Chief physicians' attitudes towards early warning score systems in Switzerland: Results of a cross‐sectional survey

Richard, Aline; Frank, Olga; Schwappach, David

doi:10.1111/jep.12841

Cited by 5 publications

(10 citation statements)

References 30 publications

(60 reference statements)

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“…Most physicians had positive attitudes towards EWS-S. As an excellent measure for improving patient safety, it was also considered a useful tool for systematically recognising deterioration of patients' general conditions. The current study's results are similar to those of the study by Richard et al, (1) in which 91.6% of all physicians considered EWS-S as a useful tool for recognising patients' deterioration. A positive attitude is a strong impetus for recommending and implementing EWS-S at domestic hospitals.…”

Section: Discussionsupporting

confidence: 90%

“…of EWS-S is mandatory. (1,10) In other countries, NEWS has been implemented as a significant stratification tool for admission into acute medical wards. (16) According to a literature review focusing on mainland China, most applications of EWS-S are in prehospital first aid and hospital emergency cases rather than patients in general wards.…”

Section: Resultsmentioning

confidence: 99%

“…Our results are similar to those of a comparable Swiss study. (1) Since 2016, MEWS has been extensively applied in general wards of domestic research hospitals. However, there is an urgent need to enhance physician awareness of applying EWS-S, because physician awareness has been closely associated with task improvements.…”

Section: Discussionmentioning

confidence: 99%

“…The questionnaire was translated from its German version by a professional translator. (1) There were minimal changes to the wording of the questions, different study sites and item sequences. Our institutional EWS-S experts double-checked the quality of the translations.…”

Section: Methodsmentioning

confidence: 99%

“…Failure to promptly identify and appropriately manage deteriorating patients may result in severe adverse in-hospital events such as death, cardiac arrest, myocardial infarction, stroke, pulmonary embolism and unplanned transfer to intensive care unit (UTICU), (1) leading to higher morbidity/mortality, longer hospital stay and unnecessary medical costs. (2,3) Such serious adverse events might be prevented by identifying and managing the early signs of clinical deterioration (CDET).…”

Section: Introductionmentioning

confidence: 99%

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Physician awareness and attitudes regarding early warning score systems in mainland China: a cross-sectional study

Xiong

Dai

et al. 2022

smedj

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INTRODUCTION The purpose of this study was to assess the application of the early warning score system (EWS-S) and gauge physician awareness, perceptions of necessity and attitudes regarding these tools based on previously experienced unnoticed clinical deterioration (CDET). METHODS A cross-sectional survey was carried out via an online questionnaire at a large 3,500-bed Class 3A general hospital in China. A total of 299 physicians of adult general wards were asked to answer a translated questionnaire that was localised from the original version. Demographic profiles of patients were included as well as three other sections assessing awareness of CDET/EWS-S and gauging attitudes towards and perceptions of the necessity of EWS-S at our hospital. RESULTS A high level of physician awareness of the CDET problem was observed. Most physicians knew about the existence of a systematic assessment tool for clinical application. Physicians with previous experience in reanimation, unplanned transfer to intensive care unit (UTICU) and/or death tended to consider EWS-S necessary in attentive and well-trained staff (p < 0.05). Physicians who had previous experience with UTICU were more likely to recommend implementing EWS-S in their wards compared with those without such experience (p < 0.05). CONCLUSION Most physicians have positive attitudes towards EWS-S. However, their awareness should be further heightened. Physicians who had previous experience with CDET/UTICU were more likely to employ EWS-S in their clinical practices. To better facilitate the implementation of EWS-S in Chinese hospitals, existing facilities, policy supports, standardised managements and the development of information systems should be strengthened.

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Section: Discussionsupporting

confidence: 90%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physician awareness and attitudes regarding early warning score systems in mainland China: a cross-sectional study

Xiong

Dai

et al. 2022

smedj

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Variation in nurses’ compliance with an Early Warning Score protocol: A retrospective cohort study

Leenen,

Mondria

2024

Heliyon

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How registered nurses are measuring respiratory rates in adult acute care health settings: An integrative review

Palmer

James

Wadsworth

et al. 2022

Journal of Clinical Nursing

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Aims and objectives This integrative review aimed to draw conclusions from evidence on how registered nurses are measuring respiratory rates for acute care patients. Background Despite the growing research supporting respiratory rate as an early indicator for clinical deterioration, respiratory rate has consistently been the least frequently measured and accurately documented vital sign. Design An integrative review. Methods A systematic literature search was conducted in June 2022 in four databases: CINAHL, PubMed, Medline and Scopus. Quality appraisal was undertaken using the Joanna Briggs Institute's Checklist. PRISMA guidelines were followed to ensure explicit reporting and reported in the PRISMA checklist. Results Overall, 9915 records were identified, and 19 met the inclusion criteria. Of these 19 articles, seven themes emerged: estimation and digit preference, lack of understanding and knowledge, not valuing the clinical significance of respiratory rate, oxygen saturation substitute, interobserver agreement, subjective concern and count duration. A high prevalence of bias, estimation and incorrect technique was evident. A total of 15 articles reported specifically on how registered nurses are measuring respiratory rates on general medical and surgical wards. Conclusions Despite its importance, this integrative review has determined that respiratory rates are not being assessed correctly by nursing staff in the acute care environment. Evidence of using estimation, value bias or quick count and multiply techniques are emerging themes which urgently require further research. No patient or public contribution.

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Chief physicians' attitudes towards early warning score systems in Switzerland: Results of a cross‐sectional survey

Cited by 5 publications

References 30 publications

Physician awareness and attitudes regarding early warning score systems in mainland China: a cross-sectional study

Physician awareness and attitudes regarding early warning score systems in mainland China: a cross-sectional study

Variation in nurses’ compliance with an Early Warning Score protocol: A retrospective cohort study

How registered nurses are measuring respiratory rates in adult acute care health settings: An integrative review

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