Parents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study

HOLLY SARON; BERNIE CARTER; Sarah Siner; Jennifer Preston; Matthew Peak; Fulya Mehta; Steven Lane; Caroline Lambert; Dawn Jones; Hannah  Hughes; Jane Harris; Leah Evans; Sarah Dee; Chin-Kien Eyton-Chong; Enitan Carrol; Gerri Sefton

doi:10.3389/fped.2022.954738

Parents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study

HOLLY SARON^*, BERNIE CARTER, Sarah Siner, Jennifer Preston, Matthew Peak, Fulya Mehta, Steven Lane, Caroline Lambert, Dawn Jones, Hannah Hughes, Jane Harris, Leah Evans, Sarah Dee, Chin-Kien Eyton-Chong, Enitan Carrol, Gerri Sefton

^*Corresponding author for this work

Research output: Contribution to journal › Article (journal) › peer-review

3 Citations (Scopus)

246 Downloads (Pure)

Abstract

Background
Failure to recognise and respond to clinical deterioration in a timely and effective manner is an urgent safety concern, driving the need for early identification systems to be embedded in the care of children in hospital. Paediatric early warning systems (PEWS) or PEW scores alert health professionals (HPs) to signs of deterioration, trigger a review and escalate care as needed. PEW scoring allows HPs to record a child’s vital signs and other key data including parent concern.

Aim
This study aimed to explore the experiences and perceptions parents about the acceptability of a newly implemented electronic surveillance system (the DETECT surveillance system), and factors that influenced acceptability and their awareness around signs of clinical deterioration and raising concern.

Method
Descriptive, qualitative semi-structured telephone interviews were undertaken with parents of children who had experienced a critical deterioration event (CDE) (n=19) and parents of those who had not experienced a CDE (non-CDE parents) (n=17). Data were collected between February 2020 and February 2021.

Results
Qualitative data were analysed using generic thematic analysis. Analysis revealed an overarching theme of trust as a key factor that underpinned all aspects of children’s vital signs being recorded and monitored. The main themes reflect three domains of parents’ trust: trust in themselves, trust in the HPs, and trust in the technology.

Conclusion
Parents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic paediatric early warning system (The DETECT system) were positive; they found it acceptable and welcomed the use of new technology to support the care of their child.

Original language	English
Article number	954738
Journal	Frontiers in Pediatrics
Volume	10
Early online date	30 Aug 2022
DOIs	https://doi.org/10.3389/fped.2022.954738
Publication status	Published - 30 Aug 2022

Keywords

Paediatric Early Warning System (PEWS)
Parents' experience
Acceptability
Clinical Deterioration Alert
Qualitative

Access to Document

10.3389/fped.2022.954738Licence: CC BY

Manuscript as accepted-August 2022Accepted author manuscript, 473 KBLicence: CC BY
Saron, Carter et al Parents' qualitative DETECT studyFinal published version, 997 KBLicence: CC BY

3 Citations
3 Article (journal)

The economic burden experienced by carers of children who had a critical deterioration at a tertiary children’s hospital in the United Kingdom (the DETECT study): an online survey
Costa, E., Mateus, C., CARTER, B., Siner, S., Jones, D., Evans, L., Preston, J., Mehta, F., Lambert, C., Hollingsworth, B., Carrol, E. & Sefton, G., 31 Aug 2023, In: BMC Pediatrics. 23, 436, p. 1-9
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Open Access
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1 Citation (Scopus)

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Using technology to reduce critical deterioration (the DETECT study): a cost analysis of care costs at a tertiary children's hospital in the United Kingdom
Costa, E., Mateus, C., CARTER, B., SARON, H., Eyton-Chong, C.-K., Mehta, F., Lane, S., Siner, S., Dean, J., McNally, C., Lambert, C., Hollingsworth, B., Carrol, E. & Sefton, G., 4 Jul 2023, In: BMC Health Services Research.
Research output: Contribution to journal › Article (journal) › peer-review

