The Relationship Nurses' Knowledge and Implementation of Early Warning Score (EWS) In Critical Patients at Sulianti Saroso Infectious Disease Hospital

Authors

  • Nuning Handayani
  • Achmad Fauzi
  • Romaida Romaida
  • Farida Murtiani

DOI:

https://doi.org/10.33755/jkk.v8i3.354

Keywords:

Knowledge, Early Warning Score (EWS), Nurse

Abstract

Aims : To find out the relationship between nurses' knowledge of EWS and the implementation of EWS in critically ill patients.

Design : Quantitative research with cross sectional design

Methdos : The sample was taken using a total sampling technique of 109 nurses at Sulianti Saroso Infectious Disease Hospital for the period of December 2021. Data collection used questionnaires and observation. Univariate analysis using frequency distribution, bivariate analysis using chi-square analysis.

Results : The results showed that of the 109 nurses, most of the knowledge about EWS had good knowledge about the Early Warning Score (EWS), namely 61 respondents (56%). Most of the EWS implementations are Early Warning Score (EWS) implementations in the appropriate category, namely 69 respondents (63.3%). There is a relationship between knowledge and the implementation of EWS in critical patients P value = 0.000.

Conclusions : The study recommends the need for policies and standard operating procedures (SOPs) for EWS and it is necessary to carry out socialization and training on EWS SOPs to all health workers on a regular basis accompanied by regular evaluations.

References

Dalton M, Harrison J, Malin A, Leavey C. Response To Acute Deterioration. 2018;27(4).

Sutherasan J, Theerawit P, Suporn A, Nongnuch A PP and KC. The impact of introducing the early warning scoring system and protocol on clinical outcomes in tertiary referral university hospital. Ther Clin Risk Manag. 2018;2089–96.

Zuhri M, Nurmalia D. Pengaruh Early Warning System Against Nurse Competence: literature review. Pros of Nursing Nas Seminar "Development of Self-Management in Health Services".” 2018;

The Royal College of Physicians. National Early Warning Score National Early Warning Score ( NEWS ) 2. 2017.

Gerry S, Birks J, Bonnici T, Watkinson PJ, Kirtley S, Collins GS. Early warning scores for detecting deterioration in adult hospital patients: A systematic review protocol. BMJ Open. 2017;7(12):1–5.

Tim KARS. National Standard for Hospital Accreditation Edisi 1. In 2018.

Bellomo R, Chan M, Guy C, Proimos H, Franceschi F, Crisman M, et al. Laboratory alerts to guide early intensive care team review in surgical patients: A feasibility, safety, and efficacy pilot randomized controlled trial. Resuscitation. 2018;133(August):167–72.

Cooper S, Kinsman L, Buykx P, McConnell-Henry T, Endacott R, Scholes J. Managing the deteriorating patient in a simulated environment: nursing students’ knowledge, skill and situation awareness. J Clin Nurs. 2017 Aug;19(15–16):2309–18.

Hart PL, Spiva L, Dolly L, Lang-Coleman K, Prince-Williams N. Medical-surgical nurses’ experiences as first responders during deterioration events: a qualitative study. J Clin Nurs. 2016 Nov;25(21–22):3241–51.

Notoatmodjo S. Health Promotion and Behavioral Science. In Jakarta: Jakarta : Rineka Cipta; 2015.

Yasmi Y, Thabrany H. Factors Related to Patient Safety Culture at Karya Bhakti Pratiwi Hospital, Bogor in 2015. 2015;4:98–109.

Damayanti R, Trisyani Y, Nuraeni A. Effects of Early Warning Score ( EWS ) Tutorial Simulation on Nurse s ’ Knowledge and Clinical Performance. 2019;9(2):231–41.

Prihati DR, Wirawati MK. Nurses Knowledge About Early Warning Score in Early Assessment of Critical Patient Emergency. J Keperawatan. 2019;11:237–42.

Silvana S. The Relationship Between Nurse Characteristics And Knowledge Level About Early Warning Score In Irna Prof. Dr. Soelarto Rsup Fatmawati Jakarta. Universitas Indonesia; 2016.

