MONITOR
Research type
Research Study
Full title
Advanced respiratory monitoring for patients with non-invasive ventilatory support during acute respiratory failure (MONITOR): A qualitative study of patients and NHS healthcare practitioners.
IRAS ID
342689
Contact name
Zudin Puthucheary
Contact email
Sponsor organisation
Queen Mary University of London
Duration of Study in the UK
0 years, 9 months, 30 days
Research summary
Background
Acute respiratory failure affects more than 600,000 NHS in-patients each year. This life-threatening condition has a high mortality rate (30-50%) with 2.6 million deaths worldwide. Simple face mask oxygen is often not enough. The majority of these patients are treated with ‘non-invasive respiratory support’ to provide higher oxygen and pressure into the lungs to stop patients from becoming exhausted. Four out of five of these patients use non-invasive respiratory support which relies on the assessment and monitoring of respiratory failure. The National Confidential Enquiry into Patient Outcome and Death, and the Healthcare Safety Investigation Branch repeatedly highlight failings in delivery of these treatments. Non-invasive respiratory support fails three in five patients leading to invasive ventilation and contributing to poor outcomes. This is because we lack the evidence on how to use advanced respiratory monitoring for decision-making of treatments.This protocol sets out plans for a qualitative study using semi-structured to evaluate the acceptability of advanced respiratory monitoring for patients and NHS healthcare professionals who make decisions on non-invasive ventilatory support.
Objective/Aim
To evaluate the views and beliefs of patients and multidisciplinary healthcare professionals regarding the acceptability and usability of advanced monitoring in clinical practice.Methods
A qualitative study involving individual semi-structure interview with patients and healthcare practitioners to understand their views and beliefs about which respiratory monitoring are usable and acceptable.Output & Benefits
This qualitative study will determine agreement (via emerging themes) between the views and beliefs of patients and multidisciplinary healthcare professionals (elaborated from the semi-structured interviews) and expert recommendations. This will aid with clinical decision-making around non-invasive respiratory support in clinical practice, ultimately leading to more effective patient care.REC name
North West - Preston Research Ethics Committee
REC reference
25/NW/0032
Date of REC Opinion
18 Mar 2025
REC opinion
Further Information Favourable Opinion