Open Access
File
Clinical utility and acceptability of a whole-hospital, pro-active electronic paediatric early warning system (the DETECT study): a prospective e-survey of parents and health professionals.
CARTER, B., SARON, H., Blake, L., Eyton-Chong, C.-K., Dee, S., Evans, L., Harris, J., Hughes, H., Jones, D., Lambert, C., Lane, S., Mehta, F., Peak, M., Preston, J., Siner, S., Sefton, G. & Carrol, E., 15 Sept 2022, In: PLoS ONE. 24 p., e0273666.
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Cite this

SARON, HOLLY., CARTER, BERNIE., Siner, S., Preston, J., Peak, M., Mehta, F., Lane, S., Lambert, C., Jones, D., Hughes, H., Harris, J., Evans, L., Dee, S., Eyton-Chong, C.-K., Carrol, E., & Sefton, G. (2022). Parents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study. Frontiers in Pediatrics, 10, Article 954738. https://doi.org/10.3389/fped.2022.954738

@article{b32f8305f9e84674b29c928679eecce2,

title = "Parents{\textquoteright} experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study",

abstract = "BackgroundFailure to recognise and respond to clinical deterioration in a timely and effective manner is an urgent safety concern, driving the need for early identification systems to be embedded in the care of children in hospital. Paediatric early warning systems (PEWS) or PEW scores alert health professionals (HPs) to signs of deterioration, trigger a review and escalate care as needed. PEW scoring allows HPs to record a child{\textquoteright}s vital signs and other key data including parent concern.AimThis study aimed to explore the experiences and perceptions parents about the acceptability of a newly implemented electronic surveillance system (the DETECT surveillance system), and factors that influenced acceptability and their awareness around signs of clinical deterioration and raising concern.MethodDescriptive, qualitative semi-structured telephone interviews were undertaken with parents of children who had experienced a critical deterioration event (CDE) (n=19) and parents of those who had not experienced a CDE (non-CDE parents) (n=17). Data were collected between February 2020 and February 2021.ResultsQualitative data were analysed using generic thematic analysis. Analysis revealed an overarching theme of trust as a key factor that underpinned all aspects of children{\textquoteright}s vital signs being recorded and monitored. The main themes reflect three domains of parents{\textquoteright} trust: trust in themselves, trust in the HPs, and trust in the technology.ConclusionParents{\textquoteright} experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic paediatric early warning system (The DETECT system) were positive; they found it acceptable and welcomed the use of new technology to support the care of their child.",

keywords = "Paediatric Early Warning System (PEWS), Parents' experience, Acceptability, Clinical Deterioration Alert, Qualitative",

author = "HOLLY SARON and BERNIE CARTER and Sarah Siner and Jennifer Preston and Matthew Peak and Fulya Mehta and Steven Lane and Caroline Lambert and Dawn Jones and Hannah Hughes and Jane Harris and Leah Evans and Sarah Dee and Chin-Kien Eyton-Chong and Enitan Carrol and Gerri Sefton",

year = "2022",

month = aug,

day = "30",

doi = "10.3389/fped.2022.954738",

language = "English",

volume = "10",

journal = "Frontiers in Pediatrics",

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SARON, HOLLY , CARTER, BERNIE, Siner, S, Preston, J, Peak, M, Mehta, F, Lane, S, Lambert, C, Jones, D, Hughes, H, Harris, J, Evans, L, Dee, S, Eyton-Chong, C-K, Carrol, E & Sefton, G 2022, 'Parents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study', Frontiers in Pediatrics, vol. 10, 954738. https://doi.org/10.3389/fped.2022.954738

Parents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study. / SARON, HOLLY ; CARTER, BERNIE; Siner, Sarah et al.
In: Frontiers in Pediatrics, Vol. 10, 954738, 30.08.2022.

