COM-B attribute | Knowledge and practice domain | Delivering end-of-life (EOL) care domain | Overall | |
Capability | Number of items | 7 | 1 | 8 |
Max score | 49 | 7 | 56 | |
Actual score | 37/49 | 7/7 | 44/56* | |
Sample item | ‘I am comfortable providing families with information on the processes that need to occur after a patient dies.’ | ‘Palliative care is a needs-based concept aimed at optimising quality of life for patients with life-limiting illness.’ | ||
Opportunity | Number items | 0 | 17 | 17 |
Max score | N/A | 119 | 119 | |
Actual score | N/A | 88/119 | 88/119 | |
Sample item | ‘There are adequate resources for EOL care available on the unit.’ | ‘In general, our team’s communication facilitates inclusive EOL care discussions and planning.’ | ||
Motivation | Number of items | 15 | 12 | 27 |
Max score | 105 | 74 | 179 | |
Actual score | 82/105 | 56/74 | 136/179 | |
Sample item | ‘I am not comfortable giving PRN medications at EOL, as it may cause the end to come sooner.’ | ‘I find that providing EOL care is challenging, often leading me to feel fatigue and burn-out.’ | ||
Overall max score | 154 | 200 | 354 | |
Overall actual score | 117/154 | 149/200 | 266/354 |
*Scores for Capability items across the survey were significantly higher than scores for Opportunity items across the survey (p=0.04).
COM-B, Capability–Opportunity–Motivation–Behaviour; N/A, not available; PRN, As needed.