Measuring nurses' perceptions of their work environment and linking with behaviour change theories and implementation strategies to support evidence based practice change

Fry, M; Elliott, R; Fitzpatrick, L; Warton, J; Curtis, K

Measuring nurses' perceptions of their work environment and linking with behaviour change theories and implementation strategies to support evidence based practice change

Fry, M

Elliott, R

Fitzpatrick, L Warton, J Curtis, K

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Publisher:: Elsevier BV
Publication Type:: Journal Article
Citation:: Applied Nursing Research, 2020, 56
Issue Date:: 2020-12-01

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Field	Value	Language
dc.contributor.author	Fry, M https://orcid.org/0000-0003-1265-7096
dc.contributor.author	Elliott, R https://orcid.org/0000-0002-9239-7126
dc.contributor.author	Fitzpatrick, L
dc.contributor.author	Warton, J
dc.contributor.author	Curtis, K
dc.date.accessioned	2020-11-24T03:33:24Z
dc.date.available	2020-11-24T03:33:24Z
dc.date.issued	2020-12-01
dc.identifier.citation	Applied Nursing Research, 2020, 56
dc.identifier.issn	0897-1897
dc.identifier.issn	1532-8201
dc.identifier.uri	http://hdl.handle.net/10453/144296
dc.description.abstract	© 2020 Elsevier Inc. Purpose: Survey tools, such as the Alberta Context Tool, reliably measure context but researchers have no process to map context to clinician behaviour and develop strategies to support practice change. Therefore, we aimed to map the Alberta Context Tool to the Theoretical Domains Framework and the Behaviour Change Wheel. Method: The multi-centre study used the Alberta Context Tool to collect data from a convenience sample of nurses working in two emergency departments. These findings were categorised as barriers and enablers, and then mapped to the Theoretical Domains Framework to examine for behavioural domains. Using the Behaviour Change Wheel functions, strategies were developed to target clinician behaviour change. Results: Survey response rate was 42% (n = 68). Nurses perceived a positive work environment in the dimensions of Social Capital (median 4.00, IQR 0.33), Culture (median 3.83, IQR 1.16) and Leadership (median 3.60, IQR 1.1). Low scoring dimensions included Formal Interactions (median 2.75, IQR 1.00); Time (median 2.60, IQR 1.00) Staffing (median 3.0, IQR 2.00) and Space (median 3.0, IQR 2.00). Enablers (n = 77) and barriers (n = 25) were identified in both sites. The Theoretical Domains Framework was mapped to Alberta Context Tool barriers and enablers. The behaviour change strengths included: social and professional role; beliefs about capability; goals; and emotions. Using the Behaviour Change Wheel functions, 67 strategies were developed to address barriers and enablers. Conclusions: The Alberta Context Tool successfully measured two emergency environments identifying barriers and enablers. This approach enabled environment dimensions to be targeted with practical solutions to support evidence-based practice implementation.
dc.language	en
dc.publisher	Elsevier BV
dc.relation.ispartof	Applied Nursing Research
dc.relation.isbasedon	10.1016/j.apnr.2020.151374
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.subject	1110 Nursing
dc.subject.classification	Nursing
dc.title	Measuring nurses' perceptions of their work environment and linking with behaviour change theories and implementation strategies to support evidence based practice change
dc.type	Journal Article
utslib.citation.volume	56
utslib.for	1110 Nursing
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
pubs.organisational-group	/University of Technology Sydney
utslib.copyright.status	closed_access	*
pubs.consider-herdc	false
dc.date.updated	2020-11-24T03:33:17Z
pubs.publication-status	Accepted
pubs.volume	56

Abstract:

© 2020 Elsevier Inc. Purpose: Survey tools, such as the Alberta Context Tool, reliably measure context but researchers have no process to map context to clinician behaviour and develop strategies to support practice change. Therefore, we aimed to map the Alberta Context Tool to the Theoretical Domains Framework and the Behaviour Change Wheel. Method: The multi-centre study used the Alberta Context Tool to collect data from a convenience sample of nurses working in two emergency departments. These findings were categorised as barriers and enablers, and then mapped to the Theoretical Domains Framework to examine for behavioural domains. Using the Behaviour Change Wheel functions, strategies were developed to target clinician behaviour change. Results: Survey response rate was 42% (n = 68). Nurses perceived a positive work environment in the dimensions of Social Capital (median 4.00, IQR 0.33), Culture (median 3.83, IQR 1.16) and Leadership (median 3.60, IQR 1.1). Low scoring dimensions included Formal Interactions (median 2.75, IQR 1.00); Time (median 2.60, IQR 1.00) Staffing (median 3.0, IQR 2.00) and Space (median 3.0, IQR 2.00). Enablers (n = 77) and barriers (n = 25) were identified in both sites. The Theoretical Domains Framework was mapped to Alberta Context Tool barriers and enablers. The behaviour change strengths included: social and professional role; beliefs about capability; goals; and emotions. Using the Behaviour Change Wheel functions, 67 strategies were developed to address barriers and enablers. Conclusions: The Alberta Context Tool successfully measured two emergency environments identifying barriers and enablers. This approach enabled environment dimensions to be targeted with practical solutions to support evidence-based practice implementation.

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http://hdl.handle.net/10453/144296