Determinants performance objectives | Knowledge (K) | Affective factors (AF) | Attitude (ATT) | Social influence (social norm /social support (SN) | General self-efficacy/skills (SES) | Self-efficacy/skills monitoring (MO) | Motivation/advocacy Skills (MA) |
---|---|---|---|---|---|---|---|
Physical therapist | |||||||
OVERALL ADHERENCE | AF2.1 Acknowledge that the GL can evoke feelings of pride when their actual practice meets the recommendations | ATT2.1 Confirm the benefit of the GL as a knowledge document and a frame to evaluate personal performance | SN2.1 Talk about how their colleagues and physicians think about the GL | SES2.1 Express confidence in applying guideline adherent care even when the patient prefers non adherent care | |||
2. Decide to make an effort to improve their adherence to the GL | |||||||
AF2.2 Acknowledge that the GL can enhance their feelings of confidence when they communicate the treatment plan with the patient | SN2.2 Recognize that patients are not extremely negative about the hands off policy or the activating approach | SES2.2 Express how they apply GL adherent care when their colleagues do not. | |||||
SELF REGULATION AND GOAL SETTING | K4.1 Explain the principles of self regulation with respect to the quality of their work | AF4.1 Recognize the affective reactions the GL evokes in them | ATT4.1 Express and discuss the importance they attach to the GL (quality tool; evidence based practice) | SN4.1 Acknowledge that the professional association approves of using the GL | SES4.1 Describe a plan for dealing with feelings of discomfort due to self-monitoring | ||
4. Set goals and make plans using self-monitoring, self-judgement, self-reaction, self-evaluation and maintenance of procedure | K4.2 Explain a strategy to thoroughly reflect on the content of their work | AF4.2 Describe their affective reaction related to attainment of higher adherence rates | SN 4.2 Describe that the use of GL is becoming the practice ( social) standard | SES4.2 Express confidence in managing feelings of discomfort | |||
QUESTIONNAIRES | K5d.1 Distinguish the purposes for which questionnaires can be applied | AF5d.1 Recognize why questionnaires evoke feelings of discomfort | ATT5d.1 Express the belief that questionnaires support diagnostics; prognostics; effectiveness assessment; and communication with the patient | SN5d.1 Adduce arguments for the application of questionnaires | SES5d.1 Express confidence in the application of questionnaires despite the available time | ||
5d. Apply questionnaires | |||||||
K5d.2 Give their interpretation of the questionnaires in the GL | ATT5d.2 Acknowledge the benefit of questionnaires for monitoring effectiveness | SN5d.2 State that it is preferable to use questionnaires | SES5d.2 Explain how they motivate their patient to complete questionnaires | ||||
PSYCHOSOCIAL (PS) FACTORS | K7a.1 Name the PS factors that have proven to impede recovery or play a role in transition to chronic LBP and how they do that | ATT7a.1 Acknowledge the importance of the assessment of PS factors | SES7a.2 Explain how they recognize PS factors during history taking | ||||
7a. PTs assess psychosocial factors | |||||||
K7a3 Describe how to effectively elicit PS factors | ATT7a.2 Recognize the important role of questionnaires in the assessment of PS factors | SES7a.4 Express their confidence in the interpretation of questionnaire outcomes | |||||
Practice quality manager | |||||||
2. Plan and make preparations for a quality improvement project | K2.1 Name and explain the steps of a quality improvement plan | ATT2.1 Demonstrate conviction to bring quality improvement/GL adherence to the attention of colleagues | SN2.1 Describe optimal quality of care as the practice standard | SES2.1 Express confidence in developing and preparing for a quality improvement project | MO2.1 Express confidence in the ability to identify and use (an) opinion leader(s) in the practice (if applicable) | MA2.1 Demonstrate ability to deliberate with colleagues about the ‘desired future vision’ to motivate the change | |
2.1 Provide the necessary materials and means for optimal quality of care | ATT2.2 Express the importance of assessing the individual ideas about/needs for quality improvement with colleagues | SN2.2 Emphasize the importance of transparency of quality for patients and health insurance companies | SES2.3 Demonstrate the ability to decide when and how to start the quality improvement project | MO2.4 Decide about the purchase and use of an EHR to monitor the quality of care | MA2.2 Demonstrate skills in ability to involve colleagues in the setting of attainable goals | ||
SN2.3 Show engagement in making quality improvement a collective objective in the practice | MA2.3 Express confidence to deliberate with colleagues about the time investment | ||||||
3. Manage the quality improvement project | |||||||
3.1 Bring the available materials to the attention of colleagues | ATT3.1 Show enthusiasm about the quality improvement project | SN3.1 Engage in coaching and supporting (problem analysis; counseling) colleagues in case of problems or resistance | SES3.1 Explain how he is going to manage the quality improvement project | MO3.1 Demonstrate how monitoring of the quality improvement by means of the monitoring materials (patient record audits and feedback; EHR) |