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

Nurse Media Journal of Nursing · Vol. 9 No. 2 (2019) · hlm. 231–241

DOI
10.14710/nmjn.v9i2.24821
ISSN
2406-8799, 2087-7811
Terbit
2019-12-30
Penerbit
Department of Nursing, Faculty of Medicine, Universitas Diponegoro
Bahasa
eng

Abstrak

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.

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  • Padjadjaran University
  • Universitas Airlangga
  • Universitas Muhammadiyah Jakarta
  • Sunan Gunung Djati State Islamic University Bandung
  • Dr. Hasan Sadikin General Hospital
  • Dalin Tzu Chi Hospital
  • STIKep PPNI Jawa Barat
  • Organisasi lain
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Rekan penulisOrganisasiArtikel bersama
Etika EmaliyawatiPadjadjaran University5
Kusman IbrahimPadjadjaran University3
Ristina MirwantiPadjadjaran University3
Ayu PrawestiPadjadjaran University3
Ikeu NurhidayahPadjadjaran University2
Anastasia AnnaPadjadjaran University2
Donny NurhamsyahPadjadjaran University2
Nur MaziyyaPadjadjaran University2
Firman SugihartoPadjadjaran University2
Azalia Melati PutriPadjadjaran University2
Nuraulia Aghnia ArmansyahPadjadjaran University2
Hana RizmadewiAfiliasi tidak diketahui1
La RangkiPadjadjaran University1
S SuryaniPadjadjaran University1
Iin PatimahPadjadjaran University1
Citra Windani Mambang SariPadjadjaran University1
Nuroktavia HidayatiPadjadjaran University1
Ida RosidawatiAfiliasi tidak diketahui1
Sari FatimahPadjadjaran University1
Yuliyana KumaladewiPadjadjaran University1
Megalita Dwika StevaniPadjadjaran University1
Eka Afrima SariPadjadjaran University1
Yayan MulyanaSunan Gunung Djati State Islamic University Bandung1
M. Hanif Prasetya 'AdhiPadjadjaran University1
Titin Sri MulyatiDr. Hasan Sadikin General Hospital1
Ni Putu Wahyu ArianiPadjadjaran University1
Atlastieka PraptiwiPadjadjaran University1
Linlin LindayaniSTIKep PPNI Jawa Barat1
Ying‐Chin LiaoDalin Tzu Chi Hospital1
Nursalam NursalamUniversitas Airlangga1
Tintin SukartiniUniversitas Airlangga1
Fitri HaryantiUniversitas Gadjah Mada1
Fitri ArofiatiMuhammadiyah University of Yogyakarta1
Nyimas Heny PurwatiUniversitas Muhammadiyah Jakarta1
Tuti NurainiUniversity of Indonesia1
Wahyu HidayatiDiponegoro University1
Irna NursantiUniversitas Muhammadiyah Jakarta1

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Sumber metadata: OAI-PMH (metadata jurnal) https://ejournal.undip.ac.id/index.php/medianers/oai, pertama di-harvest 10 Nov 2026, terakhir terlihat 10 Nov 2026.
Metadata asli (oai_dc) 
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	<dc:title xml:lang="en-US">Effects of Early Warning Score (EWS) Tutorial Simulation  on Nurses' Knowledge and Clinical Performance</dc:title>
	<dc:creator>Damayanti, Roshy</dc:creator>
	<dc:creator>Trisyani, Yanny</dc:creator>
	<dc:creator>Nuraeni, Aan</dc:creator>
	<dc:subject xml:lang="en-US">Early warning score; clinical performance; knowledge; tutorial simulation</dc:subject>
	<dc:description xml:lang="en-US">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&lt;0.001). There was also a significant difference in clinical performance between the intervention group and the control group (p&lt;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.</dc:description>
	<dc:publisher xml:lang="en-US">Department of Nursing, Faculty of Medicine, Universitas Diponegoro</dc:publisher>
	<dc:contributor xml:lang="en-US"></dc:contributor>
	<dc:date>2019-12-30</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US"></dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://ejournal.undip.ac.id/index.php/medianers/article/view/24821</dc:identifier>
	<dc:identifier>10.14710/nmjn.v9i2.24821</dc:identifier>
	<dc:source xml:lang="en-US">Nurse Media Journal of Nursing; Vol 9, No 2 (2019): (DECEMBER 2019); 231-241</dc:source>
	<dc:source>2406-8799</dc:source>
	<dc:source>2087-7811</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://ejournal.undip.ac.id/index.php/medianers/article/view/24821/16617</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2019 Nurse Media Journal of Nursing</dc:rights>
</oai_dc:dc>