Table 3 Suggested solutions for the provision of the use of an early warning score
Sub-theme | Quote | |
|---|---|---|
Usefulness of colour codes | Q27 | “If it could be printed in colour, using a traffic light system, then one should be able to interpret findings very quickly” FGD P9 Nurse Midwife |
Education of healthcare providers | Q28 | “Orientation to the screening tool is needed so everyone understands it well “KII6 Nurse Midwife |
Q29 | “So sometimes with the staff, you forget there are new people who can’t use it until they are trained” KII8 Doctor | |
Q30 | “I think with appropriate training we can use an early warning tool or score, it is such a simple tool to use” KII1 Doctor | |
Recognition of the need to screen and using an early warning score | Q31 | “If each and every one would know the importance of screening that would help - some people may not know its importance now” KII7 Doctor |
Q32 | “Yes, I think we (as a team) should be able to use an early warning score or tool. The fact that the midwives in the labour ward high dependency unit use it already means that everyone can actually use it” KII8 Doctor | |
Q33 | “With appropriate training it [an early warning score] could be used more widely in our department. it could be implemented everywhere in hospital” KII9 Doctor | |
Q34 | “It’s now about training everyone, orienting everyone, on how to effectively use it … because that tool is as good as the information you put on it” KII1, Doctor | |
Local clinical leadership and use of audit | Q35 | “We need dedicated staff to pioneer it [early warning score] as happened in the high dependency unit, the introduction of score in other areas [of the hospital] have failed previously” KII 1 Doctor |
Q36 | “If doctors haven’t welcomed the idea, they will stick to the process they learnt in college” FGD 7 Nurse | |
Q37 | “[We need to] use audits before and after to see what the issues are in implementation [of the early warning scores]” KII Doctor | |