Reviewing the evidence base for the Children and Young People Safety Thermometer (CYPST):a mixed studies review


The objective was to identify evidence to support use of specific harms for the development of a children and young people's safety thermometer (CYPST). We searched PubMed, Web of Knowledge, and Cochrane Library post-1999 for studies in pediatric settings about pain, skin integrity, extravasation injury, and use of pediatric early warning scores (PEWS). Following screening, nine relevant articles were included. Convergent synthesis methods were used drawing on thematic analysis to combine findings from studies using a range of methods (qualitative, quantitative, and mixed methods). A review of PEWS was identified so other studies on this issue were excluded. No relevant studies about extravasation injury were identified. The synthesized results therefore focused on pain and skin integrity. Measurement and perception of pain were complex and not always carried out according to best practice. Skin abrasions were common and mostly associated with device related injuries. The findings demonstrate a need for further work on perceptions of pain and effective communication of concerns about pain between parents and nursing staff. Strategies for reducing device-related injuries warrant further research focusing on prevention. Together with the review of PEWS, these synthesized findings support the inclusion of pain, skin integrity, and PEWS in the CYPST.

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Divisions: College of Health & Life Sciences
College of Health & Life Sciences > School of Psychology
College of Health & Life Sciences > Chronic and Communicable Conditions
Additional Information: © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons by Attribution (CC-BY) license (
Uncontrolled Keywords: pediatrics,patient safety,safety thermometer,risk assessment,mixed studies review
Publication ISSN: 2227-9032
Last Modified: 05 Apr 2024 07:12
Date Deposited: 08 Aug 2016 11:50
Full Text Link: http://www.mdpi ... 2227-9032/4/1/8
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PURE Output Type: Special issue
Published Date: 2016-01-11
Accepted Date: 2015-12-24
Submitted Date: 2015-10-30
Authors: Aston, Lydia
Eyre, Caron
McLoughlin, Michelle
Shaw, Rachel (ORCID Profile 0000-0002-0438-7666)



Version: Published Version

License: Creative Commons Attribution

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