Table 1 Implementation evaluation questions, TDF domains and descriptive statistics for the questionnaire items
Domain | Question | Means (SDs) | |
|---|---|---|---|
Knowledge | 1 | I know the objectives of the ACRE project | 4.62 (0.52) |
2 | The evidence that supports the ACRE pathway is strong | 4.56 (0.62) | |
3 | I am aware of how the ACRE pathway is used in my hospital | 4.69 (0.59) | |
Skills | 4 | The skills required to use the ACRE pathway are within the scope of an ED clinician | 4.63 (0.58) |
5 | The ACRE pathway is simple to use | 4.45 (0.65) | |
6 | A junior ED doctor would have the capabilities to apply the ACRE pathway to a patient presenting with chest pain | 4.16 (0.86) | |
Social/professional role and identity | 7 | Use of the ACRE pathway as a clinical decision rule is sound professional practice in the ED | 4.35 (0.79) |
8 | Having both ED and Cardiology specialists leading the ACRE project has helped improve acceptance of the project by local clinicians | 4.45 (0.78) | |
9 | Clinicians from departments that manage patients with chest pain support the introduction of the ACRE project | 4.21 (0.69) | |
Beliefs about capabilities | 10 | It is easy to utilise the ACRE pathway when the ED is busy | 4.28 (0.67) |
11 | The criteria of the ACRE pathway are clear to me | 4.56 (0.56) | |
12 | I am confident I could apply the ACRE pathway to risk stratify a patient presenting to ED with chest pain | 4.58 (0.53) | |
Optimism | 13 | I expect positive outcomes from the ACRE project | 4.48 (0.67) |
14 | I expect ACRE practices to be sustained beyond the completion of the ACRE project | 4.46 (0.57) | |
15 | Overall, the ACRE project represents a positive change for Queensland Health | 4.66 (0.54) | |
Beliefs about consequences | 16 | The ACRE project improves patient flow | 4.57 (0.59) |
17 | The ACRE project has improved management of patients presenting with chest pain | 4.43 (0.65) | |
18 | The benefits from outcomes of the ACRE project will outweigh the time and effort required to adopt it | 4.56 (0.59) | |
Intentions | 19 | I intend to use the ACRE pathway when appropriate to assess patients presenting with chest pain | 4.65 (0.53) |
20 | I intend to promote the education of future staff to utilise the ACRE pathway | 4.71 (0.49) | |
Memory, attention and decision processes | 21 | Information in my workplace is useful to remind me to use the ACRE pathway | 4.30 (0.76) |
22 | Assessing a patient with chest pain triggers me to use the ACRE pathway | 4.40 (0.79) | |
23 | If ACRE pathway letters and referrals are easily accessible I remember to use them | 4.27 (0.66) | |
Environmental context and resources | 24 | The ACRE pathway is able to be adapted to local processes | 4.42 (0.65) |
25 | There has been sufficient local clinician time allocated to implement the ACRE pathway and processes | 3.91 (0.96) | |
26 | There are good networks between parties involved in the adoption of the ACRE project | 4.13 (0.85) | |
27 | Support from the ACRE project team has been integral to the successful implementation of the ACRE project | 4.40 (0.68) | |
Social influences | 28 | Most people whose opinion I value would support the ACRE project | 4.37 (0.71) |
29 | My colleagues are supportive of the ACRE project | 4.34 (0.73) | |
30 | Existing staff provide sufficient support to new staff to use the ACRE pathway | 4.12 (0.76) | |