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National Early Warning Score (NEWS) : A survey of registered nurses´ perceptions, experiences and barriers

Spångfors, Martin LU ; Molt, Mats LU and Samuelson, Karin LU (2020) In Journal of Clinical Nursing 29(7-8). p.1187-1194
Abstract

AIMS & OBJECTIVES: Describe Registered Nurses (RN) perceptions and experiences of and barriers for using the National Early Warning Score (NEWS) in relation to their work experience and medical affiliation.

BACKGROUND: Indications of inconsistencies in adherence to the NEWS has emerged.

DESIGN: Web-based questionnaire study.

METHODS: The questionnaire was sent to 3,165 RNs working in somatic hospitals in the southern part of Sweden. Strengthening the Reporting of Observational Studies in Epidemiology was adhered.

RESULTS: Seventy-one percent of the 1,044 respondents reported adherence to the NEWS guidelines recommended frequency of monitoring and 74% to the clinical response scale. The shorter the working... (More)

AIMS & OBJECTIVES: Describe Registered Nurses (RN) perceptions and experiences of and barriers for using the National Early Warning Score (NEWS) in relation to their work experience and medical affiliation.

BACKGROUND: Indications of inconsistencies in adherence to the NEWS has emerged.

DESIGN: Web-based questionnaire study.

METHODS: The questionnaire was sent to 3,165 RNs working in somatic hospitals in the southern part of Sweden. Strengthening the Reporting of Observational Studies in Epidemiology was adhered.

RESULTS: Seventy-one percent of the 1,044 respondents reported adherence to the NEWS guidelines recommended frequency of monitoring and 74% to the clinical response scale. The shorter the working experience, the higher the proportion of RNs who answered positively to the NEWS allowing them to better prioritise their care with short nursing experience. When categorising nurses according to their workplace's medical affiliation, adherence to the NEWS guidelines recommended frequency of monitoring was reported highest in surgery and orthopaedics (66%) and lowest in the cardiac high dependency unit (52%). Corresponding proportions of reported adherence to the clinical response scale were highest in orthopaedics (82%) and lowest in the cardiac high dependency unit (48%). Lack of response from the doctor was reported as one of the main reasons for not adhering to the NEWS by 50% of the RN.

CONCLUSION: In general, RNs perceived the NEWS as a useful tool, supporting their gut feeling about an unstable patient. Barriers to the NEWS were found in doctors and the most experienced RNs, indicating the need for resources to be focused on the adherence of these members of the healthcare team.

RELEVANCE TO CLINICAL PRACTICE: In general, the RNs answered positively to the NEWS. We found indications that there is a need to focus resources on the adherence of the most experienced RN and the doctors.

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type
Contribution to journal
publication status
published
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in
Journal of Clinical Nursing
volume
29
issue
7-8
pages
8 pages
publisher
Wiley-Blackwell
external identifiers
  • scopus:85078727315
  • pmid:31887247
ISSN
1365-2702
DOI
10.1111/jocn.15167
language
English
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yes
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© 2019 John Wiley & Sons Ltd.
id
4ebeb4c9-97d0-4e9d-8be9-eda713b90500
date added to LUP
2020-01-23 19:15:30
date last changed
2020-11-18 22:37:47
@article{4ebeb4c9-97d0-4e9d-8be9-eda713b90500,
  abstract     = {<p>AIMS &amp; OBJECTIVES: Describe Registered Nurses (RN) perceptions and experiences of and barriers for using the National Early Warning Score (NEWS) in relation to their work experience and medical affiliation.</p><p>BACKGROUND: Indications of inconsistencies in adherence to the NEWS has emerged.</p><p>DESIGN: Web-based questionnaire study.</p><p>METHODS: The questionnaire was sent to 3,165 RNs working in somatic hospitals in the southern part of Sweden. Strengthening the Reporting of Observational Studies in Epidemiology was adhered.</p><p>RESULTS: Seventy-one percent of the 1,044 respondents reported adherence to the NEWS guidelines recommended frequency of monitoring and 74% to the clinical response scale. The shorter the working experience, the higher the proportion of RNs who answered positively to the NEWS allowing them to better prioritise their care with short nursing experience. When categorising nurses according to their workplace's medical affiliation, adherence to the NEWS guidelines recommended frequency of monitoring was reported highest in surgery and orthopaedics (66%) and lowest in the cardiac high dependency unit (52%). Corresponding proportions of reported adherence to the clinical response scale were highest in orthopaedics (82%) and lowest in the cardiac high dependency unit (48%). Lack of response from the doctor was reported as one of the main reasons for not adhering to the NEWS by 50% of the RN.</p><p>CONCLUSION: In general, RNs perceived the NEWS as a useful tool, supporting their gut feeling about an unstable patient. Barriers to the NEWS were found in doctors and the most experienced RNs, indicating the need for resources to be focused on the adherence of these members of the healthcare team.</p><p>RELEVANCE TO CLINICAL PRACTICE: In general, the RNs answered positively to the NEWS. We found indications that there is a need to focus resources on the adherence of the most experienced RN and the doctors.</p>},
  author       = {Spångfors, Martin and Molt, Mats and Samuelson, Karin},
  issn         = {1365-2702},
  language     = {eng},
  number       = {7-8},
  pages        = {1187--1194},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {National Early Warning Score (NEWS) : A survey of registered nurses´ perceptions, experiences and barriers},
  url          = {http://dx.doi.org/10.1111/jocn.15167},
  doi          = {10.1111/jocn.15167},
  volume       = {29},
  year         = {2020},
}