Bridging the gap between pragmatic intervention design and theory: Using behavioural science tools to modify an existing quality improvement programme to implement "Sepsis Six"

Implementation Science

Volumn 11, Issue 1, 2016, Pages

  Steinmo, Siri H ^a   Michie, Susan ^a   Fuller, Christopher ^a   Stanley, Sarah ^b   Stapleton, Caitriona ^b   Stone, Sheldon P ^c  

^a UNIVERSITY COLLEGE LONDON   (United Kingdom)

^b ROYAL FREE HOSPITAL   (United Kingdom)

^c ROYAL FREE AND UNIVERSITY COLLEGE MEDICAL SCHOOL   (United Kingdom)

Author keywords

Behaviour change technique taxonomy; Health professional behaviour; Implementation intervention; P D S A cycle; Quality improvement; Sepsis; Sepsis Six; Theoretical domains framework

Indexed keywords

ADULT; BEHAVIORAL SCIENCE; CARE BUNDLE; EDUCATION; EVIDENCE BASED PRACTICE; FEMALE; HEALTH CARE PERSONNEL; HUMAN; MALE; MIDDLE AGED; ORGANIZATION; PRACTICE GUIDELINE; PROCEDURES; PSYCHOLOGY; SEPSIS; STANDARDS; TOTAL QUALITY MANAGEMENT; UNITED KINGDOM;

ADULT; BEHAVIORAL SCIENCES; EVIDENCE-BASED PRACTICE; FEMALE; HEALTH PERSONNEL; HUMANS; MALE; MIDDLE AGED; ORGANIZATIONAL INNOVATION; PATIENT CARE BUNDLES; PRACTICE GUIDELINES AS TOPIC; QUALITY IMPROVEMENT; SEPSIS; UNITED KINGDOM;

EID: 84956871440     PISSN: None     EISSN: 17485908     Source Type: Journal    
DOI: 10.1186/s13012-016-0376-8     Document Type: Article

References (41)

