Three survey questionnaires were developed to assess attitudes related to clinical deterioration:

V-scale was developed to measure nurses’ attitudes towards vital signs monitoring in the detection of clinical deterioration. 1 The scale consists of the following subscales:

  1. Key indicators
  2. Knowledge
  3. Communication
  4. Workload
  5. Technology

Attitudes Towards Recognising Early and Noticeable Deterioration (ATREND) scale was developed to attitudes towards early recognition of clinical deterioration. 2 The scale consists of the following subscales:

  1. Beliefs about importance of patient observation
  2. Use of broader patient assessement skills
  3. Confidence in recognising clinical deterioration

Clinicians' Attitudes towards Responding and Escalating care of Deteriorating patients (CARED) was developed using the following subscales: 3

  1. Beliefs about rapid response system
  2. Fears about escalating care
  3. Perceived confidence in responding to deteriorating patients

  1. Mok W, Wang W, Cooper S, Ang EN, Liaw SYC. Attitudes towards vital signs monitoring in the detection of clinical deterioration: scale development and survey of ward nurses. Int J Qual Health Care. 2015 Jun;27(3):207-13. doi: 10.1093/intqhc/mzv019

  2. Chua WLC, Smith D, Wee LC, Ting KC, Yeo M, Mordiffi SZ, Liaw SY. Development and psychometric evaluation of the Attitudes Towards Recognising Early and Noticeable Deterioration (ATREND) scale [published online ahead of print, 2022 May 8]. J Clin Nurs. 2022;10.1111/jocn.16350. doi:10.1111/jocn.16350

  3. Chua WLC, Tee A, Hassan NB, Jones D, Tam WW, Liaw SY. The development and psychometric evaluation of the clinicians' attitudes towards responding and escalating care of deteriorating patients scale. Aust Crit Care. 2021 Jul;34(4):340-349. doi: 10.1016/j.aucc.2020.08.008

Please feel free to download the V-scale, CARED and ATREND

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