A mixed‐methods survey to explore views of staff and patients from mental health wards prior to introduction of a digital early warning system for physical deterioration

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.

This is the peer reviewed version of the following article: Brimblecombe, N. , Quist, H. and Nolan, F. (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. J Psychiatr Ment Health Nurs. Accepted Author Manuscript. doi:10.1111/jpm.12511 , which has been published in final form at https://onlinelibrary.wiley.com/doi/abs/10.1111/jpm.12511. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions.