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Teaching paediatric ward teams to recognise and manage the deteriorating child
Lyvonne N Tume1, Gerri Sefton, Pete Arrowsmith
1L N Tume, RN RSCN RNT Dip App Sci (Nurs), B Nurs, M Clin Nurs (Crit Care), PGDE, PhD, Senior Nursing Research Fellow PICU, Alder Hey Children's NHS Foundation Trust and University of Central Lancashire, Liverpool, UK.
Insights
The RESPOND course improved multidisciplinary communication for hospitalised children, showing positive impacts on patient safety and reduced cardiac arrest rates. This multiprofessional training is key for paediatric patient care.
Area of Science:
- Pediatric patient safety
- Healthcare education
- Clinical quality improvement
Background:
- Deterioration of hospitalised children linked to inadequate monitoring and communication.
- Established issues include failure to recognise, communicate, and respond to deteriorating patients.
- Development of the RESPOND course to address these critical care gaps.
Purpose of the Study:
- Describe the development of the RESPOND course.
- Present a preliminary evaluation of the initial RESPOND courses.
- Assess the impact of the RESPOND course on healthcare professionals.
Main Methods:
- A 1-day RESPOND course was delivered to multidisciplinary teams.
- Post-course written surveys and electronic follow-up surveys were administered.
- Data analysed descriptively and via thematic analysis of free-text responses.
Main Results:
- 65 participants completed the RESPOND course.
- Participants reported improved multidisciplinary communication as a key benefit.
- 18% of respondents remained positive about the course's impact at three months.
Conclusions:
- The RESPOND course shows preliminary success in enhancing paediatric patient safety.
- Combined with early warning tools, the course contributes to reducing cardiac arrest rates.
- The multiprofessional RESPOND course is a valuable component of targeted patient safety strategies.
Background:
Issues around the deterioration of hospitalised children are known: the failure to observe and monitor patients adequately, a failure to recognise the deteriorating patient, a failure to communicative effectively within the healthcare team and a failure to respond appropriately or in a timely manner (Pearson, 2008; NPSA, 2009). In response to this, a new 1-day course called RESPOND (Recognising Signs of Paediatric hOspital iNpatients Deterioration) was developed.
Objectives:
To describe the development of the RESPOND course and present a preliminary evaluation of the first four courses.
Methods:
A written postcourse survey was completed by participants (junior doctors, medical students, nurses and health care assistants) immediately after the course and an electronic survey completed three months later in a large children's hospital in the North West of England. Data were analysed descriptively and by simple thematic analysis of free text responses.
Results:
Sixty-five participants undertook the RESPOND course over four separate days. Overwhelmingly participants found the course positive, with the most frequently cited benefit being improved multidisciplinary communication. Despite a poor response to the second survey, 18% (12 of 65) of respondents remained positive about the impact of the course.
Conclusions And Relevance To Practice:
This preliminary evaluation combined with a reduction in hospital cardiac arrest rates suggest that the multiprofessional RESPOND course (in conjunction with an early warning tool and response system) is successful as part of a targeted strategy to promote patient safety within a children's hospital.
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