PENGARUH PENERAPAN EARLY WARNING SCORE SYSTEM (EWSS) TERHADAP KEMAMPUAN PERAWAT MENGIDENTIFIKASI PERUBAHAN FISIOLOGIS PASIEN RAWAT INAP DI RSUD TUGUREJO SEMARANG

Abstract

Effects of Application of Early Warning Score System on Nurses’ Ability to Identify Physiological Changes in Inpatients xvi + 105 pages + 18 tables + 4 schemes + 15 appendixes Hospitalized patients often experience changes in their physiological conditions. However, nurses sometimes do not recognize these changes which consequently cause unexpected events such as cardiac arrest, unplanned transfer to intensive care unit, and even death. Early warning score system is a physiological scoring system which is used in patients before experiencing emergency conditions and help nurses identify earlier changes in the patient’s condition. This study aimed to determine the effects of early warning score system implementation on the ability of nurses to identify physiological changes in hospitalized patients. This study used a pretest-posttest quasi-experimental design with a control group. The study was conducted at adult inpatient wards (class III), internal ward and surgical ward. The total samples were 77 respondents consisting of 38 nurses receiving the training of early warning score system, and 39 nurses receiving no such treatment. Data were collected using checklist and observation sheets, and analyzed using univariate and bivariate analyses. The results showed an increase in the application of early warning score system after the intervention from 66.58 to 94.74 (p=0.000), and a significant increase in the ability of nurses to identify patients’ physiological changes from 2.56 to 14.98 (p=0.000). There were differences in the nurses’ ability to identify physiological changes in patients between the control group and the intervention group (p=0.000, <α 5%). The implementation of early warning score system affected the nurses’ ability of to identify physiological changes in patients in the inpatient wards. Keywords: Early warning system, nurses’ ability, physiological changes Bibliography : 60 (1992 – 2018 )