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Paediatric Practitioners' Acceptance of the National Paediatric Early Warning System (PEWS)

Linda K Kaye1, Lyvonne N Tume2,3, Peter White4

  • 1Department of Psychology, Edge Hill University, Lancashire, UK.

Nursing in Critical Care
|June 17, 2026
PubMed

Insights

NHS England

Area of Science:

  • Pediatric critical care
  • Health informatics
  • Digital health adoption

Background:

  • Early detection of pediatric deterioration is crucial for patient outcomes.
  • NHS England implemented a National Paediatric Early Warning System (PEWS) in November 2023.
  • A local digital PEWS was evaluated for staff acceptance.

Purpose of the Study:

  • To assess pediatric staff acceptance of a digital PEWS before and after implementation.
  • To identify factors influencing the adoption of digital health tools in pediatric care.
  • To evaluate the Technology Integration Evaluation Resource (TIER) in a real-world clinical setting.

Main Methods:

  • A service evaluation using online surveys pre- and post-implementation of a digital PEWS.
  • The Technology Integration Evaluation Resource (TIER), based on the Technology Integration Model, was used for measurement.
  • Analysis focused on changes in acceptance and associations with psychological factors.

Main Results:

  • Overall staff acceptance of the digital PEWS did not significantly change post-implementation.
  • User motivation, agency, and perceived cost-benefit positively correlated with acceptance.
  • Perception of the digital PEWS as an extension of self was also positively associated with acceptance.

Conclusions:

  • Psychological factors significantly influence the adoption of digital health technologies in pediatric settings.
  • While overall acceptance remained stable, specific user-centric factors are key to successful digital health integration.
  • Future digital health implementations should consider these psychological drivers for enhanced user adoption.

Keywords:
PEWSdigital acceptancepaediatric carepsychologytechnology acceptance

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