Effects of Early Warning Score (EWS) Tutorial Simulation on Nurses' Knowledge and Clinical Performance

Abstract

Background: The Early Warning Score (EWS) system has been recommended for early identification tool of deterioration. However, its implementation has not been optimal; one of which is due to the low level of knowledge and understanding of EWS among nurses.Purpose: This study aimed to determine the effects of EWS tutorial simulation on nurses’ knowledge and clinical performance.Methods: This study employed a pretest posttest quasi-experimental design with a control group. Purposive sampling was used to recruit the samples of 42 respondents each in the intervention group and control group. The data were collected using the questionnaires to measure the knowledge and clinical performance, and analyzed using Chi square, Wilcoxon and Mann-Whitney tests.Results: The results showed that there were differences in the pre-test and post-test of knowledge and clinical performance in the intervention group and control group (p<0.001). There was also a significant difference in clinical performance between the intervention group and the control group (p<0.001). However, no significant difference in knowledge was found between.Conclusions: Tutorial simulation of EWS had an effect on increasing nurses’ clinical performance. Although there was no significant difference in knowledge between the intervention group and the control group, but the intervention group showed a better value than the control group. EWS tutorial simulation can be used as one of the training methods to increase nurses' knowledge and clinical performance in EWS.

Effect of the National Early Warning Score Education Program on Nurses’ Knowledge at an Emergency Hospital

“…A similar finding was seen in other studies [12,20] The present study findings showed a highly significant statistical difference between total preknowledge and total post-knowledge score among the studied nurses' sample. This finding is supported by Damayanti, Trisyani, & Nuraeni [21] study. It revealed a significant difference in the pre-test and post-test knowledge within groups, both in the intervention and control groups.…”

Efektivitas pelatihan tutorial simulasi Early Warning Score (EWS) COVID-19 dewasa terhadap pengetahuan dan kinerja tenaga kesehatan dalam pendokumentasian di RSUD Sanjiwani, Gianyar, Indonesia

“…Kemampuan abstrak didapat dengan pelatihan tutorial, sementara kemampuan konkrit didapat dengan pelatihan simulasi. 9 Menurut Ozeckin LR et al, program pendidikan berbasis simulasi merupakan salah satu implementasi keperawatan untuk meningkatkan keselamatan pasien. 20 Dari hasil penelitiannya, didapatkan bahwa metode ini mampu meningkatkan pengenalan dan perawatan pasien dalam kondisi perburukan.…”

“…Hasil penelitian ini sama dengan penelitian oleh Damayanti R et al, dimana didapatkan skor delta pre-test dan posttest performa klinis antar kelompok sebesar 20 (kelompok intervensi) dan 12 (kelompok kontrol) secara bermakna. 9 Keberhasilan suatu pelatihan dipengaruhi oleh berbagai faktor diantaranya tersedianya modul pelatihan, materi pelatihan yang menarik, metode pelatihan, karakteristik situasional, karakteristik fasilitator dalam pelaksanaan pelatihan, karakteristik subjek pelatihan seperti kondisi awal peserta pelatihan serta kesungguhan peserta dalam mengikuti pelatihan partisipasi aktif peserta dalam mengikuti pelatihan. 22 Hal ini didukung penelitian oleh Andriana SF bahwa metode pelatihan merupakan salah satu faktor yang melatarbelakangi keberhasilan suatu pelatihan disamping latar belakang pendidikan formal terakhir, kemampuan instruktur dan dukungan sarana dan prasarana.…”

Pengetahuan Dalam Menerapkan Early Warning Score Mahasiswa Profesi Ners Universitas Advent Indonesia

“…American Deteksi dini serta intervensi yang diberikan secara tepat akan berpengaruh terhadap peningkatan keamanan dan efektifnya perawatan yang diberikan untuk pasien dengan kondisi yang memburuk (Damayanti, Trisyani, Nuraeni. 2019).…”