The Nursing Development for Monitoring Early Warning Signs of Critical Conditions in In-Hospital Wards
Keywords:
Early warning sign, Knowledge, Competency, Practice, DeteriorationAbstract
The research and development aimed to develop the nursing development system for monitoring early warning signs of critical conditions and to study the outcomes of the development. The study consisted of three stages including the situation analysis, the nursing system development and the system evaluation. The samples for evaluation of the outcomes of the system which included 202 nurses and 200 Patients. The data were collected by using the questionnaires which included the knowledge, the competency and the practice for monitoring early warning signs of critical conditions questionnaires. The data were then analyzed for finding percentage, mean, Chi-square test and dependent t-test. The results were as follows:
After developing a nursing system for monitoring early warning signs of critical condition by data application MEWS score which completely and rapid input RBH Nursing organization announced as a policy and do the frontline supervision it was found that the average scores on competency and practice were increased (p < 0.05). As for the knowledge aspect, there was no significant difference. Moreover, the deterioration rates of the patients for all aspects were decreased which included intubation, resuscitation, unplanned ICU, and death.
The system for monitoring the early warning signs of critical conditions promotes for patient safety. Therefore, nurse should apply the system in every ward and in hospitals in the 5th region.
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