Realistic evaluation of Early Warning Systems and the Acute Life-threatening Events - Recognition and Treatment training course for early recognition and management of deteriorating ward-based patients: a research protocol

Research output: Contribution to journalArticle

5 Downloads (Pure)

Abstract

Aim
This paper describes a study protocol designed to evaluate the factors that enable or constrain the delivery and sustainability of Early Warning Systems (EWS) and the Acute Life threatening Events Recognition and Treatment (ALERT) training course in practice.

Background
Rapid Response System initiatives have been introduced to try to improve early detection and treatment of patients who deteriorate on general hospital wards. However, recent systematic reviews of the effectiveness of these initiatives show no effect on patient outcomes. Systematic reviews and professional consensus recommends that future research should focus on a broader range of process and outcome measures which consider the social, behavioural and organisational factors that impact on the delivery of these initiatives.

Design
The design is a multiple case study on four wards in two hospitals in Northern Ireland that have implemented EWS and ALERT training. Data will be collected from key stakeholders using individual and focus group interviews, non-participant observation, ALERT training records and audit of patients’ observation charts and medical notes. Realistic evaluation of the data will enable the development and refinement of theories to explain which mechanisms work in a particular context to achieve desired outcomes.
Discussion
This study will produce important information that will contribute to knowledge of the organisational processes that impact on the delivery of initiatives to identify, respond and manage acutely ill patients in hospital. These findings will provide evidence and direction for strategic and service planning of acute care to improve the quality and safety of care in hospitals.
Original languageEnglish
Pages (from-to)923-932
Number of pages10
JournalJournal of Advanced Nursing
Volume66 (4)
DOIs
Publication statusPublished - 2010

Bibliographical note

Impact Factor 1.53, Q1, Nursing, Cited x6

Fingerprint Dive into the research topics of 'Realistic evaluation of Early Warning Systems and the Acute Life-threatening Events - Recognition and Treatment training course for early recognition and management of deteriorating ward-based patients: a research protocol'. Together they form a unique fingerprint.

Cite this