Our approach to changing the culture of caring for the acutely unwell patient at a large UK teaching hospital: A service improvement focus on Early Warning Scoring tools

The Influence of Nurses' Demographics on Patient Participation in Hospitals: A Cross‐Sectional Study

“…The subjective norm and the perceived behavioral control also have to be positive before changes in behavior are made. As proven for changes in quality improvement (Hamilton et al., ) or service improvement (Wood et al., ), the subjective norms of a ward's culture are essential and should not be underestimated. Therefore, high scores on the PaCT‐HCW might not necessarily indicate a high‐standard patient participation culture on a ward.…”

The Patient Participation Culture Tool for healthcare workers (PaCT-HCW) on general hospital wards: A development and psychometric validation study

“…Combining the responses of each healthcare worker of a ward for each factor offers an overview of the ward's patient participation culture, as a culture is tended to be manifested in the behaviors and beliefs of their members (Brown, 1998). As proven for continuous quality improvement (Hamilton et al, 2014), patient-centered care (Abdelhadi and Drach-Zahavy, 2012) and service improvement (Wood et al, 2015), the culture on a ward is essential in change management. It is useful to investigate the current status of a ward culture on patient participation in order to enable specific interventions.…”

The measurement frequency and completeness of vital signs in general hospital wards: An evidence free zone?

“…For instance, adherence to national guidance and local protocols/policies (4-7) provides goals against which practice can be compared. Regular audits of practice with personal feedback regarding compliance can serve to identify deficiencies and guide quality improvement measures (34,35), especially if there is a focus on poorly performing wards (34). The establishment of local clinical champions also seems important (34).…”

“…Regular audits of practice with personal feedback regarding compliance can serve to identify deficiencies and guide quality improvement measures (34,35), especially if there is a focus on poorly performing wards (34). The establishment of local clinical champions also seems important (34). However, these need to be accompanied by staff education regarding monitoring protocols and their importance (34,35).…”

“…The establishment of local clinical champions also seems important (34). However, these need to be accompanied by staff education regarding monitoring protocols and their importance (34,35). Clinical hierarchies, professional culture, prior experience of responses received to reporting abnormal vital signs, lack of confidence and staff opinion about the usefulness of vital signs monitoring or early warning score systems appear to be crucial in influencing adherence to monitoring policies (2,24,36).…”