The safety netting behaviour of first contact clinicians: A qualitative study

Caroline H D Jones, Sarah Neill, Monica Lakhanpaul, Damian Roland, Hayley Singlehurst-Mooney, Matthew Thompson

Research output: Contribution to Book/Report typesChapter

Abstract

Acute illness is common in childhood, and it is difficult for healthcare professionals to distinguish seriously ill children from the vast majority with minor or self-limiting illnesses. Safety netting provides parents with advice on when and where to return if their child deteriorates, and it is widely recommended that parents of acutely sick young children should be given safety netting advice. Yet little is known about how and when this is given. We aimed to understand what safety netting advice first contact clinicians give parents of acutely sick young children, how, when, and why. This was a qualitative study. Interviews and focus groups were held with doctors and nurses in a general practice surgery, a District General Hospital emergency department, a paediatric emergency department, and an out-of-hours service. Data were analysed using the method of constant comparison. Sixteen clinicians participated. They described that safety netting advice includes advising parents what to look for, when and where to seek help. How safety netting was delivered and whether it was verbal or written was inconsistent, and no participants described being trained in this area. Safety netting appeared to be rarely documented, and was left to individual preference. Limitations of written materials, and structural barriers to the provision of safety netting, were perceived. Participants described that safety netting was influenced by clinicians’ experience, confidence, time and knowledge; and perceived parental anxiety, experience, and competence. Participants noted several limitations to safety netting including not knowing if it has been understood by parents or been effective; parental difficulty interpreting information and desire for face-to-face reassurance; and potential over-reassurance. First contact clinicians employ a range of safety netting techniques, with inconsistencies within and between organisations. Structural changes, clinician training, and documentation in patient notes may improve safety netting provision. Research is needed into the optimal components of safety netting advice so that clinicians can consistently deliver the most effective advice for parents.
Original languageEnglish
Title of host publicationBMC Family Practice
DOIs
Publication statusPublished - 2013

Publication series

NameBMC Family Practice
Volume14

Fingerprint

Safety
Parents
Hospital Emergency Service
District Hospitals
Hospital Departments
Focus Groups
General Hospitals
General Practice
Documentation
Mental Competency
Anxiety
Nurses
Organizations
Interviews
Pediatrics
Delivery of Health Care
Research

Keywords

  • Acute disease
  • Parents
  • Primary health care
  • Qualitative research
  • Safety netting

Cite this

Jones, C. H. D., Neill, S., Lakhanpaul, M., Roland, D., Singlehurst-Mooney, H., & Thompson, M. (2013). The safety netting behaviour of first contact clinicians: A qualitative study. In BMC Family Practice (BMC Family Practice; Vol. 14). https://doi.org/10.1186/1471-2296-14-140
Jones, Caroline H D ; Neill, Sarah ; Lakhanpaul, Monica ; Roland, Damian ; Singlehurst-Mooney, Hayley ; Thompson, Matthew. / The safety netting behaviour of first contact clinicians: A qualitative study. BMC Family Practice. 2013. (BMC Family Practice).
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Jones, CHD, Neill, S, Lakhanpaul, M, Roland, D, Singlehurst-Mooney, H & Thompson, M 2013, The safety netting behaviour of first contact clinicians: A qualitative study. in BMC Family Practice. BMC Family Practice, vol. 14. https://doi.org/10.1186/1471-2296-14-140

The safety netting behaviour of first contact clinicians: A qualitative study. / Jones, Caroline H D; Neill, Sarah; Lakhanpaul, Monica; Roland, Damian; Singlehurst-Mooney, Hayley; Thompson, Matthew.

BMC Family Practice. 2013. (BMC Family Practice; Vol. 14).

Research output: Contribution to Book/Report typesChapter

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Jones CHD, Neill S, Lakhanpaul M, Roland D, Singlehurst-Mooney H, Thompson M. The safety netting behaviour of first contact clinicians: A qualitative study. In BMC Family Practice. 2013. (BMC Family Practice). https://doi.org/10.1186/1471-2296-14-140