School of Health Sciences, City University of London, London, UK.
Patient Emergency Response & Resuscitation Team (PERRT), University College London Hospitals NHS Foundation Trust, London, UK.
J Adv Nurs. 2021 Jun;77(6):2831-2844. doi: 10.1111/jan.14830. Epub 2021 Mar 19.
To explore barriers and enablers of recognition and response to signs of patient deterioration by nursing staff in an acute hospital.
A theory-driven interview study underpinned by the Theoretical Domains Framework of behaviour change.
Between 07/01/2019 and 18/12/2019 a purposive sample of registered nurses and healthcare assistants was recruited to participate in a semi-structured (audio-recorded) interview, to explore the determinants of seven specified behaviours of the afferent limb. Anonymised transcripts were deductively coded (using the 14 Theoretical Domains Framework domains as coding categories) and then extracts within each domain were inductively analysed to synthesise belief statements and themes. Prioritisation criteria from published literature were applied.
Thirty-two semi-structured interviews were conducted. From 1,888 quotes, 184 belief statements and 66 themes were synthesised. One hundred and forty-six belief statements, represented by 58 themes, met prioritisation criteria. Nine domains of the Theoretical Domains Framework were of high importance: Knowledge; Social, Professional Role and Identity; Beliefs about Consequences; Reinforcement; Intentions; Goals; Memory, Attention and Decision Processes; Environment, Context and Resources and Social Influences.
Barriers and enablers most likely to impact on nursing staff afferent limb behaviour were identified in nine domains of the Theoretical Domains Framework.
探讨急性医院护理人员识别和应对患者病情恶化迹象的障碍和促进因素。
一项基于理论的访谈研究，以行为变化的理论领域框架为基础。
在 2019 年 1 月 7 日至 12 月 18 日期间，有目的的招募注册护士和医疗助理参与半结构化（录音）访谈，以探讨七个特定传入肢体行为的决定因素。对匿名转录本进行演绎编码（使用 14 个理论领域框架域作为编码类别），然后对每个域中的提取内容进行归纳分析，以综合信念陈述和主题。应用已发表文献中的优先级标准。
进行了 32 次半结构化访谈。从 1888 条引文中，综合了 184 个信念陈述和 66 个主题。146 个信念陈述，代表 58 个主题，符合优先级标准。理论领域框架的九个领域非常重要：知识；社会、职业角色和身份；对后果的信念；强化；意图；目标；记忆、注意力和决策过程；环境、背景和资源以及社会影响。
在理论领域框架的九个领域中确定了最有可能影响护理人员传入肢体行为的障碍和促进因素。
