Pengetahuan Perawat Dalam Penerapan Early Warning System (Ews) Di Ruang Rawat Inap

Triwijayanti, Renny; Rahmania, Annisa

doi:10.26751/jikk.v13i1.887

Cited by 3 publications

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Beberapa penelitian terkait implementasi EWS di Indonesia menunjukan hasil yang beragam. Salah satu studi di Rumah Sakit Muhammadiyah Palembang menunjukkan bahwa kepatuhan penerapan EWS hanya 53,1% dilaksanakan (Triwijayanti & Rahmania, 2022). Di salah satu rumah sakit di Malang menunjukan bahwa sebanyak 80% EWS belum diterapkan secara optimal dan hanya 10% ruang perawatan penyakit dalam yang memiliki pedoman penerapan early warning system (EWS) (Qolbi et al, 2020).…”

Section: Pendahuluanunclassified

Implementasi Early Warning System (Ews) dalam Mendeteksi Perburukan Akut pada Pasien Dewasa di Ruang Rawat Inap Rumah Sakit

Astuti,

Trisyani,

Mirwanti

2023

JOTING

View full text Add to dashboard Cite

The purpose of this scoping review is to identify how the application of EWS to detecting acute deterioration in adult patients in general ward hospital. The method used was a scoping review and the literature has been obtained from searches derived from four databases originating from PubMed, Scopus, Sage, and CINAHL. The results showed that the implementation of EWS consisted of 6 components (vital sign recording, EWS scoring and reading, EWS protocol, clinical response based on escalation protocol, information assistance process using bundle communication (SBAR), medical emergency team (MET) system activation). Seven main of vital sign have to measured are respiratory rate, oxygen saturation, oxygen supplementation, temperature, pulse, systolic blood pressure, and level of consciousness. Persistence and additional commitment since 2009 were identified as significantly increasing benefits during the implementation of EWS instruments to improve patient outcomes. This success was obtained from experience that can increase the knowledge and competence of nurses. Changes in the risk of the EWS score can be read by nurses as an indication of clinical deterioration that requires stabilization interventions. Innovations have also been carried out since 2013 which have been successfully implemented in various countries, especially in 2019 and 2021 which are called EWS electronic. Based on this study, EWS proved to be accurate in detecting deterioration in patients. Therefore, to improve the implementation of EWS nurses must have good knowledge, because in implementing EWS requires critical thinking, and the ability to analyze numerical score classifications as a basis for decision making. Keywords: Early Warning System, EWS, Nurse Implementation, Patient deterioration.

show abstract

Section: Pendahuluanunclassified

Implementasi Early Warning System (Ews) dalam Mendeteksi Perburukan Akut pada Pasien Dewasa di Ruang Rawat Inap Rumah Sakit

Astuti,

Trisyani,

Mirwanti

2023

JOTING

View full text Add to dashboard Cite

show abstract

“…Pada penelitian yang dilakukan oleh Megawati (2021) menyebutkan bahwa hasil penelitian menunjukkan bahwa dokumentasi lembar EWS di rawat inap dewasa 100% tidak lengkap, ini akan mempengaruhi penanganan pasien selanjutnya dan outcome pasien baik yang berhubungan dengan penyakit maupun kematian. Sama halnya dengan penelitian yang dilakukan oleh Triwijayanti (2022) menyebutkan bahwa tingkat kepatuhan perawat dalam pelaksanaan EWS hanya 53%. Dan diharapkan dengan hasil ini rumah sakit kembali melakukan sosialisasi tentang EWS di perawat rawat inap.…”

unclassified

Optimalisasi Pelaksanaan Early Warning System (EWS) di Ruang Rawat Inap RS X

Simanjuntak,

Noviestari,

Kamil

et al. 2023

JOTING

View full text Add to dashboard Cite

This study aims to analyze the implementation of Early Warning Score (EWS) in hospitals. The method used is a case report including assessment, problem identification, problem analysis using fishbone, preparation of plan of action (PoA), implementation and evaluation. Data collection was carried out using interviews and field observations. The results showed that the hospital had implemented a system to prevent worsening to patients using a tool called Early Warning Score (EWS), but the application of EWS was still not optimal. The problem was solved using Kurt Lewin's planned change approach with the implementation carried out by making training, case discussions, quizzes and monitoring and evaluating the implementation of EWS in the hospital. In conclusion, increasing competence by providing training, discussions about EWS and conducting monitoring and evaluation can optimize the implementation of EWS in hospitals. Keywords: Nurse, Patient Safety, Early Warning System, Implementation

show abstract

Hubungan Beban Kerja Perawat Dengan Kepatuhan Pelaksanaan Early Warning System Di Bangsal Rawat Inap Dewasa

