Table 4 Criteria used to assign ratings to constructs-Adapted from Damschroder & Lowery (2013) (http://creativecommons.org/licenses/by/4.0/)

−2

The construct is a negative influence in the organisation, and/or an impeding influence in implementation efforts. Majority of participants describe how the construct manifests in a negative way by describing explicit examples.

-1

There is a mixed effect but overall the construct is noted to be a negative influence in the organisation, and/or an impeding influence in implementation efforts. Participants describe how the construct manifests in a negative way but without concrete examples or sufficient information are given to make an indirect inference of a negative effect.

0

A construct has a neutral influence if it appears to have a neutral effect (participants contradict each other) or there is no evidence positive or negative.

+ 1

There is a mixed effect but overall the construct is noted to be a positive influence in the organisation, and/or a facilitating influence in implementation efforts. Participants describe how the construct manifests in a positive way but without concrete examples or sufficient information is given to make an indirect inference of a positive effect.

+ 2

The construct is a positive influence in the organisation, and/or a facilitating influence in implementation efforts. Majority of participants describe how the construct manifests in a positive way by describing explicit examples.