READ ME File For 'Dataset underpinning analyses relating to the project "Safer and more efficient vital signs monitoring to identify the deteriorating patient: An observational study towards deriving evidence-based protocols for patient surveillance on the general hospital ward' Dataset DOI: https://doi.org/10.5258/SOTON/D2876 Date that the file was created: January, 2025 ------------------- GENERAL INFORMATION ------------------- ReadMe Author: JOANNA HOPE, University of Southampton [https://orcid.org/0000-0002-8939-7045] Date of data collection: 06/08/2019-15/01/2020 Information about geographic location of data collection: acute medical/surgical wards in 4 hospital trusts in England Related projects: Safer and more efficient vital signs monitoring to identify the deteriorating patient: An observational study towards deriving evidence-based protocols for patient surveillance on the general hospital ward -------------------------- SHARING/ACCESS INFORMATION -------------------------- Licenses/restrictions placed on the data, or limitations of reuse:CC-BY Recommended citation for the data: This dataset supports the publication: AUTHORS:Chiara Dall’Ora,Peter Griffiths,Oliver Redfern, Julie Darbyshire TITLE: Organising vital signs observations on acute hospital wards: a qualitative content analysis JOURNAL:International Journal of Nursing Studies PAPER DOI IF KNOWN: -------------------- DATA & FILE OVERVIEW -------------------- This dataset contains: 'Anonymised_Fieldnotes' : brief fieldnotes taken before and after time-and-motion observation sessions by observers. 'Anonymised_ward_profile' : summary of key information about ward approach to taking vital signs observations 'Anonymised Interruptions and vital signs data': all raw data including both vital signs, vital signs related and interruptions data All information and consent documentation for observational research: 'FOBS Manager GDPR PIS 20190514 V9', 'FOBS Patient GDPR PIS 20190514 V9', 'FOBS Staff GDPR PIS 20190514 V10', 'FOBS Ward Poster 110119 V6', 'FOBS Ward Staff Opt Out Record Form 110119 V2', 'Manager Consent Form 110119 V7' Relationship between files, if important for context: 'Anonymised_Fieldnotes' were made before or after ward-based observation sessions recorded in time-and-motion data in 'Raw_data_interruptions_FoBS_study_final'. 'Anonymised_ward_profile' data was completed in discussion with ward leaders prior to any observations recorded and was used to guide appropriate times for observing vital signs observations on the wards. Anonymised ward names are consistent across all three datasets. Additional related data collected that was not included in the current data package: n/a If data was derived from another source, list source: n/a If there are there multiple versions of the dataset, list the file updated, when and why update was made: n/a -------------------------- METHODOLOGICAL INFORMATION -------------------------- Description of methods used for collection/generation of data: Details described in the following two publications: 1. https://journals.rcni.com/nurse-researcher/evidence-and-practice/development-and-validation-of-a-methodology-to-measure-the-time-taken-by-hospital-nurses-to-make-vital-signs-observations-nr.2020.e1716/full 2. https://www.sciencedirect.com/science/article/pii/S0020748921000614?via%3Dihub Methods for processing the data: See above publications and TBC Software- or Instrument-specific information needed to interpret the data, including software and hardware version numbers: See publication 1. above. Standards and calibration information, if appropriate: n/a Environmental/experimental conditions: n/a Describe any quality-assurance procedures performed on the data: see publication TBC for details People involved with sample collection, processing, analysis and/or submission: Authors of TBC and 1 and 2. -------------------------- DATA-SPECIFIC INFORMATION -------------------------- 'Anonymised Interruptions and vital signs data' Number of variables: 29 Number of cases/rows: 1131 Variable list, defining any abbreviations, units of measure, codes or symbols used: Field Name Description Hospital_ID Anonymous identifier for the hospital Trust (A,B,C or D) Observer_ID Anonymous identifier for observer Ward_ID Anonymous identifier for hospital ward (A1,A2,A3,A4,B1,B2,B3,B4,C1,C2,C3,C4,D1,D2,D3,D4) Session: actual start YYYY-MM-DDT[TIME STARTED] HH:MM Session: actual end YYYY-MM-DDT[TIME ENDED] HH:MM Session Id Identified number for