Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study
The early warning system (EWS) has been decided as a new standard for Indonesian hospitals. The main objective of EWS implementation is to help nurses quickly recognize and react to deteriorating patients. This study explores how EWS contributes to nurses’ clinical decisions around patient deteriora...
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| Format: | Article |
| Language: | English |
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Universitas Jenderal Soedirman
2022
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| Online Access: | https://repository.ugm.ac.id/282832/1/15.pdf |
| _version_ | 1826050557986471936 |
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| author | Sujalmo, Purwadi Setiyarini, Sri Walsh, Kenneth Greenwood, Melanie |
| author_facet | Sujalmo, Purwadi Setiyarini, Sri Walsh, Kenneth Greenwood, Melanie |
| author_sort | Sujalmo, Purwadi |
| collection | UGM |
| description | The early warning system (EWS) has been decided as a new standard for Indonesian hospitals. The main objective of EWS implementation is to help nurses quickly recognize and react to deteriorating patients. This study explores how EWS contributes to nurses’ clinical decisions around patient deterioration. The research design for this study was mixed-method sequential explanatory. A purposive sampling approach was used to recruit the participants. Closed and open-ended questionnaires were distributed (n = 53) to adult unit nurses and the data was analyzed by using descriptive statistics. Focus group discussions were conducted to evaluate the implementation process and the results obtained were analyzed by using thematic analysis. Both data were integrated by using a joint display table. We found that 79 of nurses indicated that they needed education about how to use the EWS and 92 of nurses required education on physiology and management of the deteriorating patient. Three themes emerged: (1) the nurses’ experience of EWS Implementation, (2) the impact of EWS implementation, and (3) ameliorating the EWS Implementation. The participants showed that the EWS has been used for the assessment, documentation, and communication process of deteriorating patient management. The EWS is a complex tool for nurses, and they need support from stakeholders to maintain and optimize the advantages. © 2022, Universitas Jenderal Soedirman. All rights reserved. |
| first_indexed | 2024-03-14T00:05:53Z |
| format | Article |
| id | oai:generic.eprints.org:282832 |
| institution | Universiti Gadjah Mada |
| language | English |
| last_indexed | 2024-03-14T00:05:53Z |
| publishDate | 2022 |
| publisher | Universitas Jenderal Soedirman |
| record_format | dspace |
| spelling | oai:generic.eprints.org:2828322023-11-17T00:38:28Z https://repository.ugm.ac.id/282832/ Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study Sujalmo, Purwadi Setiyarini, Sri Walsh, Kenneth Greenwood, Melanie Clinical Nursing - Primary (Preventative) The early warning system (EWS) has been decided as a new standard for Indonesian hospitals. The main objective of EWS implementation is to help nurses quickly recognize and react to deteriorating patients. This study explores how EWS contributes to nurses’ clinical decisions around patient deterioration. The research design for this study was mixed-method sequential explanatory. A purposive sampling approach was used to recruit the participants. Closed and open-ended questionnaires were distributed (n = 53) to adult unit nurses and the data was analyzed by using descriptive statistics. Focus group discussions were conducted to evaluate the implementation process and the results obtained were analyzed by using thematic analysis. Both data were integrated by using a joint display table. We found that 79 of nurses indicated that they needed education about how to use the EWS and 92 of nurses required education on physiology and management of the deteriorating patient. Three themes emerged: (1) the nurses’ experience of EWS Implementation, (2) the impact of EWS implementation, and (3) ameliorating the EWS Implementation. The participants showed that the EWS has been used for the assessment, documentation, and communication process of deteriorating patient management. The EWS is a complex tool for nurses, and they need support from stakeholders to maintain and optimize the advantages. © 2022, Universitas Jenderal Soedirman. All rights reserved. Universitas Jenderal Soedirman 2022 Article PeerReviewed application/pdf en https://repository.ugm.ac.id/282832/1/15.pdf Sujalmo, Purwadi and Setiyarini, Sri and Walsh, Kenneth and Greenwood, Melanie (2022) Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study. Jurnal Keperawatan Soedirman, 17 (1). pp. 29-35. ISSN 2579-9320 https://www.scopus.com/inward/record.uri?eid=2-s2.0-85137555928&doi=10.20884%2f1.jks.2022.17.1.4927&partnerID=40&md5=f9581bd44216c352996f001a453987b8 10.20884/1.jks.2022.17.1.4927 |
| spellingShingle | Clinical Nursing - Primary (Preventative) Sujalmo, Purwadi Setiyarini, Sri Walsh, Kenneth Greenwood, Melanie Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study |
| title | Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study |
| title_full | Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study |
| title_fullStr | Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study |
| title_full_unstemmed | Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study |
| title_short | Nurses’ Perception on the Initial Implementation of an Early Warning System: a Mixed-Method Study |
| title_sort | nurses perception on the initial implementation of an early warning system a mixed method study |
| topic | Clinical Nursing - Primary (Preventative) |
| url | https://repository.ugm.ac.id/282832/1/15.pdf |
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