Proposition | Relevant explanatory mechanism(s) | Key example hypotheses* |
---|---|---|
1. Capacity limitations Health care professionals and organisations have a finite capacity to engage with and respond to feedback; interventions that require less work, supply additional resource, or are considered worthwhile enough to justify investment, are most effective. | Complexity Relative advantage Resource match | 5. Automation 15. Usability 18. Active delivery |
2. Identity and culture Health care professionals and organisations have strong beliefs regarding how patient care should be provided that influence their interactions with feedback; those that align with and enhance these aspects are most effective. | Compatibility Credibility Social influence | 1. Importance 6. Accuracy 13. Benchmarking |
3. Behavioural induction Feedback interventions that successfully and directly support clinical behaviours for individual patients are most effective. | Actionability | 2. Controllability 11. Timeliness 34. Problem solving |