Nice Job Lindsay.
- This is a complex area because there are multiple behaviors among single individuals, and multiple individuals on the team. For this exercise/application of individual behavior change theory, you will want to try to focus on a single behavior among a group (or subgroup) of individuals that you think is most critical (or earliest in the causal chain).
- Self-efficacy… I think you are correct when the self-efficacy is linked to the ability to change the OR turnover time. But if you whittle down to a single behavior that will help/contribute to the improved OR turnover time, then this may look different. For example, if a critical behavior is to have a “team huddle” everyone morning (this may be crazy, but just an example), then creating the environment and facilitators and subsequent feedback may be successful. The same applies for the other 2 constructs (goals and outcome expectancies)… reframing this around a single behavior will make this more compelling.
- This is a great table! Treating the “team” as the individual, this makes a good case for the elements of your program. But what you may find is that you might get stuck with certain behaviors and/or certain individuals within the team… and then you revise/adapt and perhaps apply additional theory to the behaviors that are limiting the success of the program. You won’t know what these are until you put it into motion. For complex behaviors, observational learning is very key to enhancing self-efficacy…
- One other way to think about social-ecological theory is how individuals perceive themselves (and frame their behaviors) at the different levels. As individuals within the work context (perioperative team), they will respond to one set of forces… but these change when they consider themselves within their own professional identities (nurses, doctors, assistants), and again when they consider themselves as individuals in their local and then national communities. Messaging at each level can really enhance your subjective norms and attitudes for behavior change if they are all in alignment.