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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

Brimblecombe, Neil and Quist, Haddy and Nolan, Fiona (2019) '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.' Journal of Psychiatric and Mental Health Nursing. ISSN 1365-2850

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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.

Item Type: Article
Uncontrolled Keywords: Mental health, inpatients, technology, surveys and questionnaires, psychiatric nursing, mental health services
Subjects: R Medicine > RA Public aspects of medicine > RA790 Mental Health
Divisions: Faculty of Science and Health > Health and Social Care, School of
Depositing User: Elements
Date Deposited: 12 Mar 2019 16:41
Last Modified: 12 Mar 2019 17:15
URI: http://repository.essex.ac.uk/id/eprint/24074

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