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Table 2 Theoretical domains framework with sample questions [20]

From: Barriers and facilitators towards implementing the Sepsis Six care bundle (BLISS-1): a mixed methods investigation using the theoretical domains framework

Domain

Content

Sample question as applied to this study

Knowledge

An awareness of something

What do you understand by the Sepsis Six?

Skills

Ability or proficiency acquired through practice

Can you think of any ways in which your own skills for performing the steps in the Sepsis Six could be improved?

Social/professional role and identity

Set of behaviors and qualities of an individual in social or work setting

To what extent do you consider performing the steps in the Sepsis Six a part of your role?

Beliefs about capabilities

Views about one’s ability/talent/capability to perform the target behavior(s)

Are there any particular steps that you are more or less confident about performing?

Optimism

Confidence that things will happen for the best or that desired goals will be attained

How optimistic or pessimistic are you that improving performance of the Sepsis Six holds the potential to improve patient care in the future?

Beliefs about consequences

Acceptance of the truth, reality or validity about outcomes of a behavior in a given situation

To what extent do you believe that performing the steps in the Sepsis Six can affect patient outcomes?

Reinforcement

Increasing the likelihood of a behavior being performed by establishing an association between performing a behavior and a given stimulus or cue

Are you aware of any ways in which performing the Sepsis Six is rewarded?

Intentions

Conscious decision to perform a behavior or resolve to act in a certain way

To what extent do you intend to (continue to) perform the Sepsis Six in daily clinical practice?

Motivation and Goals

Mental representation of outcomes or states that an individual wants to achieve

Do you have any specific goals for performing the Sepsis Six?

Memory, attention and decision processes

The ability to retain information, focus selectively on aspects of the environment and choose between two or more alternatives

How easy or difficult is it to remember the steps involved in the Sepsis Six when you are performing it in daily clinical practice?

Environmental context and resources

Circumstances of a person’s situation/environment that affect behavior

To what extent does your working environment have sufficient levels of resources needed to allow performance of the Sepsis Six within one hour of recognition?

Social influences

Interpersonal processes that can cause individuals to change thoughts/feelings/behaviors

Are there any conflicting beliefs amongst your colleagues about the Sepsis Six?

Emotions

Complex reaction pattern by which individual attempts to deal with a personally significant matter or event

To what extent do you feel that your emotional state affects your performance of the Sepsis Six?

Behavioral regulation

Anything aimed at managing or changing objectively observed or measured actions

Do you ever receive feedback on your performance of the Sepsis Six on septic patients?