Using the Theoretical Domains Framework to identify barriers and facilitators to peripheral nerve block use in older adult patients with a hip fracture: a national survey
Authors' conclusion
Our results identified several barriers and facilitators related to physical resources, operational support, and educational factors that may inform future interventions to increase PNB use in older patients with a hip fracture.
Study context
- Population
- Canadian Anesthesiologists' Society members; barriers and facilitators to PNB use in older adults with hip fractureof 2,498 Canadian Anesthesiologists' Society (CAS) members (10.2%)
- Participants
- 256 members
- Outcome
- Barriers and facilitators to PNB use (five-point Likert responses, Theoretical Domains Framework)
Methodological detailsnational online survey, mixed methods (quantitative and qualitative), Theoretical Domains Framework, thematic analysis, cluster analysis
- National online survey
- Mixed methods (quantitative and qualitative)
- Theoretical Domains Framework
- Thematic analysis
- Cluster analysis
Main finding
As reported in the abstract
Five-point Likert responses
- Confident placing a PNB (median [IQR])
- 4 [4-5]
- Adequate knowledge and skills for PNB placement (median [IQR])
- 4 [4-5]
- Availability of adequate time (median [IQR])
- 3 [3-4]
- Collaboration with the perioperative team (median [IQR])
- 4 [2-4]
- Adequate resources (median [IQR])
- 4 [3-5]
Observational data: associations, not effects.
Further findings
Respondents performing peripheral nerve blocks (PNBs) for hip fracture
- Performed PNBs for patients with hip fracture
- 215 (84%)
Original publication
Using the Theoretical Domains Framework to identify barriers and facilitators to peripheral nerve block use in older adult patients with a hip fracture: a national survey. Can J Anaesth. Published 14 February 2025. doi:10.
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