Table 2.

Provider emotions around patient deterioration.

	SJCRH	UNOP
Concern/Worry	“I actually stood in the room with the nurse because she was so concerned, and I stood there, and I remember it taking so long…” (ward provider)	“Something like a neurological matter, I will be worried if the nurse says: ‘the boy has difficulties to speak’ or ‘he can’t move his legs’ or if I find leukoencephalopathy or neurological deterioration, bleeding, it’s time to act!” (ward provider)
Frustration	“it was very frustrating because he would kind of arouse with all of the people in the room, but he still wasn’t himself.” (ward provider) “So, it’s frustrating when you know, the Mom looks at us, why didn’t you send this earlier?” (ward provider)	“the only thing that exasperated me was that they didn’t transferred the patient faster, due to all the movements needing to be done in intensive care, so it is difficult, as some times intensive care does not have the space when you needed it, and sometimes takes them time to clean the beds and during that time the patient gets worse over here.”(nurse)
Stress	“The PICU felt like they were kind of being – they were kind of managing that patient anyway, and so they might as well go ahead and move him over and remove that stress from the [ward] team.” (ward provider)	“I think that with stress they are thinking about what to do and what not to do, like they are doubting what they should do and what they shouldn’t do.” (nurse)
Fear	“Our fear is that something will be missed and some number will change and something will fall through the cracks.” (ward provider)	“…because sometimes nursing, when a child has been in intensive a lot, they get more scared, they don’t like it and I understand why, in the service they want someone else to handle the most complex child…” (PICU provider) “That is what we fear being up here and we also have many patients for just one person.” (nurse)
Lack of confidence	“I do believe a lot of times we monitor our patients a little bit longer than we probably should have before just because of a lack of confidence.” (nurse)	“The problem is that I feel they lack more confidence in using it, because they often ask the nurse’s coordinator if the [PEWS] is well-placed or not.” (nurse)
Regret	“With a lot of hindsight, you can see where things have been missed and, regrettably, things that could’ve been done differently mostly likely in some situations.” (PICU provider)	“That day the patient was transferred to intensive care at 8am…, I complied with everything … everything was done. but you always go thinking … maybe I should have done this. there are always three points that I need to work on, right?”(nurse)