دورية أكاديمية
A cross-country comparison of intensive care physicians' beliefs about their transfusion behaviour: A qualitative study using the theoretical domains framework
| العنوان: | A cross-country comparison of intensive care physicians' beliefs about their transfusion behaviour: A qualitative study using the theoretical domains framework |
|---|---|
| المؤلفون: | Islam, R., Tinmouth, A., Francis, J., Brehaut, J., Born, J., Stockton, C., Stanworth, S., Eccles, M. P., Cuthbertson, B. H., Hyde, C., Grimshaw, J. M. |
| بيانات النشر: | BIOMED CENTRAL LTD BMC BioMed Central Ltd. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | RA Public aspects of medicine, info, hisphilso |
| الوصف: | Background Evidence of variations in red blood cell transfusion practices have been reported in a wide range of clinical settings. Parallel studies in Canada and the United Kingdom were designed to explore transfusion behaviour in intensive care physicians. The aim of this paper is three-fold: first, to explore beliefs that influence Canadian intensive care physicians’ transfusion behaviour; second, to systematically select relevant theories and models using the Theoretical Domains Framework (TDF) to inform a future predictive study; and third, to compare its results with the UK study. Methods Ten intensive care unit (ICU) physicians throughout Canada were interviewed. Physicians’ responses were coded into theoretical domains, and specific beliefs were generated for each response. Theoretical domains relevant to behaviour change were identified, and specific constructs from the relevant domains were used to select psychological theories. The results from Canada and the United Kingdom were compared. Results Seven theoretical domains populated by 31 specific beliefs were identified as relevant to the target behaviour. The domains Beliefs about capabilities (confident to not transfuse if patients’ clinical condition is stable), Beliefs about consequences (positive beliefs of reducing infection and saving resources and negative beliefs about risking patients’ clinical outcome and potentially more work), Social influences (transfusion decision is influenced by team members and patients’ relatives), and Behavioural regulation (wide range of approaches to encourage restrictive transfusion) that were identified in the UK study were also relevant in the Canadian context. Three additional domains, Knowledge (it requires more evidence to support restrictive transfusion), Social/professional role and identity (conflicting beliefs about not adhering to guidelines, referring to evidence, believing restrictive transfusion as professional standard, and believing that guideline is important for other professionals), and . |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | https://openaccess.city.ac.uk/id/eprint/15387/1/A%20cross-country%20comparison%20of%20intensive%20care%20physicians%27%20beliefs%20about%20their%20transfusion%20behaviour%3A%20a%20qualitative%20study%20using%20the%20Theoretical%20Domains%20Framework.pdfTest; https://openaccess.city.ac.uk/id/eprint/15387Test/ |
| الإتاحة: | https://openaccess.city.ac.uk/id/eprint/15387/1/A%20cross-country%20comparison%20of%20intensive%20care%20physicians%27%20beliefs%20about%20their%20transfusion%20behaviour%3A%20a%20qualitative%20study%20using%20the%20Theoretical%20Domains%20Framework.pdfTest https://openaccess.city.ac.uk/id/eprint/15387Test/ |
| حقوق: | undefined |
| رقم الانضمام: | edsbas.6DF20588 |
| قاعدة البيانات: | BASE |
| الوصف غير متاح. |