Commentary: Involving patients in recognising clinical deterioration in hospital using the Patient Wellness Questionnaire: A mixed-methods study.

Throughout my nursing career the importance of good communication skills, respecting patients and relatives and involving them in their care were considered a fundamental part of daily life. These basic principles are reflective of the patient-centred care approach that emphasises the need to respect patients’ beliefs and opinions and emphasises that the individual should be considered integral to his/her care (Delaney, 2018). Yet, how well we truly embrace this has been subject to increasing debate in recent years. This includes the value we place in considering the important contributions that patients and relatives can make to patient safety including their role in recognising and communicating deterioration (Bell and Martinez, 2019). This interesting paper outlines how an intervention was developed and evaluated using a mixed-methods approach that aimed to enhance patient and relative involvement in the detection of clinical deterioration in hospital. A particular strength of this research stems from its involvement with both healthcare professionals and patients in determining and developing the Patient Wellness Questionnaire (PWQ) intervention, which routinely prompts patients for their perspective on their condition. Involving service users and healthcare professionals in the co-design of healthcare interventions is increasingly considered vital in order to ensure that what is delivered or implemented will reflect the experiences and views of all key stakeholders while also increasing its potential to succeed (Donetto et al., 2015). The initial qualitative phase considered whether healthcare professionals believe patients have a role in recognising deterioration and how they might have greater involvement in practice. Perhaps the additional perspective of patients and relatives’ views at this point may have added further depth to this study. The evaluation highlighted that patients are willing