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. 2019 Dec 4;23(2):105–113. doi: 10.1016/j.auec.2019.10.002

Table 1.

Emergent themes mapped to the TDF domains.

TDF domain Theme
1. Knowledge
  • Knowledge of hospital PPE policy and procedures

  • Specific knowledge about masks

  • Department poster about PPE

  • Infection control education and communication

2. Skills
  • Prior training in PPE

  • PPE refresher training including Ebola scenario practices

3. Social/professional role & identity
  • Patient / clinician relationship

  • Professional responsibility towards IPC

4. Beliefs about capabilities
  • Self-efficacy donning and doffing PPE

5. Optimism
  • Confidence (or lack of) in protective properties of PPE

6. Beliefs about consequences
  • Perceptions of risk from infectious diseases

  • Previous experience with infectious diseases

  • Protecting self and family from getting ill

  • Protecting the immune-suppressed patient from infection

  • Patients’ use of protective masks

7. Reinforcement
  • Peer reinforcement of gloves use

  • Increase in respiratory viruses in winter

8. Intentions
  • Purposeful deviance from policy

9. Memory, attention & decision processes
  • Habitual use of gloves for procedures

  • Risk assessment for choice of PPE

10. Environmental context & resources
  • Busy, chaotic ED environment

  • Time constraints / urgency of care

  • Unknown diagnosis of patients

  • Ease of access to PPE

  • Usability of PPE

  • Lack of isolation facilities

  • Isolation trolleys

11. Social influences
  • Leadership and role models in department towards using PPE

  • Culture of PPE use in department

12. Emotion
  • Anxiety about diseases

13. Behavioural regulation
  • IPC audits

  • Hand hygiene audits

*No data was identified that related to the TDF domain ‘Goals’.

Abbreviations: PPE = Personal Protective Equipment; ED = Emergency Department; IPC = Infection Prevention and Control.