Research output: Contribution to journal › Article (journal) › peer-review

TY - JOUR

T1 - Parents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study

AU - SARON, HOLLY

AU - CARTER, BERNIE

AU - Siner, Sarah

AU - Preston, Jennifer

AU - Peak, Matthew

AU - Mehta, Fulya

AU - Lane, Steven

AU - Lambert, Caroline

AU - Jones, Dawn

AU - Hughes, Hannah

AU - Harris, Jane

AU - Evans, Leah

AU - Dee, Sarah

AU - Eyton-Chong, Chin-Kien

AU - Carrol, Enitan

AU - Sefton, Gerri

PY - 2022/8/30

Y1 - 2022/8/30

N2 - BackgroundFailure to recognise and respond to clinical deterioration in a timely and effective manner is an urgent safety concern, driving the need for early identification systems to be embedded in the care of children in hospital. Paediatric early warning systems (PEWS) or PEW scores alert health professionals (HPs) to signs of deterioration, trigger a review and escalate care as needed. PEW scoring allows HPs to record a child’s vital signs and other key data including parent concern.AimThis study aimed to explore the experiences and perceptions parents about the acceptability of a newly implemented electronic surveillance system (the DETECT surveillance system), and factors that influenced acceptability and their awareness around signs of clinical deterioration and raising concern.MethodDescriptive, qualitative semi-structured telephone interviews were undertaken with parents of children who had experienced a critical deterioration event (CDE) (n=19) and parents of those who had not experienced a CDE (non-CDE parents) (n=17). Data were collected between February 2020 and February 2021.ResultsQualitative data were analysed using generic thematic analysis. Analysis revealed an overarching theme of trust as a key factor that underpinned all aspects of children’s vital signs being recorded and monitored. The main themes reflect three domains of parents’ trust: trust in themselves, trust in the HPs, and trust in the technology.ConclusionParents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic paediatric early warning system (The DETECT system) were positive; they found it acceptable and welcomed the use of new technology to support the care of their child.

AB - BackgroundFailure to recognise and respond to clinical deterioration in a timely and effective manner is an urgent safety concern, driving the need for early identification systems to be embedded in the care of children in hospital. Paediatric early warning systems (PEWS) or PEW scores alert health professionals (HPs) to signs of deterioration, trigger a review and escalate care as needed. PEW scoring allows HPs to record a child’s vital signs and other key data including parent concern.AimThis study aimed to explore the experiences and perceptions parents about the acceptability of a newly implemented electronic surveillance system (the DETECT surveillance system), and factors that influenced acceptability and their awareness around signs of clinical deterioration and raising concern.MethodDescriptive, qualitative semi-structured telephone interviews were undertaken with parents of children who had experienced a critical deterioration event (CDE) (n=19) and parents of those who had not experienced a CDE (non-CDE parents) (n=17). Data were collected between February 2020 and February 2021.ResultsQualitative data were analysed using generic thematic analysis. Analysis revealed an overarching theme of trust as a key factor that underpinned all aspects of children’s vital signs being recorded and monitored. The main themes reflect three domains of parents’ trust: trust in themselves, trust in the HPs, and trust in the technology.ConclusionParents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic paediatric early warning system (The DETECT system) were positive; they found it acceptable and welcomed the use of new technology to support the care of their child.

KW - Paediatric Early Warning System (PEWS)

KW - Parents' experience

KW - Acceptability

KW - Clinical Deterioration Alert

KW - Qualitative

U2 - 10.3389/fped.2022.954738

DO - 10.3389/fped.2022.954738

M3 - Article (journal)

SN - 2296-2360

VL - 10

JO - Frontiers in Pediatrics

JF - Frontiers in Pediatrics

M1 - 954738

ER -

Parents’ experiences and perceptions of the acceptability of a whole-hospital, pro-active electronic pediatric early warning system (the DETECT study): A qualitative interview study

Abstract

Keywords

Access to Document

Fingerprint

Research output

The economic burden experienced by carers of children who had a critical deterioration at a tertiary children’s hospital in the United Kingdom (the DETECT study): an online survey

Using technology to reduce critical deterioration (the DETECT study): a cost analysis of care costs at a tertiary children's hospital in the United Kingdom

Clinical utility and acceptability of a whole-hospital, pro-active electronic paediatric early warning system (the DETECT study): a prospective e-survey of parents and health professionals.

Cite this