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Table 3 TDF domain mapped to the barriers and enablers

From: Mental health professionals’ perceived barriers and enablers to shared decision-making in risk assessment and risk management: a qualitative systematic review

TDF Domains

Themes

Awenat et al (2017) [81]

Barnicot et al (2017) [71]

Coffey et al (2017) [20]

Coffey et al (2019) [62]

Felton et al (2018) [66]

Fletcher (1999) [68]

Forsberg et al (2018) [60]

Gunstone (2003) [70]

Hagen et al (2017) [74]

Holley et al (2016) [72]

Langan (2008) [16]

Lees et al (2014) [69]

Nielsen et al (2018) [61]

Nolan and Quinn (2012) [73]

Nyman et al (2020) [64]

Sun et al (2006) [67]

Rimondini et al (2019) [65]

Vandewalle et al (2019a) [82]

Vandewalle et al (2019b) [83]

Woods (2013) [63]

No of studies by domain

Knowledge

Policy or guidelines

      

      

      

2

Memory, attention & decision processes

Type or level risk

      

   

  

      

4

Individual Factors

      

   

 

      

Skills

Training (or lack of)

       

 

  

 

 

10

Adapting Language

     

   

      

 

Social Influence

Risk Vs Recovery

 

 

   

   

 

 

18

Power or best interest

 

 

     

 

 

Service user capacity/insight

 

    

 

 

  

 

 

Risk averse team culture

 

   

  

   

    

 

Therapeutic relationship

 

  

 

 

 

 

Supervision

         

      

 

Environmental context and resources

Lack of staff, time, resources

 

  

 

 

  

    

12

Setting or meeting forum

 

 

         

 

   

Local policies and procedures

          

         

Social professional role and identity

Not my role

          

      

 

16

My professional role and responsibility

 

 

 

    

Decision shared with MDT

    

  

 

    

    

Service user jointly responsible

        

        

 

Beliefs about capabilities

Difficult/sensitive topic

   

     

         

11

Lack of confidence

  

   

 

    

  

 

Resolving disagreements

  

   

   

     

   

Level of agreement

          

 

       

Beliefs about consequences

Fear of causing distress/harm

 

   

   

     

 

10

Disengagement

          

         

Stigma and labelling

  

       

         

Fear of blame/accountability

    

 

    

    

 

Fear for personal safety

          

     

   

Intention

Acceptance of current practice

  

                 

4

Aspiration

         

     

   

Goals

Not a priority

     

     

       

13

Obligatory reasons

  

    

   

  

A shared decision

            

    

 

To provide knowledge

 

        

     

 

 

Improve RM or reduce risk

 

      

 

  

 

Reinforcement

Value collaboration or SDM

  

 

  

 

 

 

 

14

Positive risk-taking

 

 

    

  

      

Promote empowerment or recovery

    

    

   

  

 

 

Empathy or compassion

 

         

   

 

 

Emotions

Anxiety

 

 

 

 

 

        

9

Fear

     

 

 

     

  
  1. Shading represents a barrier, represents an enabler
  2. Reference: [42, 75,76,77,78,79,80]