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. 2020 Aug 20;10(8):e036183. doi: 10.1136/bmjopen-2019-036183

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.