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Enhanced early warning system impact on nursing practice: A phenomenological study.
Kathleen A Burns1, Tracey Reber2, Karen Theodore1
1Cleveland Clinic Medina Hospital, Medina, OH, USA.
Journal of Advanced Nursing
|December 31, 2017
Summary
An enhanced early warning system (EWS) improved nurses' awareness and prioritization of patient changes, fostering critical thinking. The system also positively impacted organizational culture by enhancing communication and promoting proactive patient care.
Area of Science:
- Nursing Practice
- Health Informatics
- Patient Safety
Background:
- Early warning systems (EWS) alert nurses to patient deterioration using physiologic measures.
- Concerns exist that EWS may reduce nurses' reliance on assessment skills and critical thinking.
- The impact of technologically enhanced EWS on nursing practice remains understudied.
Purpose of the Study:
- To determine the impact of an enhanced early warning system on nursing practice.
- To explore nurses' experiences with an enhanced EWS.
- To assess the influence of enhanced EWS on critical thinking and patient care.
Main Methods:
- Phenomenological research design.
- Semistructured interviews with 25 medical/surgical nurses using the enhanced EWS.
- Thematic analysis of interview data to identify key themes and develop a conceptual model.
Main Results:
- Nurses reported increased awareness and improved prioritization of patient conditions.
- The enhanced EWS positively influenced organizational culture, improving communication and collaboration.
- Nurses described more proactive responses to early signs of patient deterioration.
Conclusions:
- Contrary to concerns, the enhanced EWS augmented nurses' critical thinking by increasing awareness.
- The system facilitated earlier patient response and reassessment.
- Enhanced EWS contributed to a proactive care culture and improved interprofessional communication.
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