Mechanisms | Potential Implementation Outcomes |
---|---|---|---|---|
Innovation | Innovation relative advantage: Mixed perceptions regarding the advantages and disadvantages of SA compared to alternatives | -Trainings/educational meetings (including info about evidence base) -Learning collaboratives/ peer facilitation - interactive problem solving & support in context of need for improvement -Inform local champions/opinion leaders - Change physical structure and equipment (use a device that does not require cuff inflation and can be used as a conduit for endotracheal intubation) -Tailoring strategies (e.g., to site type, given this is particularly salient barrier for level III/IV hospitals) | Theory of Planned Behavior: implementation strategies specifically target attitudes (e.g., evidence-base; valuable use-cases); descriptive & injunctive norms (e.g., messaging from leaders and others in unit/other units); self-efficacy (e.g., via problem solving) to support perceived relative advantage and lead to adoption and penetration Routinization/Institutionalization: strategies include embedding SA into practice routines to support perceived advantage and lead to adoption, penetration and sustainment | Initial adoption; Penetration; Sustainment; Fidelity |