Table 2.
Barriers to research participation and leadership from TDF
| Domain | Subcategory | Mentions | Sources | Total mentions | Total sources |
| Environmental context | Time or funding pressures | 37 | 11 | 104 | 13 |
| Coordinating activity with staff or service changes | 33 | 8 | |||
| Competing clinical or research priorities | 23 | 10 | |||
| Reduced access to research resources | 7 | 8 | |||
| Emotions | Feeling overwhelmed of nervousness or intimidation in undertaking research | 29 | 11 | 40 | 13 |
| Fear of getting it wrong | 7 | 6 | |||
| Coping with uncertainty | 4 | 5 | |||
| Frustration with longer time frames for research | 3 | 2 | |||
| Beliefs about capabilities | Perceived lack of self-efficacy in general aspects of research | 28 | 9 | 42 | 11 |
| Lack of confidence in statistics and data analysis | 11 | 5 | |||
| Lack of confidence in presenting research | 2 | 2 | |||
| Behaviour regulation | Balancing tension of juggling research with other work and distractions (ie, email) | 12 | 7 | 24 | 7 |
| Having to prioritise clinical work over research work | 12 | 3 | |||
| Beliefs about consequences | May miss other job opportunities | 7 | 3 | 20 | 7 |
| Research will be restrictive or less valuable | 7 | 2 | |||
| Difficulties with recruitment or other operational constraints | 3 | 2 | |||
| May miss seeing patients | 2 | 2 | |||
| Social influences | Perception of negative opinion or support in operational team | 9 | 4 | 12 | 5 |
| Managers not engaging in research or giving lip-service | 3 | 3 | |||
| Skills | Lack of skills learnt at university | 6 | 4 | 12 | 6 |
| Lack of skills limit ability | 2 | 2 | |||
| Goals/motivation | When the research idea is not initiated by clinician but someone else or in unrelated area | 4 | 2 | 8 | 2 |
| Lack of clarity or vision for the research | 2 | 1 | |||
| Reduced motivation | 2 | 1 | |||
| Knowledge | Lack of knowledge of processes | 6 | 4 | 8 | 5 |
| Lack of time to access knowledge | 2 | 1 | |||
| Social, professional role and identity | Challenge of straddling between two roles | 4 | 2 | 9 | 4 |
| Personal social circumstances may impact on engagement | 3 | 2 | |||
| Memory, attention, decision-making | Prioritisation of other tasks | 5 | 2 | 7 | 2 |
| Staff needing reminders to collect data | 2 | 1 | |||
| Optimism | Pessimism and feeling guilty about lack of progress | 3 | 3 | 3 | 3 |
TDF, theoretical domains framework.