Figure 2

Schematic representing key factors that are likely to influence the behavior of paediatric service leaders. The key factors influencing behavior of service leaders is illustrate together with how this behavior and other factors at multiple levels impact on the behavior of frontline workers. This schematic adapts a framework proposed by Michie et al. that considers behavior to be influenced by capability, opportunity, and motivation [77] and extends this to consider the hierarchy of behavioral effects desired (pink shaded boxes) and the key intervention effects/levers anticipated to promote change at senior (blue shaded boxes) and mid-levels (yellow shaded boxes) of hospital management and among frontline (green shaded boxes) workers.