Behaviour science: theoretical domains framework representation within nursing implementation studies

Abstract

AIMS: The purpose of this study was to evaluate whether the Theoretical Domains Framework domains can be identified in implementation reports, and to explore whether evidence based clinical audit and feedback has an implicit conceptual basis in behavioural theory. BACKGROUND: Clinical Audit and Feedback is a well-recognised approach to implementation. Although widely used, there has been little progress with respect to understanding the mechanisms of action (the key ‘active ingredients.’). Improved conceptualization of clinical audit within behaviour theory may support the identification of features that systematically influence the effectiveness of interventions. DESIGN: Framework analysis of nursing implementation reports. METHODS: Joanna Briggs Institute implementation reports were tested against the core definitions for each TDF domain or sub constructs. Associations between Levels of Credibility and textual data were also assessed. RESULTS: There is clear evidence of behavioural theory domains and constructs in published Implementation Reports. The most frequently identified domains and concepts appeared to fit the operational boundaries within the realm of a clinician. Conversely, the least frequently identified domains and concepts were categorised as subjective, and less tangible to the day to day practice of clinicians.