biostudies-literatureWarner GCanadian Institutes of Health ResearchCIHRCanadian Cancer Society Research Institute42https://www.ebi.ac.uk/biostudies/studies/S-EPMC7792161biostudies-literatureUnknown21(1)<h4>Background</h4>Implementing community-based innovations for older adults with serious illness, who are appropriate for a palliative approach to care, requires developing partnerships between health and community. Nav-CARE is an evidence-based innovation wherein trained volunteer navigators advocate, facilitate community connections, coordinate access to resources, and promote active engagement of older adults within their communities. Acknowledging the importance of partnerships between organizations, the aim of our study was to use the Consolidated Framework for Implementation Research (CFIR) to explore organizational (Inner Setting) and community or health system level (Outer Setting) barriers and facilitators to Nav-CARE implementation.<h4>Methods</h4>Guided by CFIR, qualitative indBMC health services researchHow do inner and outer settings affect implementation of a community-based innovation for older adults with a serious illness: a qualitative study.PMC7792161#148655#704887Urquhart RWarner GHill TDuggleby WPesut BKervin EfalseHow do inner and outer settings affect implementation of a community-based innovation for older adults with a serious illness: a qualitative study.<h4>Background</h4>Implementing community-based innovations for older adults with serious illness, who are appropriate for a palliative approach to care, requires developing partnerships between health and community. Nav-CARE is an evidence-based innovation wherein trained volunteer navigators advocate, facilitate community connections, coordinate access to resources, and promote active engagement of older adults within their communities. Acknowledging the importance of partnerships between organizations, the aim of our study was to use the Consolidated Framework for Implementation Research (CFIR) to explore organizational (Inner Setting) and community or health system level (Outer Setting) barriers and facilitators to Nav-CARE implementation.<h4>Methods</h4>Guided by CFIR, qualitative ind2021-01-01T00:00:00Z2021 Jan2026-07-16T04:36:44.643Z2025-05-31T23:00:56.405ZS-EPMC77921613341339410.1186/s12913-020-06031-6