PWQP and POPS comparison study

  • Research type

    Research Study

  • Full title

    Exploration and comparison of the adapted Patient Wellness Questionnaire for Paediatrics and the Paediatric Observation Priority Score

  • IRAS ID

    268472

  • Contact name

    Abigail Albutt

  • Contact email

    abigail.albutt@bthft.nhs.uk

  • Sponsor organisation

    Bradford Teaching Hospitals NHS Foundation Trust

  • Duration of Study in the UK

    0 years, 3 months, 30 days

  • Research summary

    It is increasingly recognised that patients can make important contributions towards their safety in hospital and initiatives have encouraged patient involvement in patient safety. One area of patient safety that might benefit from the involvement of patients is improving the early detection of clinical deterioration in hospital. Although measures exist to improve early recognition and response to patient deterioration, some deteriorating patients continue to go unrecognised.

    It’s intuitive to think that patients and their relatives have knowledge of the patient and their norms, and may sense if their condition is worsening but there is a lack of empirical evidence investigating this topic. The ‘Patient Wellness Questionnaire’ developed in a previous linked study can be used by healthcare staff to ask hospitalised patients about changes in their health and wellness. A previous study showed an association between patients’ responses to the Patient Wellness Questionnaire and the objective measures of their physiology (National Early Warning Score) to suggest that patients may identify signs of deterioration before their objective measurements show this. The Patient Wellness Questionnaire has since been adapted for use with parents and hospitalised children in collaboration with parents and paediatric health professionals (Patient Wellness Questionnaire for Paediatrics (PWQP)).

    In the current study, nurses will ask parents and/or children (where judged as clinically appropriate) the PWQP during initial assessment in the Emergency Department (ED). Nurses will only ask parents and/or children the PWQP when a Paediatric Observation Priority Score (POPS) is calculated. They will note whether the parent or child answered the PWQP by indicating ‘P’ for parent and ‘C’ for child. The current study will explore the association between the parental concern measure in the POPS - a checklist that allows health professionals to assess the acuity of children and the PWQP -a parent/child-reported measure of patient wellness. It was also explore the association between POPS, PWQP and vital sign measures.

  • REC name

    London - London Bridge Research Ethics Committee

  • REC reference

    19/HRA/4721

  • Date of REC Opinion

    25 Nov 2019

  • REC opinion

    Further Information Favourable Opinion