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BMC Health Services Research
Published in: BMC Health Services Research 1/2015

Open Access 01-06-2015 | Research article

Using the theory of planned behaviour to model antecedents of surgical checklist use: a cross-sectional study

Authors: Anna C. Mascherek, Katrin Gehring, Paula Bezzola, David L. B. Schwappach

Published in: BMC Health Services Research | Issue 1/2015

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Abstract

Background

Compliance with surgical checklist use remains an obstacle in the context of checklist implementation programs. The theory of planned behaviour was applied to analyse attitudes, perceived behaviour control, and norms as psychological antecedents of individuals’ intentions to use the checklist.

Methods

A cross-sectional survey study with staff (N = 866) of 10 Swiss hospitals was conducted in German and French. Group mean differences between individuals with and without managerial function were computed. Structural equation modelling and confirmatory factor analysis was applied to investigate the structural relation between attitudes, perceived behaviour control, norms, and intentions.

Results

Significant mean differences in favour of individuals with managerial function emerged for norms, perceived behavioural control, and intentions, but not for attitudes. Attitudes and perceived behavioural control had a significant direct effect on intentions whereas norms had not.

Conclusions

Individuals with managerial function exhibit stronger perceived behavioural control, stronger norms, and stronger intentions. This could be applied in facilitating checklist implementation. The structural model of the theory of planned behaviour remains stable across groups, indicating a valid model to describe antecedents of intentions in the context of surgical checklist implementation.
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Metadata
Title
Using the theory of planned behaviour to model antecedents of surgical checklist use: a cross-sectional study
Authors
Anna C. Mascherek
Katrin Gehring
Paula Bezzola
David L. B. Schwappach
Publication date
01-06-2015
Publisher
BioMed Central
Published in
BMC Health Services Research / Issue 1/2015
Electronic ISSN: 1472-6963
DOI
https://doi.org/10.1186/s12913-015-1122-7

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