Effect of Using the Pediatric Early Warning Systems (PEWS) Screening with Standards of Nursing for Pediatric Dengue Hemorrhagic Fever on Nursing Outcome in Queen Sirikit National Institute of Child Health

Abstract

Background: Dengue Hemorrhagic Fever (DHF) is recognized as a significant causeof morbidity and mortality among children. Especially with the rapid change of clinical manifestation during the toxic stage, the patient’s clinical status can be worse and fatal if left untreated. Nurses play a vital role in evaluating the patient clinical status. Therefore, theuseof thePediatric Early Warning Systems screening (PEWS) complies withthe Clinical Nursing Practice GuidelineforPediatric Dengue HemorrhagicFever during CriticalPhasefor monitoringand assessing patient’s clinical manifestationsenablesnurses to prioritizethe diseaseseveritycontributed tostandard ofclinical judgement, monitoring, and timelinessof care which preventing potential serious consequences. Objective: This researchaimed toinvestigatetheeffect of using the Pediatric Early Warning Systems (PEWS) screening complying with Clinical Nursing Practice Guideline for Pediatric Dengue Hemorrhagic Fever during Critical Phase on nursing outcomes. Method: This research was quasi -experimental research. Samples were 40 pediatric patients diagnosed with dengue hemorrhagic fever aged between 6 and 15 years equally divided into experimental and control group. The data were analyzed usingchi-squared test and independent samplet-test. Result: Theexperimentalgroup demonstrated significantlyless disease severity than the control group (p<0.05). The mean length of stay between two group was not significantly different. In addition, the nurses’ satisfaction with the use of the Pediatric Early Warning Systems (PEWS) screening complies with Clinical Nursing Practice Guideline for Pediatric Dengue Hemorrhagic Fever during Critical Phase were at the highest level, with an average of 85.94% Conclusion: The PEWS tool enhance nurse capacity in monitoring and providing timeliness of clinical management contribute to decrease the disease severity as well as patient’s length of stay.