| dc.description.abstract | Background: Implementation of complex interventions depends on behaviour change of healthcare professionals, which requires a good understanding of current behaviour. The COM-B model provides a systematic method to analyse behaviour, assuming that behaviour(B) is part of an interacting system involving Capability(C), Opportunity(O) and Motivation(M). The PREDOCS programme, a nursing intervention to reduce the risk for postoperative complications in cardiosurgical patients, gets currently implemented in cardiac surgery centres. In order to advance the implementation process, insight in the current behaviour of involved professionals is essential.
Aim: The purpose of this study is to identify the capabilities, opportunities and motivations, related to current professional behaviour of professionals involved in enabling and providing the PREDOCS programme in cardiac surgery centres in the Netherlands.
Methods: This study has a descriptive, observational design with a quantitative cross-sectional data collection. The source population consists of all professionals involved in the implementation of PREDOCS. The capabilities, opportunities and motivations of these professionals are measured through items rated on a 7-point Likert scale using the COM-B-QP, a questionnaire specified to PREDOCS. Data was stratified by hospital and by role.
Results: This study had a response rate of 67.3%. In general, social and physical opportunity were scored lowest by all roles except surgeons. Every PREDOCS role reported a median score o 6.0 or higher for capability. Motivation subcomponents scores were reported lowest by ward nurses and surgeons.
Conclusion and recommendations: Social and physical opportunity were identified as most important components to target. However, inter-hospitality differences have to be taken into account. This study forms a starting point in order to advance the implementation process of PREDOCS. | |
