Table 4

Validation questions influencing CSAT result

Validation questionResponse categoryn (%) n=169CSAT meanP value
Perceptions of PEWS
Please rate the strength of the scientific evidence supporting PEWS implementation.Weak +neither weak nor strong7 (4.2)4.05<0.001
Strong56 (33.3)4.31
Very strong105 (62.5)4.53
NA1
How important is PEWS to provide quality care to your patients?Not very important (neither important nor unimportant +somewhat important)17 (10.1)3.95<0.001
Very important152 (89.9)4.49
PEWS Implementation process and use
How difficult was the implementation of PEWS in your hospital?Very difficult16 (9.6)4.210.054
Somewhat difficult77 (46.1)4.44
Neither easy nor difficult41 (24.6)4.40
Somewhat easy24 (14.4)4.54
Very easy9 (5.4)4.68
NA2
Our PEWS implementation team understands and uses quality improvement skills effectively.Neither agree nor disagree6 (3.6)3.27<0.001
Somewhat agree59 (34.9)4.23
Strongly agree104 (61.5)4.61
Regarding patients under my care, how often is PEWS used in their care?None of the time +some of the time7 (4.1)4.170.002
Most of the time22 (13.0)4.19
All the time140 (82.8)4.49
Centre culture and implementation climate
Our resources (personnel, time, financial) were too tightly limited to improve care quality.Strongly disagree16 (9.8)4.500.764
Somewhat disagree41 (25.0)4.38
Neither agree nor disagree34 (20.7)4.44
Somewhat agree50 (30.5)4.41
Strongly agree23 (14.0)4.50
NA5
Our clinical team has changed or created systems in the hospital that make it easier to provide high quality care.Neither agree nor disagree20 (12.0)4.14<0.001
Somewhat agree79 (47.3)4.29
Strongly agree68 (40.7)4.68
NA2
We choose new processes of care that are more advantageous than the old to everyone involved (patients, clinicians, and our entire clinical team).Strongly disagree +somewhat disagree3 (1.8)3.98<0.001
Neither agree nor disagree17 (10.1)3.98
Somewhat agree75 (44.6)4.31
Strongly agree73 (43.5)4.68
NA1
The working environment in our clinical team is collaborative and cohesive, with shared sense of purpose, cooperation, and willingness to contribute to the common good.Strongly disagree +somewhat disagree8 (4.7)4.16<0.001
Neither agree nor disagree17 (10.1)4.19
Somewhat agree73 (43.2)4.30
Strongly agree71 (42.0)4.66
Our clinical team has greatly improved quality of care in the past 12 months.Somewhat disagree +neither agree nor disagree14 (8.3)4.03<0.001
Somewhat agree66 (39.1)4.26
Strongly agree89 (52.7)4.63
  • CSAT, Clinical Sustainability Assessment Tool; NA, not applicable; PEWS, Paediatric Early Warning System.