Paediatric family activation rapid response (FARR) in acute care: A qualitative study for developing a multilingual application (app) intervention
Marufu, Takawira C Taylor, Nicola Cresham Fox, Shannon Popejoy, Emma Boardman, Rachel Manning, Joseph C
Marufu, Takawira C
Taylor, Nicola
Cresham Fox, Shannon
Popejoy, Emma
Boardman, Rachel
Manning, Joseph C
Abstract
BACKGROUND: Delayed recognition of clinical deterioration can result in harm to patients. Parents/carers can often recognise changes in the child's condition before healthcare professionals (HCPs). To mitigate the risk of failure to rescue and promote early intervention, family-activated rapid response (FARR) systems are part of family-integrated care. Mechanisms for parents/carers to escalate concerns regarding their child's clinical status remain limited to direct verbal communication, which may impede those with communication/linguistic challenges., AIM: To develop a digital multilingual intervention by which families/carers can escalate their concerns directly to the rapid response team while in acute paediatric care., METHODS: A single-centre qualitative, co-design app development study was conducted. Evidence synthesis from a systematic review of the international literature informed interviews on intervention prototype development using co-design focus groups. Participant recruitment targeted underserved communities for multilingual functionality validity. Data were analysed using qualitative content analysis., RESULTS: Thirty parents/carers (n=16) and HCPs (n=14) participated in the study. Three themes were generated from the data analysis: (1) relational considerations; communication, professional and parental attributes, and collaborative working; (2) technology considerations; app content, usage and outcomes; and (3) individual and environmental considerations; parental and professional elements, and workload. A FARR app prototype was developed based on the data., CONCLUSION: The prototype app provides a platform to develop a coordinated and consistent technological approach to paediatric FARR that acknowledges cultural nuances and preferences, ensuring that parents can communicate in a manner that aligns with their cultural background and communication abilities, thereby enhancing the quality of care delivered. Copyright © Author(s) (or their employer(s)) 2024. No commercial re-use. See rights and permissions. Published by BMJ.
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Date
2024
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Article
Subject
Child, Acute care, Clinical deterioration, Hospital rapid response team
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Marufu, T.C., Taylor, N., Cresham Fox, S., Popejoy, E., Boardman, R. and Manning, J.C. (2024) 'Paediatric family activation rapid response (FARR) in acute care: A qualitative study for developing a multilingual application (app) intervention', Archives of Disease in Childhood, , pp. 1–7. doi: 10.1136/archdischild-2024-327436 https://doi.org/10.1136/archdischild-2024-327436.
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View at the publisher's website here: https://doi.org/10.1136/archdischild-2024-327436.