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Table 3 Working logic model content for the barrier of innovation relative advantage

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

  1. SA supraglottic airway