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  • Aidín McKinney

Aidín McKinney

Co-design of a patient and family-initiated escalation of care intervention to detect and refer patient deterioration in the acute adult hospital setting

Clinical deterioration that is not recognised early enough in hospital remains problematic. It is increasingly recognised that family members may identify changes in a patient’s clinical signs or symptoms prior to healthcare staff. Addressing these concerns is important to improve patient safety. Involving patients and families in recognising and referring their concerns to healthcare staff may improve clinical outcomes. 

To date there is limited research addressing the experiences of patients and family in recognising deterioration or their involvement in the escalation of care. The aim of this study is to co-design a patient and family-initiated escalation of care intervention to detect and refer patient deterioration in acute adult hospital settings in Northern Ireland and the Republic of Ireland. An adapted co-design approach with key stakeholders is utilised to inform the development and acceptability of a patient and family-initiated escalation intervention that may be later tested in practice.  

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My project is funded by the Health Service Executive of Ireland, HSE Programme for Health Service Improvement. 

What is your ideal Research outcome?

To co-design a patient and family-initiated escalation of care intervention to detect and refer patient deterioration in acute adult hospital settings that is suitable for patients’, relatives’ and healthcare professionals’ in Northern Ireland and the Republic of Ireland.  

Publications 

2020 

McKinney, A., Fitzsimons, D., Blackwood, B. & McGaughey (2020) Patient and family involvement in escalating concerns about clinical deterioration in acute adult wards: a qualitative systematic review. Nursing in Critical Care. https://doi.org/10.1111/nicc.12582 

McKinney, A., Fitzsimons, D., Blackwood, B. White, M., & McGaughey, J. (2020) Co-design of a patient and family-initiated escalation of care intervention to detect and refer patient deterioration: research protocol. Journal of Advanced Nursing. 76:1803-1811. https:// doi: 10.1111/jan.14365. 

McKinney, A (2020) Commentary: Involving patients in recognising clinical deterioration in hospital using the Patient Wellness Questionnaire: A mixed-methods study. Journal of Research in Nursing. 25, 1, p. 87-88, 01 Feb 2020. 

2019 

McKinney, A., Fitzsimons, D., Blackwood, B. & McGaughey, J. (2019) Patient and family-initiated escalation of care: A qualitative systematic review protocol. Systematic Reviews. 8, 8 p., 91. 09 Apr 2019. 

2018 

McKinney, A., Fitzsimons, D., Blackwood, B.,McGaughey. J. (2018) Patients', relatives' and healthcare professionals' experiences of deterioration and their perceptions of the barriers and facilitators to patient and family-initiated escalation of care in acute adult general hospital wards: a qualitative systematic review protocol. PROSPERO 2018 CRD42018106952 Available from: https://www.crd.york.ac.uk/prospero/display_record.php?ID=CRD42018106952 

Conferences 

2020 

McKinney, A., Fitzsimons, D., Blackwood, B. & McGaughey (2020) Patient and family involvement in escalation of ward-based care: A qualitative systematic review. British Association of Critical Care Nursing, BACCN Virtual Conference. 14-15th September 2020. 

2019 

McKinney, A., Fitzsimons, D., Blackwood, B. & McGaughey (2019) Patient and family-initiated escalation of care: A qualitative systematic review. School of Nursing and Midwifery Research Showcase Conference, Lanyon Building, QUB. 09.12.2019. 

McKinney, A., Fitzsimons, D., Blackwood, B. & McGaughey (2019) Development of a patient and family-initiated escalation of care scheme: research protocol.  European Federation of Critical Care Nursing Conference, Ljubliana,Slovenia. 13-16th February 2019.   

2018  

McKinney, A., Fitzsimons, D., Blackwood, B. & McGaughey (2018) Patient and family-initiated escalation of care: Research protocol. School of Nursing and Midwifery Research Showcase Conference, Lanyon Building, QUB. 11th December 2018.   

McKinney, A., Fitzsimons, D., Blackwood, B. & McGaughey (2018) Patient and family-initiated escalation of care: Research protocol. UK Critical Care Research Forum, QUB, Belfast 7th June 2018.   

Award 

Travel award of £500 from British Association of Critical Care Nurses to attend European Federation of Critical Care Nursing Conference, Ljubliana,Slovenia. 13-16th February 2019.   

Supervisors

Professor Donna Fitzsimons, Professor Bronagh Blackwood and Dr Jennifer McGaughey 

Why did you choose this PhD and why at Queen’s?

Aidín is a Lecturer in the School of Nursing and Midwifery who is currently undertaking a PhD funded by the HSE Programme for Health Service Improvement (2018-2021). Her key areas of interest include care of the acutely ill, patient safety and integrating student knowledge of pathophysiology, pharmacology and associated nursing assessment and care of the acutely ill adult patient.  

View Aidín's PURE Profile

Connect with Aidín on Twitter

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