A barrier statement should explain the task
“Staff are resistant” is broad and judgmental. “Staff cannot complete the referral because the required form is unavailable during intake” identifies a process problem that can be investigated.
The more precise description also makes the proposed solution easier to evaluate.
| Barrier | Possible strategy to examine |
|---|---|
| Unclear eligibility rules | Decision support or clarification |
| No protected delivery time | Scheduling or staffing change |
| Difficult enrollment form | Form and workflow redesign |
These are hypotheses, not guaranteed solutions.
Check the mechanism before the final outcome
If a form is simplified, did completion become easier? If scheduling changed, did staff gain usable time? Measuring that intermediate step helps explain why the overall program did or did not improve.
Let participants challenge the diagnosis
The people doing the work may identify a different obstacle from the one leaders assumed. Include their account before committing to a strategy.
A framework such as CFIR can organize determinants, but naming a construct does not select a proven remedy automatically. The practical work is connecting a specific obstacle to a feasible action, then checking whether the proposed pathway actually occurred.
