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dc.contributor.authorGill, Fenella J
dc.contributor.authorLeslie, Gavin D
dc.contributor.authorMarshall, Andrea P
dc.date.accessioned2020-01-15T23:01:48Z
dc.date.available2020-01-15T23:01:48Z
dc.date.issued2019
dc.identifier.issn1369-6513en_US
dc.identifier.doi10.1111/hex.12938en_US
dc.identifier.urihttp://hdl.handle.net/10072/390296
dc.description.abstractObjective: To evaluate the implementation of an intervention for parents to escalate care if concerned about their child's clinical condition. Design: Mixed‐methods health‐care improvement approach guided by the Theoretical Domains Framework. Methods: Implementation of the ‘Calling for Help’ (C4H) intervention was informed by previously identified barriers and facilitators. Evaluation involved audit, review of clinical deterioration incidents, interviews and focus groups. Setting: Australian specialist paediatric hospital. Participants: Convenience sample of 75 parents from inpatient areas during the audit, interviews with ten parents who had expressed concern about their child's clinical condition; five focus groups with 35 ward nurses. Main outcome measures: Parent awareness and utilization of C4H, parent and nurse views of factors influencing implementation. Results: Parent awareness of C4H improved to 35% (25/75). Parent concern was documented prior to 21/174 (12%) clinical deterioration events. All interviewed parents and nurses who participated in focus groups were positive about C4H. Parents preferred to be informed about C4H by nurses, but nurses described this as time‐consuming and selectively chose parents who they believed would benefit most. Parents and nurses described frustrations with and trepidation in escalating care. Nurses had used C4H to expedite urgent medical review. Conclusions: There was an improvement in the level of parent awareness of C4H, which was viewed positively by parents and nurses alike. To achieve a high level of parent awareness in a sustainable way, a multifaceted approach is required. Further strategies will be required for parents to feel confident enough to use C4H and to address interprofessional communication barriers.en_US
dc.description.peerreviewedYesen_US
dc.languageEnglishen_US
dc.publisherWileyen_US
dc.relation.ispartofpagefrom1078en_US
dc.relation.ispartofpageto1088en_US
dc.relation.ispartofissue5en_US
dc.relation.ispartofjournalHealth expectationsen_US
dc.relation.ispartofvolume22en_US
dc.subject.fieldofresearchPublic Health and Health Servicesen_US
dc.subject.fieldofresearchNursingen_US
dc.subject.fieldofresearchPsychologyen_US
dc.subject.fieldofresearchcode1117en_US
dc.subject.fieldofresearchcode1110en_US
dc.subject.fieldofresearchcode1701en_US
dc.subject.keywordsScience & Technologyen_US
dc.subject.keywordsLife Sciences & Biomedicineen_US
dc.subject.keywordsHealth Care Sciences & Servicesen_US
dc.subject.keywordsHealth Policy & Servicesen_US
dc.subject.keywordsPublic, Environmental & Occupational Healthen_US
dc.titleParent escalation of care for the deteriorating child in hospital: A health-care improvement studyen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationGill, FJ; Leslie, GD; Marshall, AP, Parent escalation of care for the deteriorating child in hospital: A health-care improvement study, Health expectations, 2019, 22 (5), pp. 1078-1088en_US
dcterms.dateAccepted2019-06-11
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/en_US
dc.date.updated2020-01-15T22:58:47Z
dc.description.versionPublisheden_US
gro.rights.copyright© 2019 The Authors. Health Expectations Published by John Wiley & Sons Ltd. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.en_US
gro.hasfulltextFull Text
gro.griffith.authorMarshall, Andrea


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