TDF Domains (Definition) Wheel circle(s) Circle construct(s) Rationale
1. Knowledge (An awareness of the existence of something) Time subthemes CPG knowledge Level of knowledge on what are CPGs will influence their CPG-uptake in practice.
2. Skills (An ability or proficiency acquired through practice) Time subthemes Accessing CPGs The ability to access CPGs directly influences the individual’s willingness to use CPGs in practice
3. Social/professional role and identity (A coherent set of behaviours and displayed personal qualities of an individual in a social or work setting) Time subthemes Few staff, high load If the individual feels limited in their time availability to use CPGs, due to limited staff and high workload, it will affect their willingness for CPG-uptake.
4. Beliefs about capabilities (Acceptance of the truth, reality or validity about an ability, talent or facility that a person can put to constructive use) Time subthemes CPG knowledge & accessing of CPG Changing perceptions about CPG knowledge and accessing CPGs, may change CPG-uptake behaviour in practice.
5. Optimism (The confidence that things will happen for the best or that desired goals will be attained) Optimism/ Pessimism/ Unrealistic optimism/ Identity
EBP as priority
Observing EBP as priority in practice may be related to an optimism towards its use in practice but need to be facilitated to prevent a negative (pessimistic) outlook towards the seeming “burden” of more to do in practice.
6. Beliefs about Consequences (Acceptance of the truth, reality, or validity about outcomes of a behaviour in a given situation) Quality criteria The quality criteria of healthcare are directly affected by the (dis)use of CPGs to inform clinical decision-making.
7. Reinforcement (Increasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulus) Stages of change Moving through the stages of change, particularly advancing through it, contributes to reinforcement of the use and applicability of CPGs in practice.
8. Intentions (A conscious decision to perform a behaviour or a resolve to act in a certain way) Stages of change Moving through the stages of change will be both a conscious and unconscious process.
9. Goals (Mental representations of outcomes or end states that an individual wants to achieve) Quality criteria; Time subthemes Time is money The quality criteria of healthcare are directly affected by the (dis)use of CPGs to inform clinical decision-making. CPG-use can affect monetary compensation
10. Memory, attention and decision processes (The ability to retain information, focus selectively on aspects of the environment and choose between two/ more alternatives) Quality criteria; Time subthemes CPG knowledge & accessing of CPG Changing abilities of CPG knowledge and accessing CPGs, may change CPG-uptake behaviour in practice, affecting adherence to quality criteria of healthcare.
11. Environmental context and resources (Any circumstance of a person’s situation or environment that discourages or encourages the development of skills and abilities, independence, social competence and adaptive behaviour) Whole wheel model The wheel model relates directly to the context of the individual’s process of time management to address and overcome lack of time subthemes and moving through stages of change to conform to quality criteria of healthcare.
12. Social influences (Those interpersonal processes that can cause individuals to change their thoughts, feelings, or behaviours) Stages of change; Time subthemes Time is money; Few staff, high load The two-time subthemes relate to how an individual perceives the usefulness of CPG-uptake in their working environment and the perception may influence their ability to move through the stages of change to change their CPG-uptake behaviour.
13. Emotion (A complex reaction pattern, involving experiential, behavioural, and physiological elements, by which the individual attempts to deal with a personally significant matter or event) EBP as priority; Quality criteria Adhering to the quality criteria of healthcare and delivering patient-centred care through evidence-informed practice behaviours affects how the individual perceive their role as a healthcare professional.
14. Behavioural regulation (Anything aimed at managing or changing objectively observed or measured actions) Stages of change Moving through the stages of change will be both a conscious and unconscious process.