Table 2 Study relevant domain’s constructs, and sub-constructs, definitions and exemplar quotes of the consolidated framework for implementation research

Domain I: Intervention Characteristics

Perception of key stakeholders about the intervention’s external and internal development

Relative advantage

Perceived advantage of implementing an intervention or program compared to the usual process

The navigators were so good at preparing the patient for what they were going to experience. Even before they got to us. Nurse

Complexity

Perceived difficulty of implementing the program

It was not difficult. Physician

Design quality and packaging

Stakeholders’ perception of how well the intervention is developed and presented

I think the navigators covered a huge range of patient care services … everything from education regarding insurances, to how family members can get involved in the healthcare system to directly assisting the patient in their diagnostics and then treatment plan completion. Clinical Team Members

Evidence strength and quality

Perception of the evidence supporting the intervention and the intervention’s ability to provide the desired outcome

I know that the navigators helped them through, but I don't know, like in detail they would always come to the appointments with the patient and translate and help coordinate their appointments and um, make sure that, you know, they got their treatment and their follow up on time came to their appointments on time. Physician

Intervention source

The development of an intervention and how the stakeholders became involved with- or learned about- the program

The first time I met the navigators was when I had a Chinese speaking patients. Administration

Domain II: Outer Setting

Describes external influences on implementing the intervention

Patient needs and resources

How patient needs are adequately addressed by the implementing organization

It's great to be on their wavelength and I have no evidence of this, but I think it helps keep them in the program and get them treated and they're less likely to drift. Physician

Domain III: Inner Setting

Identifies the structural characteristics and internal culture that influence implementation

Implementation climate

An institutions capacity and support for change

Relative priority

Reflects an institution’s shared views on how important an intervention is within the organization relative to their typical workflow(s)

I think the navigator program helped prepare the Chinese patients for the system by introducing them to put up bits and pieces of the system over time. Administration

Goals and feedback

Development, execution, and communication of the program's goals to the appropriate staff and the stakeholders’ perceptions about the feedback and/or evaluation they received about their involvement in the program

I don't know that there was an expectation of feedback. Clinical team member

Networks and communications

Quality and types of communication networks within the implemented program

I don't think they were real involved because the navigators like basically knew what to do when they brought the patients in. Nurse

Readiness for implementation

A program’s commitment to a successful implementation

Leadership engagement

The commitment of the program's leadership to implementing the program

They helped give them space to work with and physical, physical space and they were huge proponents of it and proud of it. Nurse

Available resources

The degree of resources dedicated to implementing the CPNP

I know that they didn't always have resources, but we would come up with something together. Clinical team member

Domain IV: implementation Process

Factors related to planning, engaging, reflecting, and evaluating the success of implementing a program

Engaging

The program’s ability to involve the appropriate talent and strategies to attract participants

The mammographers, the entire cancer doctor team, especially the breast team, um, surgeons and oncologists who are really really involved. Um, I think the other cancer navigators became a big part of it as well as the, um, breast and cervical cancer program, um, employees. Nurse

Reflecting and evaluating

Feedback about the progress and quality of implementation; regular debriefing about progress

It would depend on the day. Some days when we were giving a new diagnosis to a patient, it could be, you know, an hour long. Um, if they were coming to look good, feel better and they were sitting with the patient while they were in that program, um, that could easily be an hour long. You know, other days it could be, you know, shorter. So it just really depended on the day. Clinical team member