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Quantifying behavioural determinants relating to health professional reporting of medication errors: a cross-sectional survey using the Theoretical Domains Framework.

Alqubaisi, Mai; Tonna, Antonella; Strath, Alison; Stewart, Derek

Authors

Mai Alqubaisi

Antonella Tonna

Alison Strath

Derek Stewart

Abstract

The aims of this study were to quantify the behavioural determinants of health professional reporting of medication errors in the United Arab Emirates (UAE) and to explore any differences between respondents. The research was undertaken using a cross-sectional survey of patient-facing doctors, nurses and pharmacists within three major hospitals of Abu Dhabi, the UAE. An online questionnaire was developed based on the Theoretical Domains Framework (TDF), a framework of behaviour change theories. Principal component analysis (PCA) was used to identify components and internal reliability determined. Ethical approval was obtained from a UK university and all hospital ethics committees. Two hundred and ninety-four responses were received. Questionnaire items clustered into six components of knowledge and skills, feedback and support, action and impact, motivation, effort and emotions. Respondents generally gave positive responses for knowledge and skills, feedback and support and action and impact components. Responses were more neutral for the motivation and effort components. In terms of emotions, the component with the most negative scores, there were significant differences in terms of years registered as health professional (those registered longest most positive, p = 0.002) and age (older most positive, p < 0.001) with no differences for gender and health profession. In conclusion, emotional-related issues are the dominant barrier to reporting and are common to all professions. There is a need to develop, test and implement an intervention to impact health professionals' emotions. Such an intervention should focus on evidence-based behaviour change techniques of reducing negative emotions, focusing on emotional consequences and providing social support.

Journal Article Type Article
Publication Date Nov 1, 2016
Journal European journal of clinical pharmacology
Print ISSN 0031-6970
Electronic ISSN 1432-1041
Publisher Springer (part of Springer Nature)
Peer Reviewed Peer Reviewed
Volume 72
Issue 11
Pages 1401-1411
Institution Citation ALQUBAISI, M., TONNA, A., STRATH, A. and STEWART, D. 2016. Quantifying behavioural determinants relating to health professional reporting of medication errors: a cross-sectional survey using the Theoretical Domains Framework. European journal of clinical pharmacology [online], 72(11), pages 1401-1411. Available from: https://doi.org/10.1007/s00228-016-2124-z
DOI https://doi.org/10.1007/s00228-016-2124-z
Keywords Medication errors; Error reporting; Crosssectional survey; Theoretical domains framework

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