The Theoretical Domains Framework: domains, definitions and examples of behaviours related to wound care and wound product procurement
| Domain | Definition | Examples of wound care and wound product procurement behaviours |
| Knowledge | An 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. |
| Skills | An 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 identity | A 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 capabilities | Acceptance 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. |
| Optimism | The 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 consequences | Acceptance 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. |
| Reinforcement | Increasing 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. |
| Intentions | A 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. |
| Goals | Mental 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 processes | The 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 resources | Any 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 influences | Those 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. |
| Emotion | A 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 regulation | Anything 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.