1. Health Service Ombudsman for England. Time to act-severe sepsis: rapid diagnosis and treatment saves lives. London: Parliamentary and Health Service Ombusdman; 2013.
2. Dellinger RP, Levy MM, Rhodes A, Annane D, Gerlach H, Opal SM, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2012;41(2):580-637.
3. Daniels R. Key recommendations for sepsis briefing Sutton Coldfield, UK. 2013.
4. College of Emergency Medicine. CEM clinical audits 2011-2012: severe sepsis and septic shock. London; 2012 25 September 2012. Report No
5. Daniels R, Nutbeam T, McNamara G, Galvin C. The sepsis six and the severe sepsis resuscitation bundle: a prospective observational cohort study. Emerg Med J. 2011;28:507-12.
6. Cronshaw HL. Impact of the Surviving Sepsis Campaign on the recognition and management of severe sepsis in the emergency department: are we failing? Emerg Med J. 2011;28:670-5.
7. NICE. How to put NICE guidance into practice. A guide to implementation for organisations. 2005.
8. Davidoff F, Dixon-Woods M, Leviton L, Michie S. Demystifying theory and its use in improvement. BMJ Qual Saf. 2015;24:228-38.
9. Craig P, Dieppe P, Macintyre S, Michie S, Nazareth I, Petticrew M. Developing and evaluating complex interventions: the new Medical Research Council guidance. BMJ. 2008;337:1655.
10. Michie S, Johnston M, Abraham C, Lawton R, Parker D, Walker A, et al. Making psychological theory useful for implementing evidence based practice: a consensus approach. Qual Saf Health Care. 2005;14(1):26-33.
11. ICEBeRG. Designing theoretically-informed implementation interventions. Implement Sci. 2006;1:4.
12. Davies P, Walker A, Grimshaw J. A systematic review of the use of theory in the design of guideline dissemination and implementation strategies and interpretation of the results of rigorous evaluations. Implement Sci. 2010;5:14.
13. Baker R, Camosso-Stefinovic J, Gillies C, Shaw EJ, Cheater F, Flottorp S, et al. Tailored interventions to overcome identified barriers to change: effects on professional practice and health care outcomes. Cochrane Database Syst Rev. 2010;3, CD005470.
14. Datta J, Petticrew M. Challenges to evaluating complex interventions: a content analysis of published papers. BMC Pub Health. 2013;13:568.
15. Hoffman TC, Erueti C, Glasziou PP. Poor description of non-pharmacological interventions: analysis of consecutive sample of randomised trials. BMJ. 2013;347:f3755.
16. Steinmo S, Fuller C, Stone SP, Michie S. Characterising an implementation intervention in terms of behaviour change techniques and theory: the "Sepsis Six" clinical care bundle. Implement Sci. 2015;10:1.
17. Berwick DM. Developing and testing changes in delivery of care. Ann Intern Med. 1998;128(8):651-6.
18. Deming WE. The new economics for industry, government, education. 2nd ed. Boston, MA: MIT Press; 1994.
19. Shojania KG, Grimshaw JM. Evidence-based quality improvement: the state of the science. Health Aff. 2005;24(1):138-50.
20. Taylor MJ, McNicholas C, Nicolay C, Darzi A, Bell D, Reed JE. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf. 2014;23:290-8.
21. Cane J, O'Connor D, Michie S. Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci. 2012;7:37.
22. Michie S, Richardson M, Johnston M, Abraham C, Francis J, Hardeman W, et al. The behavior change technique taxonomy (v1) of 93 hierarchically clustered techniques: building an international consensus for the reporting of behavior change interventions. Ann Behav Med. 2013;46(1):81-95.
23. Michie S, Atkins L, West R. The behaviour change wheel: a guide to designing interventions. London: Silverback; 2014.
24. French SD, Green SE, O'Connor DA, McKenzie JE, Francis JJ, Michie S, et al. Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework. Implement Sci. 2012;7:38.
25. Bussieres AE, Patey AM, Francis JJ, Sales AE, Jeremy GM, Team CPP. Identifying factors likely to influence compliance with diagnostic imaging guideline recommendations for spine disorders among chiropractors in North America: a focus group study using the Theoretical Domains Framework. Implement Sci. 2012;7:82.
26. Curran JA, Brehaut J, Patey A, Osmond M, Stiell I, Grimshaw J, et al. Understanding the Canadian adult CT head rule trial: use of the theoretical domains framework for process evaluation. Implement Sci. 2013;8(1):25.
27. Patey AM, Islam R, Francis JJ, Bryson GL, Grimshaw JM, Canada PPT. Anesthesiologists' and surgeons' perceptions about routine pre-operative testing in low-risk patients: application of the Theoretical Domains Framework (TDF) to identify factors that influence physicians' decisions to order pre-operative tests. Implement Sci. 2012;7:52.
28. Francis J, Stockton C, Eccles M, Johnston M, Cuthbertson B, Grimshaw J, et al. Evidence-based selection of theories for designing behaviour change interventions: using methods based on theoretical construct domains to understand clinicians' blood transfusion behaviour. Br J Health Psychol. 2009;14(4):625-46.
29. Fuller C, Besser S, Savage J, McAteer J, Stone S, Michie S. Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines. Am J Infect Control. 2014;42(2):106-10.
30. Fleming A, Bradley C, Cullinan S, Byrne S. Antibiotic prescribing in long-term care facilities: a qualitative, multidisciplinary investigation. BMJ Open. 2014;4:11.
31. Squires JE, Grimshaw JM, Taljaard M, Linklater S, Chasse M, Shemie SD, et al. Design, implementation, and evaluation of a knowledge translation intervention to increase organ donation after cardiocirculatory death in Canada: a study protocol. Implement Sci. 2014;9:80.
32. Reeves S, Kuper A, Hodges BD. Qualitative research methodologies: ethnography. BMJ. 2008;337.
33. Landis J, Koch G. The measurement of observer agreement for categorical data. Biometrics. 1977;33:159.
34. Michie S, Johnston M, Francis J, Hardeman W, Eccles M. From theory to intervention: mapping theoretically derived behavioural determinants to behaviour change techniques. Appl Psychol. 2008;57(4):660-80.
35. Cane J, Richardson M, Johnston M, Lahda R, Michie S. From lists of behaviour change techniques (BCTs) to structured hierarchies: comparison of two methods of developing a hierarchy of BCTs. Br J Health Psychol. 2014.
36. Hoffmann TC, Glasziou PP, Boutron I, Milne R, Perera R, Moher D, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687.
37. Ivers N, Jamtvedt G, Flottorp S, Young JM, Odgaard-Jensen J, French SD, et al. Audit and feedback: effects on professional practice and healthcare outcomes. Cochrane Database Syst Rev. 2012;6:Cd000259.
38. Dalton M, Ludden F, Johnson M. 1391: improving patient outcomes in cardiothoracic nursing: a service collaboration between the hospital at night and ITU outreach services. Euro J Cardio Nurs. 2007;6(1 suppl):S50.
39. Bosch-Capblanch X, Abba K, Prictor M, Garner P. Contracts between patients and healthcare practitioners for improving patients' adherence to treatment, prevention and health promotion activities. Cochrane Database Syst Rev. 2007;2, CD004808.
40. Boutron I, Moher D, Altman DG, Schulz KF, Ravaud P. CONSORT statement to randomized trials of nonpharmacologic treatment: explanation and elaboration. Ann Intern Med. 2008;148(4):295-309.
41. Walshe K. Understanding what works-and why-in quality improvement: the need for theory-driven evaluation. Int J Qual Health Care. 2007;19(2):57-9.