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Nurs Crit Care. 2014 Jul;19(4):196-203. doi: 10.1111/nicc.12050. Epub 2013 Oct 23.

Teaching paediatric ward teams to recognise and manage the deteriorating child.

Author information

1
L 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.

Abstract

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.

KEYWORDS:

Critical care education; Early recognition skills; Early warning assessment tools; Interprofessional collaboration; Paediatric critical care courses; Paediatrics

PMID:
24147837
DOI:
10.1111/nicc.12050
[Indexed for MEDLINE]

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