Table 1

The Theoretical Domains Framework: domains, definitions and examples of behaviours related to wound care and wound product procurement

DomainDefinitionExamples of wound care and wound product procurement behaviours
KnowledgeAn awareness of the existence of something.Knowledge of wound types, wound aetiology, risk factors, wound product types. Wound knowledge is influenced by education, experience and research.
SkillsAn ability or proficiency acquired through practice.Ability to complete a comprehensive wound assessment, specific assessments such as Ankle Brachial Pressure Index, apply compression bandages/stockings, manage procurement processes effectively.
Social/Professional role and identityA coherent set of behaviours and displayed personal qualities of an individual in a social or work setting.Carrying out a clinical or procurement role according to job description, communicating and working appropriately and effectively with other clinical or non-clinical professionals.
Beliefs about capabilitiesAcceptance of the truth, reality or validity about an ability, talent or facility that a person can put to constructive use.Confidently making the right decisions about care for patients with complex wounds, confidence in negotiating skills for product procurement.
OptimismThe confidence that things will happen for the best or that desired goals will be attained.Confidence that care provided will cure/manage wounds effectively, confident that most cost-effective products can be purchased.
Beliefs about consequencesAcceptance of the truth, reality or validity about outcomes of a behaviour in a given situation.Having realistic views about patient adherence to treatment plans and healing rates for complex wounds.
ReinforcementIncreasing the probability of a response by arranging a dependent relationship, or contingency, between the response and a given stimulus.Support of colleagues, team work, wound care provided has produced the desired goal, research evidence that interventions work.
IntentionsA conscious decision to perform a behaviour or a resolve to act in a certain way.To practice according to a care plan, national and international guidelines.
GoalsMental representations of outcomes or end states that an individual wants to achieve.Setting goals for wound healing, improving patient adherence, achieving competence for a new skill.
Memory, attention and decision processesThe ability to retain information, focus selectively on aspects of the environment and choose between two or more alternatives.Ability to remember wound care information, dressing specifications, considering the wide choice, making decisions based on evidence.
Environmental context and resourcesAny circumstance of a person’s situation or environment that discourages or encourages the development of skills and abilities, independence, social competence and adaptive behaviour.Organisational structures, procedures and processes, workload pressures, staff shortages, funding constraints, service cuts, procurement processes, product cost, product availability.
Social influencesThose interpersonal processes that can cause individuals to change their thoughts, feelings or behaviours.Decisions influences by personal, colleagues’ patients, pharmaceutical industry preferences, team work and shared care, understanding patients’ needs, negotiating product cost.
EmotionA complex reaction pattern, involving experiential, behavioural and psychological elements, by which individual attempts to deal with a personally significant matter or event.Coping with wounds that do not heal, managing challenging wounds, dealing with emotions related to patient morbidity and mortality.
Behavioural regulationAnything aimed at managing or changing objectively observed or measured actions.Formulary to guide/monitorprescribing and procurement choices, audits of practice and procedures.
  • Adapted from Cane et al. 12

  • Licensee: BioMed Central.