SKILLS IN EARLY WARNING SCORE SHEET FILLING WITH NURSING DECISION MAKING IN CODE BLUE TEAM ACTIVATION

Authors

  • Ekwantoro Brawijaya University, Malang, Indonesia
  • Kuswantoro Rusca Putra Brawijaya University, Malang, Indonesia
  • Setyoadi Brawijaya University, Malang, Indonesia

DOI:

https://doi.org/10.31674/mjn.2020.v12i02.012

Abstract

Background: Code blue team activation decision making always begins with recommendations from the Early Warning Score (EWS) sheet. Adequate skills in filling EWS sheets have an impact on the nurse’s ability to make decisions for activation of the code blue team. This study aims to determine the relationship between the skills in filling EWS sheets with nurse decision making in code blue activation in the hospital.

Methods: The study design was observational analytic with the cross-sectional approach. The sampling technique used was simple random sampling consisting of 93 nurses. Nurses’ skills were measured by the method of observation and decision making using “The Nurse Decision Making Instrument questionnaire”.

Results: The results show that nurses’ skills in filling EWS sheets 58% were categorized skillful. The majority of nurse decision making was 72% intuition. Statistical test results show a significant relationship between skills and decision-making activation code blue team (r = 0.207, p = 0.013)

Conclusion: The increase was found in skills in filling the EWS sheets required and the decisions were made on the recommendations of the EWS.

Keywords:

Skills, Early Warning Score, Decision Making, Code Blue

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References

Bick, D. E., Sandall, J., Furuta, M., Wee, M. Y. K., Isaacs, R., Smith, G. B. & Beake, S. (2014). A national cross-sectional survey of heads of midwifery services of uptake, benefits and barriers to use of obstetric early warning systems (EWS) by midwives. Midwifery, 30(11), pp 1140–1146.

Cowan, D. T., Norman, I. & Coopamah, V. P. (2015). Competence in nursing practice: a controversial concept--a focused review of literature. Nurse Education Today, 25(5), pp 355–362.

Damayanti, R., Trisyani, Y. & Nuraeni, A. (2019). Effects of Early Warning Score (EWS) Tutorial Simulation on Nurses’ Knowledge and Clinical Performance. Nurse Media Journal of Nursing, 9(2), pp 231–241.

Gardner-Thorpe, J., Love, N., Wrightson, J., Walsh, S. & Keeling, N. (2006). The value of Modified Early Warning Score (MEWS) in surgical in-patients: a prospective observational study. Annals of the Royal College of Surgeons of England, 88(6), pp 571–575.

Jansen, J. O. & Cuthbertson, B. H. (2010). Detecting critical illness outside the ICU: the role of track and trigger systems. Current Opinion in Critical Care, 16(3), pp 184–190.

Jones, D., Moran, J., Winters, B. & Welch, J. (2013). The rapid response system and end-of-life care.Current Opinion in Critical Care, 19(6), pp 616–623.

Konrad, D., Jäderling, G., Bell, M., Granath, F., Ekbom, A. & Martling, C. R. (2010). Reducing in- hospital cardiac arrests and hospital mortality by introducing a medical emergency team. Intensive Care Medicine, 36(1), pp 100–106.

Lapkin, S., Levett-Jones, T., Bellchambers, H. & Fernandez, R. (2010). Effectiveness of Patient Simulation Manikins in Teaching Clinical Reasoning Skills to Undergraduate Nursing Students: A Systematic Review. Clinical Simulation in Nursing, 6(6), e207–e222.

Lauri, S. & Salanterä, S. (2002). Developing an instrument to measure and describe clinical decision making in different nursing fields. Journal of Professional Nursing, 18(2), pp 93–100.

Lydon, S., Byrne, D., Offiah, G., Gleeson, L. & O’Connor, P. (2016). A mixed-methods investigation of health professionals’ perceptions of a physiological track and trigger system. BMJ Quality & Safety, 25(9), pp 688–695.

Massey, D., Chaboyer, W. & Aitken, L. (2014). Nurses’ perceptions of accessing a Medical Emergency Team: A qualitative study. Australian Critical Care, 27(3), pp 133–138.

Mathukia, C., Fan, W., Vadyak, K., Biege, C. & Krishnamurthy, M. (2015). Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. Journal of Community Hospital Internal Medicine Perspectives, 5(2), 26716.

McGaughey, J., O’Halloran, P., Porter, S., Trinder, J. & Blackwood, B. (2017). Early warning systems and rapid response to the deteriorating patient in hospital: A realist evaluation. Journal of Advanced Nursing, 73(12), pp 3119–3132.

Melin-Johansson, C., Palmqvist, R. & Ronnberg, L. (2017). Clinical intuition in the nursing process and decision-making-A mixed-studies review. Journal of Clinical Nursing, 26(23–24), pp 3936–3949.

Mohammed, A., Elrehail, H., Alatailat, M. A. & Elçi, A. (2017). Knowledge management, decision- making style and organizational performance. Journal of Innovation & Knowledge, 4(2), pp 104–114.

Niegsch, M., Fabritius, M. L. & Anhøj, J. (2013). Imperfect Implementation of an Early Warning Scoring System in a Danish Teaching Hospital: A Cross-Sectional Study. PLOS ONE, 8(7), e70068. Retrieved from: https://doi.org/10.1371/journal.pone.0070068

Odell, M., Victor, C. & Oliver, D. (2009). Nurses’ role in detecting deterioration in ward patients: Systematic literature review. Journal of Advanced Nursing, 65(10), pp 1992–2006.

Pretz, J. E. & Folse, V. N. (2011). Nursing experience and preference for intuition in decision making.Journal of Clinical Nursing, 20(19–20), pp 2878-2889.

Rashid, M. F., Imran, M., Javeri, Y., Rajani, M., Samad, S. & Singh, O. (2014). Evaluation of rapid response team implementation in medical emergencies: A gallant evidence-based medicine initiative in developing countries for serious adverse events. International Journal of Critical Illness and Injury Science, 4(1), pp 3-9.

Sabahi, M., Fanaei, S. A., Ziaee, S. A. & Falsafi, F. S. (2012). Efficacy of a rapid response team on reducing the incidence and mortality of unexpected cardiac arrests. Trauma Monthly, 17(2), pp 270– 274.

Sesrianty, V. (2018). Hubungan Pendidikan Dan Masa Kerja Dengan Keterampilan Perawat Melakukan Tindakan Bantuan Hidup Dasar. Jurnal Kesehatan Perintis (Perintis’s Health Journal), 5(2), pp 139– 144.

Sharek, P.J., Parast, L.M., Leong, K., Coombs, J., Earnest, K., Sullivan, J., Frankel, L.R. & Roth, S.J. (2007). Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children’s Hospital. JAMA, 298(19), pp 2267–2274.

Simmons, B. (2010). Clinical reasoning: Concept analysis. Journal of Advanced Nursing, 66, 1151– 1158.

Waldie, J., Tee, S. & Day, T. (2016). Reducing avoidable deaths from failure to rescue: a discussion paper. British Journal of Nursing (Mark Allen Publishing), 25(16), pp 895–900.

Published

01-10-2020

How to Cite

Ekwantoro, Kuswantoro Rusca Putra, & Setyoadi. (2020). SKILLS IN EARLY WARNING SCORE SHEET FILLING WITH NURSING DECISION MAKING IN CODE BLUE TEAM ACTIVATION. The Malaysian Journal of Nursing (MJN), 12(2), 94-97. https://doi.org/10.31674/mjn.2020.v12i02.012

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