Table 5 Different beliefs identified within behavioural domains between health care organisations
Behavioural domain | Organisation | Different beliefs within a domain | Barrier/Enabler (B/E) example statement | B/E | aFrequency |
|---|---|---|---|---|---|
Belief about consequences | No 3 | I am uncertain about whether the evidence suggests prescribing repeat course/(s) of antenatal corticosteroids is beneficial | “I think there seems to be some variation amongst clinicians as to whether they think the repeat doses are actually beneficial for the infant and I think my understanding of the literature is that they do reduce the severity of respiratory distress” Or “I am not to convinced about that if we, we should be doing routinely repeat” | B | 7 |
No 2 | Use of repeat antenatal corticosteroids is beneficial | “My sort of era were taught by professor liggins to give them every 2 weeks. And So that’s what we have done and so we haven’t usually had to give more than 2 or 3 doses.” | E | 8 | |
No 2 | I do not believe the evidence suggests administering antenatal corticosteroids at term is beneficial | “No I don’t prescribe to that and I don’t think that they are warranted” (steroids at term) | E | 12 | |
No 3 | Use of antenatal corticosteroids at term is beneficial | “So that we have said if hmm, if it is an elective caesarean section because the risks of RDS exist. Even they are low. Perhaps doing steroids which we feel do not have any long lasting Hmm ill health or anything you might want to call it. Hmm, perhaps is a reasonable thing to do” | B | 9 | |
Belief about capabilities | No 3 | I am unsure about prescribing or administering repeat antenatal corticosteroids to diabetic women who remain at risk of preterm birth | “So you know they weigh it up a bit more with the diabetics. Hmm, repeats not so much in the diabetic population” | B | 12 |
No 1 | Use of antenatal corticosteroids improves outcomes of diabetic babies | “I would feel more comfortable doing that and having terrible sugars for 24 or 48 h or however long that would be because our physicians would manage that” | E | 10 | |
Social influences | No 1 | Deciding to administer antenatal corticosteroids is a joint decision between obstetrics and neonatology | “that’s a relationship between neonatologists and obstetricians” or “only be after significant input from paediatrics” | E | 10 |
No 2 | I am not involved in making decisions on antenatal corticosteroid administration | “No but I am distanced from the Obstetric management” | B | 5 |