Altmetric

Raising the Alarm: A Cross-Sectional Study Exploring the Factors Affecting Patients' Willingness to Escalate Care on Surgical Wards

Title: Raising the Alarm: A Cross-Sectional Study Exploring the Factors Affecting Patients' Willingness to Escalate Care on Surgical Wards
Authors: Johnston, MJ
Davis, RE
Arora, S
King, D
Reissis, Y
Darzi, A
Item Type: Journal Article
Abstract: Background Delays in escalation of care for patients may contribute to poor outcome. The factors that influence surgical patients’ willingness to call for help on wards are currently unknown. This study explored the factors that affect patients’ willingness to call for help on surgical wards; how patients call for help and to whom; how to encourage patients to call for help, and the barriers to patients calling for help. Methods A cross-sectional study was conducted in three London hospitals using a questionnaire designed through expert opinion and the published literature. A total of 155 surgical patients (83 % response rate) participated. Results Patients were more willing to call for help using the bedside buzzer or by calling a nurse compared to a doctor (p < 0.001). The prompts to calling for help patients were most likely to act on were bleeding and pain. Patients were more willing to call for help if encouraged by a healthcare professional than a relative or fellow patient (p < 0.01). Patients were more likely to worry about taking up too much time when calling for help than being perceived as difficult (p < 0.001). For some prompts, male patients were more willing to call for help (p < 0.05). Conclusions This is the first study to identify factors affecting patients’ willingness to call for help on surgical wards. Interventions that take these factors into account can be developed to encourage patients to call for help and may avoid delays in treatment.
Issue Date: 27-May-2015
Date of Acceptance: 1-May-2015
URI: http://hdl.handle.net/10044/1/58772
DOI: https://dx.doi.org/10.1007/s00268-015-3099-0
ISSN: 0364-2313
Publisher: SPRINGER
Start Page: 2207
End Page: 2213
Journal / Book Title: WORLD JOURNAL OF SURGERY
Volume: 39
Issue: 9
Copyright Statement: © 2015 Société Internationale de Chirurgie. The final publication is available at https://dx.doi.org/10.1007/s00268-015-3099-0
Sponsor/Funder: National Institute for Health Research
Imperial College Healthcare NHS Trust
National Institute for Health Research (NIHR)
Funder's Grant Number: NF-SI-0510-10186
RDPSC 79560
RDPSC 79560
Keywords: Science & Technology
Life Sciences & Biomedicine
Surgery
EARLY WARNING SCORE
HEALTH-CARE
INPATIENT SURGERY
SAFETY
COMPLICATIONS
INVOLVEMENT
QUALITY
FAILURE
RESCUE
PHYSICIANS
Adolescent
Adult
Aged
Aged, 80 and over
Cross-Sectional Studies
Female
Hemorrhage
Hospitals
Humans
London
Male
Middle Aged
Pain
Patient Acceptance of Health Care
Sex Factors
Surveys and Questionnaires
Young Adult
1103 Clinical Sciences
Publication Status: Published
Appears in Collections:Division of Surgery
Faculty of Medicine



Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Creative Commonsx