Framework of factors influencing clinical practice5
| Factor types | Influencing contributory factors | Examples |
|---|---|---|
| Institutional context | Economic and regulatory context; national health service executive; clinical negligence scheme for trusts | Inconsistent policies, funding problems |
| Organisational and management factors | Financial resources and constraints; organisational structure; policy standards and goals; safety culture and priorities | Lacking senior management procedure for risk reduction |
| Work environment factors | Staffing levels and skills mix; workload and shift patterns; design, availability, and maintenance of equipment; administrative and managerial support | High workload, inadequate staffing, or limited access to essential equipment |
| Team factors | Verbal communication; written communication; supervision and seeking help; team structure (consistency, leadership, etc) | Poor communication between staff |
| Individual (staff) factors | Knowledge and skills; competence; physical and mental health | Lack of knowledge or experience of specific staff |
| Task factors | Task design and clarity of structure; availability and use of protocols; availability and accuracy of test results | Non-availability of test results or protocols |
| Patient factors | Condition (complexity and seriousness); language and communication; personality and social factors | Distressed patient or language problem |