Bukhori,

Widuri,

Jennifa

et al. 2024

j. Keperawatan Tropis Papua

View full text Add to dashboard Cite

Kepatuhan pelaksanaan early warning system (EWS) oleh perawat dalam upaya menurunkan morbiditas dan mortalitas pasien di rumah sakit salah satunya dipengaruhi oleh faktor beban kerja. Meningkatnya beban kerja perawat di unit perawatan dapat diakibatkan karena kurangnya tenaga, banyaknya prosedur administratif yang harus diselesaikan, dan beban tugas atau job description yang masih kurang jelas. Tujuan penelitian ini untuk mengetahui hubungan beban kerja perawat dengan kepatuhan pelaksanaan EWS di ruang rawat inap dewasa. Penelitian menggunakan desain korelasi dengan pendekatan cross sectional. Sampel penelitian berjumlah 41 responsen. Instrumen penelitian menggunakan time and motion study dan cheklist EWS yang sudah ada petunjuk teknis di Rumah Sakit Islam Yogyakarta PDHI. Analisis data menggunakan uji Kendall’s Tau-b. Hasil penelitian menunjukkan beban kerja perawat mayoritas masuk kategori sedang (61%) dan kepatuhan pelaksanaan EWS mayoritas masuk kategori kurang patuh (58,5%). Ada hubungan yang signifikan antara beban kerja perawat dengan kepatuhan pelaksanaan EWS (p= 0,001). Sedangkan usia (p= 0,491), jenis kelamin (p= 0,612), masa kerja (p= 0,839), dan tingkat pendidikan (p= 0,855) tidak berhubungan dengan kepatuhan pelaksanaan EWS. Manajemen Rumah Sakit dapat merumuskan kebijakan baru terkait penambahan SDM perawat sesuai dengan kapasitas pelayanan dan menyelenggarakan kegiatan pelatihan EWS. The compliance of implementing the early warning system (EWS) by nurses in an effort to reduce morbidity and mortality of patients in hospitals is influenced by factors such as workload. An increase in nurses' workload in the care unit may be caused by a lack of staff, numerous administrative procedures that need to be completed, and unclear job descriptions. The purpose of this study is to determine the relationship between nurses' workload and compliance with the implementation of EWS in adult inpatient wards. This study used a correlational design with a cross-sectional approach. The research sample consisted of 41 respondents. The research instruments used included time and motion study and EWS checklist, which had technical guidelines available at Rumah Sakit Islam Yogyakarta PDHI. Data analysis was performed using Kendall's Tau-b test. The results of the study showed that most nurses' workload was categorized as moderate (61%), and the majority of compliance with EWS implementation was categorized as non-compliant (58.5%). There was a significant relationship between nurses' workload and compliance with EWS implementation (p= 0.001). Minewhile Age (p= 0.491), gender (p= 0.612), years of service (p= 0.839), and education level (p= 0.855) were not found to be related to compliance with EWS implementation. Hospital management may formulate new policies related to increasing the nursing workforce in accordance with service capacity and conduct EWS training activities.

show abstract

Pengetahuan Perawat Dalam Penerapan Early Warning System (Ews) Di Ruang Rawat Inap

Cited by 3 publications

References 0 publications

Implementasi Early Warning System (Ews) dalam Mendeteksi Perburukan Akut pada Pasien Dewasa di Ruang Rawat Inap Rumah Sakit

Implementasi Early Warning System (Ews) dalam Mendeteksi Perburukan Akut pada Pasien Dewasa di Ruang Rawat Inap Rumah Sakit

Optimalisasi Pelaksanaan Early Warning System (EWS) di Ruang Rawat Inap RS X

Hubungan Beban Kerja Perawat Dengan Kepatuhan Pelaksanaan Early Warning System Di Bangsal Rawat Inap Dewasa

Contact Info

Product

Resources

About