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Nursing Training for Early Clinical Deterioration Risk Assessment: Protocol for an Implementation Study.

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This study trains nurses using the National Early Warning Score 2 (NEWS2) and just-in-time methodology to improve early recognition of clinical deterioration. Early identification and intervention can significantly reduce patient mortality and intensive care unit admissions.

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Area of Science:

  • Healthcare interventions
  • Nursing education
  • Patient safety

Background:

  • Clinical deterioration poses significant risks during hospitalization, including shock and cardiorespiratory arrest.
  • Early identification of clinical deterioration is crucial for reducing mortality and intensive care unit admissions.
  • Existing early warning systems can be enhanced by nursing-led interventions.

Purpose of the Study:

  • To implement and evaluate an evidence-based training program for nurses on early clinical deterioration detection.
  • To utilize the National Early Warning Score 2 (NEWS2) and just-in-time methodology for risk assessment.
  • To improve patient referral processes in inpatient units.

Main Methods:

  • A "Just-in-Time Training" approach will be employed for on-the-job learning.
  • A qualitative stage involving focus groups and interviews with nurses will explore influencing factors.
  • The study protocol adheres to SPIRIT 2013 Declaration recommendations.

Main Results:

  • Ethical authorization obtained; participant recruitment scheduled for July 2023.
  • Data collection is expected to conclude in October 2023.
  • Findings will be disseminated to the nursing team, scientific journals, and conferences.

Conclusions:

  • The training program aims to enhance nurses' ability to recognize early signs of clinical deterioration.
  • Improved early recognition is expected to lead to better patient outcomes.
  • The study supports the integration of evidence-based practices in clinical settings.