Despite radically different contexts, early warning score (EWS) tools are recommended in both hospital and community care settings to detect early clinical deterioration and to support clinical decisions in cases of clinical deterioration (NICE, 2007; The Norwegian Directorate of Health, 2020). The implementation of various EWS in home nursing care, care homes and skilled nursing homes is ongoing, and research exploring how EWSs are used and how they impact clinical practice is increasing (