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Acutely ill children within ward areas-care provision and possible development strategies
1Paediatric Intensive/High Dependency Care, Bristol, UK. caroline.haines@ubht.swest.nhs.uk
Insights
This study explored care for acutely ill children in the UK, Australasia, and USA. Findings highlight the value of paediatric critical care outreach services and early warning assessment tools for improving ward care.
Area of Science:
- Pediatric critical care
- Healthcare services research
Background:
- Effective care for acutely ill children on general wards is crucial.
- Variations exist in service provision across different countries.
- Need for standardized assessment and support systems.
Purpose of the Study:
- Investigate service provision for acutely ill children in UK, Australasia, and USA.
- Evaluate concepts of paediatric critical care outreach services.
- Assess the utility of paediatric early warning assessment tools.
Main Methods:
- A 5-month travel scholarship.
- Visits to 15 selected paediatric centres.
- Information exchange programs and data collation.
Main Results:
- Gained insights into international best practices for paediatric ward care.
- Confirmed the potential value of paediatric critical care outreach services.
- Identified the benefits of paediatric early warning assessment tools for clinical staff.
Conclusions:
- International centres offer valuable models for improving care of acutely ill children.
- Support systems and clinical assessment tools can enhance staff capabilities.
- Findings can inform improvements in UK tertiary children's hospital service provision.
Abstract:
This report presents the key findings of a travel scholarship to selected paediatric centres in the United Kingdom (UK), Australasia and the United States of America, where services provision for the care of acutely ill children within ward areas was investigated. In total, 15 centres were visited over a 5-month period, and comprehensive programs of information exchange were arranged in all locations. Key areas of interest discussed were the concepts of paediatric critical care outreach services and the use of paediatric early warning assessment tools. Information was collated and applied to the existing service provision within a tertiary children's hospital in the UK. It is hoped that the information gained during this professional study tour will add to the current available literature. It has helped to clarify the position of other key centres with regard to the care provision for acutely ill children in ward areas and confirmed the potential value of a support system and/or use of clinical assessment tool for staff caring for these children.
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