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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.issn1369-6513
dc.identifier.doi10.1111/hex.12938
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.
dc.description.peerreviewedYes
dc.languageEnglish
dc.language.isoeng
dc.publisherWiley
dc.relation.ispartofpagefrom1078
dc.relation.ispartofpageto1088
dc.relation.ispartofissue5
dc.relation.ispartofjournalHealth expectations
dc.relation.ispartofvolume22
dc.subject.fieldofresearchNursing
dc.subject.fieldofresearchcode4205
dc.subject.keywordsScience & Technology
dc.subject.keywordsLife Sciences & Biomedicine
dc.subject.keywordsHealth Care Sciences & Services
dc.subject.keywordsHealth Policy & Services
dc.subject.keywordsPublic, Environmental & Occupational Health
dc.titleParent escalation of care for the deteriorating child in hospital: A health-care improvement study
dc.typeJournal article
dc.type.descriptionC1 - Articles
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. 1078-1088
dcterms.dateAccepted2019-06-11
dcterms.licensehttp://creativecommons.org/licenses/by/4.0/
dc.date.updated2020-01-15T22:58:47Z
dc.description.versionVersion of Record (VoR)
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.
gro.hasfulltextFull Text
gro.griffith.authorMarshall, Andrea


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