Emergency department clinicians’ views on implementing psychosocial care following acute paediatric injury: a qualitative study

Figures & data

Table 1. Interview topic guide with questions and follow-up questions.

Is the ED the right place to offer mental health support/implement a psychosocial intervention for acutely injured children? What is the ideal mode of delivery to implement a potential psychoeducational intervention into the ED? Which families should receive psychosocial support/a potential intervention? Will clinicians be able to recognise those who require further support? What would this involve? Who is best placed to provide psychosocial support or deliver a potential intervention? Should this be the responsibility of clinicians from a single profession (e.g. nurses or doctors)? At what point in the ED visit should the support/intervention be offered? How would this fit into the child’s medical care? Would a training package be useful, and, if so, what should this include? Who should receive training? How confident are you to provide a potential intervention to families? What is required to increase your confidence?

Table 2. Descriptive statistics.

Characteristic	Statistic
Sex, n (%)
Female	16 (66.7%)
Male	8 (33.3%)
Profession, n (%)
Doctor	10 (41.7%)
Nurse (including nurse practitioners)	12 (50.0%)
Other	2 (8.3%)
Years of ED experience, M(SD)	8.00 (5.65)
Country, n (%)
England	19 (79.2%)
Ireland	1 (4.2%)
Scotland	1 (4.2%)
Wales	3 (12.5%)
Stage of Care, n (%)
Acute Phase Only	16 (66.7%)
Inpatient Care/Rehab Only	3 (12.5%)
Both	5 (20.8%)
Department, n (%)
Paediatric ED	16 (66.7%)
Combined paediatric and adult ED	6 (25.0%)
Inpatient	1 (4.2%)
Trauma Coordinator	1 (4.2%)
Hospital Category, n (%)
Paediatric major trauma centre	10 (41.7%)
Combined paediatric/adult major trauma centre/unit	12 (50.0%)
None of the above	2 (8.3%)

Table 3. Interview participation summary.

Participant identification number	Occupation	Grade	Years of experience	Group/individual interview	Group interview number
1	Doctor	Consultant	20	Individual	N/A
2	Doctor	Consultant	12.5	Individual	N/A
3	Nurse	Band 6	3	Individual	N/A
4	Doctor	Specialty trainee years 4-8	9	Group	1
5	Physiotherapist/AHP	N/A	N/A	Group	1
6	Nurse	Band 7	7	Individual	N/A
7	Nurse practitioner	Band 7	20	Individual	N/A
8	Doctor	Consultant	3	Individual	N/A
9	Doctor	Consultant	10	Individual	N/A
10	Nurse	Band 5	2	Individual	N/A
11	Nurse	Band 5	1.5	Individual	N/A
12	Nurse practitioner	Band 8	10	Group	2
13	Nurse	Band 7	7	Group	2
14	Nurse	Band 6	7	Group	2
15	Psychologist	Staff Grade or Associate Specialist	3	Group	2
16	Nurse	Band 7	N/A	Individual	N/A
17	Doctor	Consultant	15	Group	3
18	Doctor	Consultant	18	Group	3
19	Doctor	Consultant	4	Group	3
20	Nurse	Band 7	7	Group	3
21	Nurse	Band 6	5	Group	3
22	Doctor	Consultant	PEM Grid, 2 years post CCT	Group	4
23	Doctor	Consultant	17	Group	4
24	Nurse	Band 5	4	Group	4

Figure 1. Final thematic map of themes and sub-themes.

Data availability statement

The authors confirm that the data supporting the findings of this study are available within the article and its supplementary materials.