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Table 5 Final list of factors of importance and indication of feasibility in policy implementation

From: Implementation of government-directed policy in the hospital setting: a modified Delphi study

Factor

Feasibility

Yes

Local level

No

Policy characteristics

 Perception of the quality and validity of the evidence

✓

  

 Policy content and requirements/actions

✓

  

 Valid and reliable evidence for policy requirements/actions

✓

  

 Assessment/testing of policy

  

x

 Perception of benefit to patient care outcomes

✓

  

 Cost of implementation

✓

  

Outer setting

 External systems and infrastructure

✓

  

 Alignment of policy with other external requirements

✓

  

 Alignment with national/corporate goals

✓

  

 Regulatory mechanisms (e.g. accreditation, financial penalties)

✓

  

Inner setting

 Internal systems and infrastructure

✓

  

 Hospitals establish roles and responsibilities

  

x

 Hospitals assess for internal factors/relationships

 

✓

 

 Hospitals establish organisational lines of accountability

 

✓

 

 Hospitals consider organisational stability

  

x

 Methods for monitoring and reporting policy implementation outcomes

✓

  

 Clinical leaders/professional peers

 

✓

 

 Organisational goal setting

 

✓

 

Individuals

 Resources and tools

✓

  

 Integration of policy requirements into current practice

✓

  

Implementation process

 Resourcing and preparedness

✓

  

 Development of implementation plan

✓

  

 Hospitals establish and build capacity for implementation

  

x

 Identification of changes needed in planning

✓