Nurses’ perception on Initial Implementation of Early Warning System: A Mixed Method Study

Sujalmo, Purwadi; Setiyarini, Sri; Walsh, Kenneth; Greenwood, Melanie

doi:10.20884/1.jks.2022.17.1.4927

Jurnal SINTA 1

Nurses’ perception on Initial Implementation of Early Warning System: A Mixed Method Study

Jurnal Keperawatan Soedirman · Vol. 17 No. 1 (2022) · hlm. 29–35

DOI: 10.20884/1.jks.2022.17.1.4927
ISSN: 2579-9320, 1907-6673
Terbit: 2022-04-14
Penerbit: Fakultas Ilmu-ilmu Kesehatan
Bahasa: eng

Abstrak

The early warning system (EWS) has been decided as a new standard for Indonesian hospitals. The main objective of EWS implementation is to help nurses quickly recognize and react to deteriorating patients. This study explores how EWS contributes to nurses’ clinical decisions around patient deterioration. The research design for this study was mixed-method sequential explanatory. A purposive sampling approach was used to recruit the participants. Closed and open-ended questionnaires were distributed (n = 53) to adult unit nurses and the data was analyzed by using descriptive statistics. Focus group discussions were conducted to evaluate the implementation process and the results obtained were analyzed by using thematic analysis. Both data were integrated by using a joint display table. We found that 79% of nurses indicated that they needed education about how to use the EWS and 92% of nurses required education on physiology and management of the deteriorating patient. Three themes emerged: (1) the nurses’ experience of EWS Implementation, (2) the impact of EWS implementation, and (3) ameliorating the EWS Implementation. The participants showed that the EWS has been used for the assessment, documentation, and communication process of deteriorating patient management. The EWS is a complex tool for nurses, and they need support from stakeholders to maintain and optimize the advantages.

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Universitas Gadjah Mada
Rumah Sakit Umum Pusat Dr. Sardjito
Universitas Jember
Poltekkes Kemenkes Malang
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Rekan penulis	Organisasi	Artikel bersama
Desy Listyaningrum	Universitas Jember	1
Irni Fuzi Wijayanti	Poltekkes Kemenkes Malang	1
Setyo Triatmojo	Afiliasi tidak diketahui	1
Hersinta Retno Martani	Universitas Gadjah Mada	1
Yunita Cahyaningsih	Rumah Sakit Umum Pusat Dr. Sardjito	1
Gunawan	Rumah Sakit Umum Pusat Dr. Sardjito	1
Hardi Apriyanto	Rumah Sakit Umum Pusat Dr. Sardjito	1
Endang Suryaningsih	Afiliasi tidak diketahui	1
Husna Yulianingsih	Universitas Gadjah Mada	1
Christantie Effendy	Universitas Gadjah Mada	1
Syahirul Alim	Afiliasi tidak diketahui	1
Rahmah Yanita Kusuma	Afiliasi tidak diketahui	1
Ariani Arista Putri Pertiwi	Afiliasi tidak diketahui	1
Sugeng Sugeng	Afiliasi tidak diketahui	1
Nyoman Kertia	Afiliasi tidak diketahui	1
Probosuseno Probosuseno	Afiliasi tidak diketahui	1

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Sumber metadata: OAI-PMH (metadata jurnal) http://jos.unsoed.ac.id/index.php/jks/oai, pertama di-harvest 9 Nov 2026, terakhir terlihat 9 Nov 2026.

Metadata asli (oai_dc)

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	<dc:title xml:lang="en-US"> Nurses’ perception on Initial Implementation of Early Warning System: A Mixed Method Study</dc:title>
	<dc:creator>Sujalmo, Purwadi</dc:creator>
	<dc:creator>Setiyarini, Sri</dc:creator>
	<dc:creator>Walsh, Kenneth</dc:creator>
	<dc:creator>Greenwood, Melanie</dc:creator>
	<dc:description xml:lang="en-US">The early warning system (EWS) has been decided as a new standard for Indonesian hospitals. The main objective of EWS implementation is to help nurses quickly recognize and react to deteriorating patients. This study explores how EWS contributes to nurses’ clinical decisions around patient deterioration. The research design for this study was mixed-method sequential explanatory. A purposive sampling approach was used to recruit the participants. Closed and open-ended questionnaires were distributed (n = 53) to adult unit nurses and the data was analyzed by using descriptive statistics. Focus group discussions were conducted to evaluate the implementation process and the results obtained were analyzed by using thematic analysis. Both data were integrated by using a joint display table. We found that 79% of nurses indicated that they needed education about how to use the EWS and 92% of nurses required education on physiology and management of the deteriorating patient. Three themes emerged: (1) the nurses’ experience of EWS Implementation, (2) the impact of EWS implementation, and (3) ameliorating the EWS Implementation. The participants showed that the EWS has been used for the assessment, documentation, and communication process of deteriorating patient management. The EWS is a complex tool for nurses, and they need support from stakeholders to maintain and optimize the advantages.</dc:description>
	<dc:publisher xml:lang="en-US">Fakultas Ilmu-ilmu Kesehatan</dc:publisher>
	<dc:date>2022-04-14</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
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	<dc:identifier>10.20884/1.jks.2022.17.1.4927</dc:identifier>
	<dc:source xml:lang="en-US">Jurnal Keperawatan Soedirman; Vol 17 No 1 (2022): Jurnal Keperawatan Soedirman (JKS); 29-35</dc:source>
	<dc:source>2579-9320</dc:source>
	<dc:source>1907-6673</dc:source>
	<dc:source>10.20884/1.jks.2022.17.1</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://jos.unsoed.ac.id/index.php/jks/article/view/4927/2849</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2022 Jurnal Keperawatan Soedirman</dc:rights>
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