Table 1 Statements in the Influences on Patient Safety Behaviours Questionnaire matched to the 11 domains of barriers to behaviour change [21]
From: Using behaviour change and implementation science to address low referral rates in oncology
Domain | Questions | Target behaviour |
|---|---|---|
Knowledge | I know what the guidelines say about the need to … I fully agree with the guidelines which instruct staff to … | … ensure that every patient at high risk of Lynch syndrome is referred to genetic counselling. |
Skills | *Training is not offered to me regularly enough to … *Training is not adequate to … | |
Social/profession role and identity | *It isn’t my responsibility to … I am clear about what my role should be in the process to … | |
Beliefs about capabilities | *I do not find it easy to … *I have previously encountered problems when trying to … | |
Beliefs about consequences | *It does not matter too much if I do not… It will be bad for the patient if I do not … | |
Motivation and goals | *Emergencies and other priorities get in the way of me being able to … *Other guidelines conflict with me being able to … | |
Memory, attention and decision-making processes | I habitually (or usually) … *There are justifiable reasons why often decide not to … | |
Environmental context and resources | *There is not a good enough system in place to … I have the necessary resources (e.g. correct/enough equipment, staff, etc) to do … Verbal and written communication between staff is clear enough for me to… | |
Social influences | *Other staff don’t seem to … My superiors would like me to … | |
Emotion | *I feel anxious if I think about having to … *I worry if I think about having to … | |
Behavioural regulation/action planning | *Plans in my head often get muddled when trying to … *Things are too unpredictable to make plans to … |