Table 2.
Final theoretical mapping of variables impacting inpatient sleep. New variables are indicated with *
| COM-B component | TDF domain | TDF construct | Change power | Variable | Malleable for change |
|---|---|---|---|---|---|
| Physical opportunity | Environmental context and resources | Material resources |
- Management & leadership - Estates/ procurement |
Lighting | Yes |
| Doors | Yes | ||||
| Bins | Yes | ||||
| Call bells | Yes | ||||
| Medical equipment | Partially | ||||
| Organisational culture and climate | - Management & leadership | Care routines | Partially | ||
| Shift patterns | No | ||||
| Patient tests and transfers* | No | ||||
| Salient events /critical incidents |
- Management & leadership - Ward staff |
Critical medical and hospital-wide incidents | No | ||
| Social opportunity | Social influence | Group norms |
- Ward staff - Patients |
Staff talking (social awareness) | Yes |
| Staff talking (patient care) | Yes | ||||
| Staff/ward radio | Yes | ||||
| Patients talking | Yes | ||||
| Patients’ TV or devices | Yes | ||||
| Psychological capability | Knowledge | Procedural knowledge (knowing what to do) |
- Ward staff - Patients |
Staff knowledge of night-time protocols* | Yes |
| Patients’ knowledge of night-time protocols* | Yes | ||||
| Knowledge of task environment | - Patients | Patients’ knowledge of ward environment (what to expect) * | Yes | ||
| Automatic motivation | Reinforcement | Consequents | - Patients | Patient awareness of consequences (social or physical) of not following night-time protocols* | Yes |