Using the Consolidated Framework for Implementation Research (CFIR) in Project Design and Evaluation: Reflections from a Program Development Project for Point-of-Care Ultrasound Use in Rural Primary Care
Graduate Degree Type
College of Nursing
Dr. Karen Burritt
Dr. Rebecca Davis
BACKGROUND: Point-of-care ultrasound (POCUS) is the use of ultrasound at the bedside by the provider. POCUS gives immediate results, lacks ionizing radiation, has been shown to reduce healthcare costs, and improves diagnostic efficiency; thus, reducing delays in care (Lewiss, 2018; Anderson et al., 2019). The Consolidated Framework for Implementation Research (CFIR) can be used to guide POCUS program development and program development project design.
PURPOSE: The is to demonstrate the utility of the CFIR as a tool for designing a POCUS program development project for primary care, including collecting and evaluating data, and organizing findings during pre-implementation to promote future implementation success.
METHODOLOGY: The CFIR was utilized to identify appropriate implementation strategies, develop outcome measures, and collect, organize, and evaluate project data.
RESULTS: By utilizing the CFIR as a guiding model to implement POCUS in a primary care setting, there was a systematic approach for demonstrating factors that influence successful program implementation. The CFIR was instrumental in organizing data to facilitate the next steps in POCUS program development.
CONCLUSION: Designing and conducting this project through the lens of the CFIR offered a thorough understanding of this program’s timeliness/ the organizational readiness, internal and external barriers and facilitators, and potential costs and benefits of implementation.
IMPLICATIONS: The CFIR can aid in project planning and in the organization of findings to facilitate next steps in program initiatives such as POCUS.
Keywords: consolidated framework for implementation research, CFIR, point-of-care ultrasound, POCUS, program development, project design, CFIR application.
Mills, Cory, "Using the Consolidated Framework for Implementation Research (CFIR) in Project Design and Evaluation: Reflections from a Program Development Project for Point-of-Care Ultrasound Use in Rural Primary Care" (2022). Doctoral Dissertations. 52.
Available for download on Sunday, May 25, 2025