Knowledge and Skill in Relation to the Speed and Accuracy of the Nurses When Assessing Using an Early Warning System (EWS)
Downloads
Introduction: Errors when filling in or interpreting the results of the EWS assessment causes delays and inaccuracies for the nurses when providing a clinical response. The aim of this study was to explain the relationship between the nurse's knowledge and skill with the speed and accuracy of the nurse when assessing via EWS.
Methods: This study used a correlation design with a cross-sectional approach. The sample consisted of 104 nurses working in the inpatient ward of internal medicine according to the inclusion criteria. The sample was obtained through purposive sampling. The independent variable was the nurses' knowledge and skill while the dependent variable was the nurse's speed and accuracy when assessing using the EWS. The instruments used were questionnaires and observation sheets. The data was analyzed using Spearman Rho.
Results: The results of the study showed that there was a very strong correlation between the knowledge-accuracy of the nurses when assessing using the EWS (r = 0.805; p = 0.000) and the nurse's skill-accuracy when assessing using the EWS (r = 0.823; p = 0.000). There was a strong correlation between the knowledge-speed of nurses assessing using the EWS (r = 0.269; p = 0.006) and the nurse's skill and speed when assessing using the EWS (r = 0.262; p = 0.007).
Conclusion: The nurse's knowledge and skill has a stronger relationship with accuracy when assessing using the EWS when compared to the nurses' speed.
A.;, A. D., & P., D. D. (2020). PERSEPSI PERAWAT T ERHADAP P ENERAPAN E ARLY W ARNING. 11(1), 120–125.
Alam, N., Hobbelink, E. L., van Tienhoven, A. J., van de Ven, P. M., Jansma, E. P., & Nanayakkara, P. W. B. (2014). The Impact of The Use of the Early Warning Score (EWS) on patient outcomes: A systematic review. Resuscitation, 85(5), 587–594. https://doi.org/10.1016/j.resuscitation.2014.01.013
Bylow, H., Karlsson, T., Claesson, A., Lepp, M., Lindqvist, J., & Herlitz, J. (2019). Self-learning Training Versus Instructor-led Training for Basic Life Support: A Cluster Randomised Trial. Resuscitation, 139, 122–132. https://doi.org/10.1016/j.resuscitation.2019.03.026
Fox, A., & Elliott, N. (2015). Early warning scores: A Sign of Deterioration in Patients and Systems. Nursing Management, 22(1), 26–31. https://doi.org/10.7748/nm.22.1.26.e1337
Jarvis, S., Kovacs, C., Briggs, J., Meredith, P., Schmidt, P. E., Featherstone, P. I., ... Smith, G. B. (2015). Aggregate National Early Warning Score (NEWS) Values are More Important than High Scores for A Single Vital Signs Parameter for Discriminating The Risk of Adverse Outcomes. Resuscitation, 87, 75–80. https://doi.org/10.1016/j.resuscitation.2014.11.014
Keene, C. M., Kong, V. Y., Clarke, D. L., & Brysiewicz, P. (2017). The effect of the quality of vital sign recording on clinical decision making in a regional acute care trauma ward. Chinese Journal of Traumatology - English Edition, 20(5), 283–287. https://doi.org/10.1016/j.cjtee.2016.11.008
Komisi Akreditasai Rumah Sakit; (2017). Standar Nasional Rumah Sakit Edisi 1. Jakarta: Komisi Akreditasi Rumah Sakit.
Manurung, D. R. (2018). Gambaran Tingkat Pengetahuan Perawat Dalam Penerapan Early Warning Score di Ruang Perawatan Lantai 2,5 dan 6 Rumah Sakit Siloam Dhirga Surya. Universitas Pelita Harapan, Tangerang.
Peate, I. (2014). Fundamental of Assessing and Care Planing for Nurse. River Street: Wiley Black Well.
Physicians;, R. C. of. (2012). National Early Warning Score (NEWS): Standarising the Assessment of Acute-illness Severity in The NHS. London.
Restuning, P., & Karunianingtyas, W. (2019). Pengetahuan Perawat tentang Early Warning Score dalam Penilaian Dini Kegawatan Pasien Kritis. Jurnal Keperawatan LPPM Sekolah Tinggi Ilmu Kesehatan Kendal, 22(4), 237–242.
Royal Colloge of Physicians. (2017). National Early Warning Score (NEWS) 2: Standarising the Assessment of Acute-illness Severity in the NHS. London.
Situmorang, A. S. (2019). Hubungan Pengetahuan dan Sikap Perawat Terhadap Kepatuhan Skoring Early Warning Score di Ruang Bethesda Rumah Sakit Umum Siloam Kupang. Journal of Chemical Information and Modeling, 53(9), 1689–1699. https://doi.org/10.1017/CBO9781107415324.004
Soekijo Notoadmodjo. (2014). Ilmu Perilaku Kesehatan. Jakarta: Rineka Cipta.
Stafseth, S. K., Grí¸nbeck, S., Lien, T., Randen, I., & Lerdal, A. (2016). The Experiences of Nurses Implementing The Modified Early Warning Score and A 24-hour on-call Mobile Intensive Care Nurse: An exploratory study. Intensive and Critical Care Nursing, 34, 33–41. https://doi.org/10.1016/j.iccn.2015.07.008
Suwaryo, P. A. W., Sutopo;Rahmat, & Utoyo, B. (2019). Pengetahuan Perawat dalam Menerapkan Early Warning Score System ( EWSS ) Di Ruang Perawatan. Htpp://Ejournal.Stikesmuhgombong.Ac.Id, 15(2), 64–73.
Tesalonike, E. C. (2019). Gambaran Kelengkapan Dokumentasi Early Warning Score (EWS) Pada Pasien Code Blue di Paviliun Umum Rumah Sakit Siloam. Journal of Chemical Information and Modeling, 53(9), 1689–1699.
https://doi.org/10.1017/CBO9781107415324.004
Widiastuti, L. (2017). Efektifitas Early Warning Score Dalam Deteksi Kegawatdaruratan Di Trauma Center RUMKITAL Dr. Midiyato S Tanjungpinang. Jurnal Keperawatan, 7(2), 775–781.
Authors who publish with Jurnal Ners agree to the following terms:
- Authors transfer the Copyright and grant Jurnal Ners the right of first publication with the work simultaneously licensed under a Creative Commons Attribution 4.0 International License that allows others to remix, adapt and build upon the work with an acknowledgment of the work's authorship and of the initial publication in Jurnal Ners.
- Authors are permitted to copy and redistribute the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in Jurnal Ners.
Jurnal Ners requires a formal written declaration and transfer of copyright from the author(s) for each article published. We, therefore, ask you to complete and return this form, retaining a copy for your own records. Your cooperation is essential and appreciated. Any delay will result in a delay in publication. The form can be downloaded HERE.