observation session Session: number nurses Number of nurses on shift during this observation session Session: number HCAs Number of HCAs [healthcare assistants/non-registered nursing assistants] on shift during this observation session Session: number students Number of student nurses on shift during this observation session Session: number agency nurses Number of agency nurses on shift during this observation session Session: number agency HCAs Number of agency nurses on shift during this observation session Session: number nurses Number of agency HCAs [healthcare assistants/non-registered nursing assistants] on shift during this observation session Session: number patients on ward Number of patients on ward during this observation session Interaction: date Date of interaction Interaction: start Start time of interaction [HH:MM:SS] Interaction: end End time of interaction [HH:MM:SS] Interaction: length Length of interaction [HH:MM:SS] Interaction: content Options from drop-down menu for type of activity Interruption or VS related All data that is not coded as ASSESSMENT_VITAL_SIGNS in Interaction: content coded as either INTERRUPTION or VS RELATED (an activity related to taking vital signs) Interaction: comments Free text box completed by observer with additional details about interaction Interaction: end reason Options: NATURALLY, DID_NOT_SEE_WHEN, INTERRUPTED Interaction: awake ID TRUE (if patient awake) FALSE (if patient asleep) Interaction: awake Yes (if patient awake) No (if patient asleep) Interaction: location Id Location of patient ID (1=In bed; 2=Out of bed) Interaction: location Location of patient (OUT_OF_BED; IN_BED) Interaction: mood Patient state (Not agitated; Agitated) Interaction visitors Id Whether patient has visitors ID (TRUE, FALSE) Interaction: visitors Whether patient has visitors (No visitors at start of interaction; Visitors at start of interaction) Interaction: content Id Codes assigned to each type of activity in Interaction: content Interaction: registered Nurse Id Is the person interacting with the patient a registered nurse? TRUE or FALSE Interaction: registered Nurse Is the person interacting with the patient a registered nurse? Yes or No nteraction: Student Nurse Id Is the person interacting with the patient a student nurse? TRUE or FALSE Interaction: Student Nurse Is the person interacting with the patient a student nurse? Yes or No Interaction: health care assistant Id Is the person interacting with the patient a healthcare assistant (nursing assistant) TRUE or FALSE Interaction: health care assistant Is the person interacting with the patient a healthcare assistant (nursing assistant) Yes or No Interaction: doctor Id Is the person interacting with the patient a doctor? TRUE or FALSE Interaction: doctor Is the person interacting with the patient a doctor? Yes or No Interaction: allied health professional Id Is the person interacting with the patient an allied health professional? TRUE or FALSE Interaction: allied health professional Is the person interacting with the patient an allied health professional? Yes or No Interaction: other health professional Id Is the person interacting with the patient an other health professional? TRUE or FALSE Interaction: other health professional Is the person interacting with the patient an other health professional? Yes or No Session: behaviour changed title At end of each session response to observer asking if had changed behaviour of staff observed. Options: Yes, No, NOT_ASKED Session: anything significant Free text box completed for anything significant that might have affected taking of vital signs in this session Session: disrupted Id Was the session disrupted? Options TRUE or FALSE Session: disrupted Was the session disrupted? Options Yes or No Planned session: intended start Intended start time of the session YYYY-MM-DDT[INTENDED START TIME] HH:MM Planned session: intended end Intended end time of the session YYYY-MM-DDT[INTENDED END TIME] HH:MM 'Anonymised_Fieldnotes' Qualitiative notes with details of anonymised hospitals and some details of anonymised wards. Number of variables: 4 Number of cases/rows: 16 Ward name Anonymised ward name Speciality Ward specialty Times rounds expected to happen Times ward leader identified as most likely for staff to be taking vital signs rounds Other protocols undertaken List of other ward protocols that might change how often vital signs observations were taken from the Early Warning Score protocol led frequencies