title: 'Our Care through Our Eyes': a mixed-methods, evaluative study of a service-user, co-produced education programme to improve inpatient care of children and young people admitted following self-harm.
abstract: BACKGROUND
  Within Europe, the UK has one of the highest rates of self-harm, with a particularly high prevalence in children and young people (CYP). CYP who are admitted to paediatric hospital wards with self-harm are cared for by registered children's nurses who have been identified to lack specific training in caring for this patient group. This may impede the delivery of high quality care. Therefore, this study aims to co-produce, implement and evaluate an education programme for registered children's nurses to improve their knowledge, attitudes and confidence when caring for CYP admitted with self-harm.
  
  
  METHODS
  This mixed-methods evaluative study will involve a three-stage design. Stage 1: A priority-setting workshop will be conducted with 19 registered children's nurses. A Delphi technique will be used to establish consensus of information needs. Stage 2: An online educational intervention will be co-produced with 25 CYP and 19 registered children's nurses based on the priorities identified in Stage 1. Stage 3: The intervention will be implemented and evaluated with 250 registered children's nurses at a single hospital. Online Likert scale questionnaires will be administered at baseline and postintervention to assess levels of knowledge, attitudes and confidence in caring for CYP who self-harm. Descriptive and inferential statistics will be used to analyse the data. Statistical significance will be assessed at the 5% (two-sided) level. One-to-one qualitative interviews will also be undertaken with approximately 25 participants to explore any perceived impact on clinical practice. An interpretive descriptive approach will guide qualitative data collection and analysis.
  
  
  BACKGROUND
  This study aims to develop, trial and evaluative a service-user, co-produced education programme for acute hospital registered children's nurses to improve the care of CYP admitted due to self-harm. The study has ethical approval from the National Health Services Research Ethics Committee and full governance clearance.
authors.affiliation: School of Health Sciences, Faculty of Medicine and Health Sciences, The University of Nottingham, Nottingham, UK Nottingham Children's Hospital, Nottingham University Hospitals NHS Trust, Nottingham, UK Nursing and Midwifery Institute for Excellence in Care, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Joseph C
authors.identifier: http://orcid.org/0000-0002-6077-4169
authors.initials: JC
authors.lastname: Manning
authors.affiliation: School of Health Sciences, Faculty of Medicine and Health Sciences, The University of Nottingham, Nottingham, UK.
authors.forename: Asam
authors.initials: A
authors.lastname: Latif
authors.affiliation: School of Health Sciences, Faculty of Medicine and Health Sciences, The University of Nottingham, Nottingham, UK.
authors.forename: Tim
authors.initials: T
authors.lastname: Carter
authors.affiliation: Nursing and Midwifery Institute for Excellence in Care, Nottingham University Hospitals NHS Trust, Nottingham, UK.
authors.forename: Joanne
authors.initials: J
authors.lastname: Cooper
authors.affiliation: Nursing Directorate, NHS England, London, UK.
authors.forename: Angela
authors.initials: A
authors.lastname: Horsley
authors.affiliation: Thorneywood Child and Adolescent Mental Health Service, Nottinghamshire Healthcare NHS Foundation Trust, Nottingham, UK.
authors.forename: Marie
authors.initials: M
authors.lastname: Armstrong
authors.affiliation: School of Health Sciences, Faculty of Medicine and Health Sciences, The University of Nottingham, Nottingham, UK.
authors.forename: Heather
authors.initials: H
authors.lastname: Wharrad
mesh_terms: D000293:Adolescent; D002648:Child; D002983:Clinical Competence / Q000592:standards*; D003697:Delphi Technique; D004509:Education, Nursing, Continuing; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007297:Inpatients; D008297:Male; D009726:Nurses; D005791:Patient Care / Q000592:standards*; D012107:Research Design; D057566:Self Report; D016728:Self-Injurious Behavior / Q000451:nursing*; D006113:United Kingdom
keywords: EDUCATION & TRAINING (see Medical Education & Training); MENTAL HEALTH; PAEDIATRICS