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Table 1 Codebook, code definitions, and related interview questions

From: Barriers to penicillin allergy de-labeling in the inpatient and outpatient settings: a qualitative study

TDF Domain (definition)

Constructs

Selected Interview Question(s)

Knowledge

(An awareness of the existence of something)

Knowledge

Procedural knowledge

• How do you think patients will benefit from de-labeling?

• What are the key questions to ask when taking a history for patients with pcn allergy?

• Once you take the clinical history, do you know the next steps of evaluating a patient with pcn allergy?

Skills

(An ability or proficiency acquired through practice)

Skills

Practice

• Have you ever evaluated patients with pcn allergy?

• How often do you evaluate patients with pcn allergy?

Beliefs about capabilities

(Acceptance of the truth, reality or validity about an ability, talent or facility that a person can put to constructive use)

Perceived competence

• How comfortable are you in determining a patient’s risk of future reaction?

• How comfortable are you administering an oral drug challenge to a patient determined to be low risk?

Beliefs about consequences

(Acceptance of the truth, reality, or validity about outcomes of a behavior in a given situation)

Outcome expectancies

• What fears do you have about the consequences of recommending de-labeling (for patients)?

• What fears do you have about the consequences of recommending de-labeling (for the healthcare team)?

Professional role and identity

(A coherent set of behaviors and displayed personal qualities of an individual in a work setting)

Professional role and identity

• Which services take the lead on pcn allergy de-labeling?

• What does the workflow among the services look like?

Environmental context and resources

(Any circumstance of a person’s situation or environment that discourages or encourages the development of skills and abilities, independence, and adaptive behavior)

Organizational culture or climate

Environmental stressors

Resources or material resources

• How do communications [or communication gaps] between specialty services and primary services influence the de-labeling process?

• How much does de-labeling have priority among your other clinical responsibilities?

• What do you think is the most significant barrier to incorporating de-labeling into your work?

• Since our allergy resources are limited, what do you think the system can manage without allergy’s involvement?

• What technological constraints impede querying the record and documenting what you find?

  1. pcn penicillin