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. 2024 Dec 27;12:788. doi: 10.1186/s40359-024-02281-9

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