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A mixed methods survey to explore views of staff and patients in mental health inpatient wards prior to introduction of a digital early warning system for physical deterioration

Abstract

Introduction

Technological innovation offers opportunities to improve mental health care, however, little evidence exists regarding attitudes of inpatient staff and patients to such changes. We present a survey of staff and patients prior to introduction of a digital version of the National Early Warning Score (eNEWS) system for identifying physical deterioration.

Aim

To collate views of staff and inpatients related to prospective use of eNEWS, to inform the plan for implementation.

Method

Paper questionnaires were distributed to both groups in six wards prior to eNEWS implementation. Two discussion groups were then held.

Results

Eighty‐two staff and 26 inpatients completed questionnaires. Some inpatients expressed concerns about data confidentiality. Most staff were neutral or positive about the planned change, but raised possible safety risks and the risk of electronic recording being misinterpreted by patients. The implementation plan was modified in response to this information, principally by improving communication processes with patients.

Discussion

This study adds to the existing evidence by reporting specific staff and patient concerns towards a form of information technology. Further evaluations would help determine the transferability of these findings.

Implications for Practice

Listening to patient and staff views about planned technological innovation is essential for effective implementation.

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Posted in: Journal Article Abstracts on 03/17/2019 | Link to this post on IFP |
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