Potter PA, Perry AG. Nursing fundamentals textbook: concepts, processes, and practices. Jakarta: EGC; 2014.

Hasibuan. Human Resource Management. Edisi Revi. Jakarta: Bumi Karya.; 2016.

Jamal NA. Knowledge, attitudes and skills of nurses regarding the Early Warning Score (EWS) at H. Adam Malik Hospital Medan. Universitas Sumatra Utara; 2020.

Silvana S, Adam M. The relationship between the characteristics of nurses and the level of knowledge about the early warning score. FIK UI. 2016;1–16.

Pradnyana IGBA, Susila IMDP, Hakim NR. The Relationship between Knowledge Level and Nurse Compliance in Running the Early Warning Score at BIMC Hospital Kuta. J Online Keperawatan Indones. 2021;4(1):35–42.

Pradnyana IGBA, I Made Dwie Pradnya Susila NRH. The Relationship between Knowledge Level and Nurse Compliance in Running the Early Warning Score at BIMC Hospital Kuta. Sekolah Tinggi Ilmu Kesehatan Bina Usada Bali; 2021.

Nursalam. Nursing Management: Applications in Professional Nursing Practice. In Jakarta: Jakarta : Salemba Medika; 2016.

Jun J, Kovner CT, Stimpfel AW. Barriers and facilitators of nurses’ use of clinical practice guidelines: An integrative review. Int J Nurs Stud. 2016 Aug;60:54–68.

Galen LS Van, Dijkstra CC, Ludikhuize J, Kramer MHH. A Protocolised Once a Day Modified Early Warning Score ( MEWS ) Measurement Is an Appropriate Screening Tool for Major Adverse Events in a General Hospital Population. PLoS One. 2016;65:1–12.

van Galen LS, Dijkstra CC, Ludikhuize J, Kramer MHH, Nanayakkara PWB. A Protocolised Once a Day Modified Early Warning Score (MEWS) Measurement Is an Appropriate Screening Tool for Major Adverse Events in a General Hospital Population. PLoS One. 2016;11(8):e0160811.

Subhan N, Giwangkencana GW, Prihartono MA, Tavianto D. Implementation of Early Warning Score on Cardiac Arrest Events in the Treatment Room of Dr. Hospital. Hasan Sadikin Bandung, Handled by the Code Blue Team in 2017. J Anestesi Perioper. 2017;7(1):33–41.

Subhan N, Giwangkencana GW, Prihartono MA, Tavianto D. Implementation of the Early Warning Score on Cardiac Arrest in the Treatment Room of Dr. Hasan Sadikin Bandung, Handled by the Code Blue Team in 2017. 2019;7(1):33–41.

Rorimpandey DN, Rivai F, Muis M. Analysis Of Early Warning System Score Implementation At Inpatient Room In Siloam Hospitals Balikpapan. Int J Adv Res [Internet]. 2019;7(6):777–85. Available from: https://www.journalijar.com/article/28644/analysis-of-early-warning-system-score-implementation-at-inpatient-room-in-siloam-hospitals-balikpapan/

Bergs J, Lambrechts F, Simons P, Vlayen A, Marneffe W, Hellings J, et al. Barriers and facilitators related to the implementation of surgical safety checklists: A systematic review of the qualitative evidence. BMJ Qual Saf. 2015;24(12):776–86.

Aswiati L, Syarifah NuY, Ernawati Y. The Relationship between Nurses' Knowledge About Early Warning Score and EWS Documentation in the Adult Inpatient Room at Dr. Hospital. Soetarto Yogyakarta. Maj Ilmu Keperawatan dan Kesehat Indones. 2020;9(1):27–37.

Downloads

Published

2022-11-02

How to Cite

Handayani, N. ., Fauzi, A. ., Romaida, R., & Murtiani, F. . (2022). The Relationship Nurses’ Knowledge and Implementation of Early Warning Score (EWS) In Critical Patients at Sulianti Saroso Infectious Disease Hospital . Jurnal Keperawatan Komprehensif (Comprehensive Nursing Journal), 8(3). https://doi.org/10.33755/jkk.v8i3.354