The Relationship Between The Accuracy of Filling Out The Early Warning Score System Form and Nurse Decision Making

Dewi Lindayani, Rika E Nurhidayah, R Kintoko Rochadi

Abstract


Early Warning Score System plays an important role in monitoring and tracking patient deterioration through vital signs and physical condition. Nursing decision making is a complex process that has the potential to influence the quality of care provided. Clinical decision making requires critical thinking skills for nurses. This study aims to analyze the relationship between the accuracy of filling out the Early Warning Score System form and nurses' decision making. The type of research used is quantitative research using a retrospective descriptive research design with a cross sectional descriptive research design. The sampling technique is purposive sampling. The respondents of this study were nurses in integrated inpatient rooms A and B at the Haji Adam Malik Central General Hospital, Medan. This research was carried out in the integrated inpatient ward at the Haji Adam Malik Central General Hospital, Medan. The sample consisted of 148 respondents in the inpatient ward. The instruments used were the standardized Early Warning Score System monitoring form at Haji Adam Malik Hospital and nurse decision making adopted from the Ekwantoro questionnaire. The data were analyzed using the Spearman rank test to obtain a correlation coefficient of +0.470 with a significant p-value = 0.000. The conclusion is that there is a relationship between the accuracy of filling in the Early Warning Score System formula and nurse decision making which is quite strong and in the same direction. It is recommended that nurses increase their in-depth understanding of filling out the Early Warning Score System form in order to make appropriate decisions in providing nursing care.

 

Keywords: Accuracy of filling, Decision making, ERWSS


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References


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Andersen Lw, Holmberg Mj, Berg Km, Donnino Mw, G. A. (2019). In-Hospital Cardiac Arrest: A Revie. Jama., 26;321(12), 1200–1210. Https://Doi.Org/10.1001/Jama.2019.1696.

B, W. (2022). The National Early Warning Score: From Concept To Nhs Implementation. Clin Med (Lond), 22(6, 499–505. Https://Doi.Org/10.7861/Clinmed.2022-News-Concept

Barros Aj, E. K. (2023). In-Hospital Cardiac Arrest. Merg Med Clin North Am., 41(3), 455–464. Https://Doi.Org/10.1016/J.Emc.2023.03.003.

Dilibero J, M. K. (2021). Outcomes Of In-Hospital Cardiac Arrest: A Review Of The Evidence. Crit Care Nurs Clin North Am, 33(3)(343-356.). Https://Doi.Org/10.1016/J.Cnc.2021.05.009.

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Febriana Sekar Wijayanti, Princess Handayani, Veza Azteria, M. N. (2023). Overview Of Cbts Pillar 1 Program Evaluation Stop Open Defecation (Sod) At The Public Health Center, Taman Sari District, West Jakarta City In 2022. Kesans: International Journal Of Health And Science, 3(1).

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Hazra D, Nekkanti Ac, Jindal A, Sanjay M, Florence I, Yuvaraj S, A., & Kpp. (2022). Code Blue: Predictors Of Survival. J Anaesthesiol Clin Pharmacol., 38(2), 208-214.

Hidayat, D. I., Agushybana, F., & Nugraheni, S. A. (2020). Early Warning System Pada Perubahan Klinis Pasien Terhadap Mutu Pelayanan Rawat Inap. Higeia Journal Of Public Health Research And Development, 4(3), 506–519.

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Lee, R.-P. (2020). Early Warning System Safeguarding Patient Lives. Hu Li Za Zhi, 67(1), 4–5. Https://Doi.Org/10.6224/Jn.202002_67(1).01

Liou, H.-L. (2020). Early Warning System For Illness Deterioration In Critically Ill Patients. Hu Li Za Zhi, 67(1), 19–24. Https://Doi.Org/0.6224/Jn.202002_67(1).04

Lisa Cameron, Paul Gertler, Manisha Shah, Maria Laura Alzua, Sebastian Martinez, S. P. (2022). The Dirty Business Of Eliminating Open Defecation: The Effect Of Village Sanitation On Child Height From Field Experiments In Four Countries. Journal Of Development Economics, 157.

Mayasari, E., Sari, F. E., & Yulyani, V. (2022). Hubungan Air Dan Sanitasi Dengan Kejadian Stunting Di Wilayah Kerja Upt Puskesmas Candipuro Kabupaten Lampung Selatan Tahun 2021. Indonesian Journal Of Helath And Medical, 2(1), 51–59.

Mirawati, A., Deswita, D., & Solok Poltekkes Kemenkes Padang, K. (2022). Efektifitas Early Warning System Score Dalam Pencegahan Perburukan Pasien Di Rumah Sakit. Jurnal Kesehatan Lentera ’Aisyiyah, 5(1), 568–576.

Moh. Projo Angkasa1, Suparjo2, Sudirman3, Ahmad Baequny4, Z. A. (2021). Studi Literatur : Peningkatan Keselamatan Pasien Dalam Deteksi Dini Kegawatdaruratan Pasien Menggunakan Early Warning Score. 1–9.

Munawaroh, L., & Barlianto, W. (2020). Relationship Between Nurse Knowledge And Decision Making Of Code Blue Activation In Rsud Bangil Pasuruan, Indonesia. International Journal Of Nursing Education, 12(4), 86–90. Https://Doi.Org/10.37506/Ijone.V12i4.11222

Noviansyah, N., Romli, K., Mukmin, H., & Wijayanto, R. (2022). Strategy For Accelerating Stunting Prevention Through Religious Approach To Generate Qualified Generation. International Journal Of Public Health Science, 11(3), 1058–1066. Https://Doi.Org/10.11591/Ijphs.V11i3.21383

Penketh J, N. J. (2022). N-Hospital Cardiac Arrest: The State Of The Art. Crit Care., 6;26(1), 376. Https://Doi.Org/10.1186/S13054-022-04247-Y

Rahayu, C. D., & Mulyani, S. (2020). Pengambilan Keputusan Klinis Perawat. Jurnal Ilmiah Kesehatan, 10(1), 1–11.

Rahman, Wirna Armei D, & Febriana Muchtar. (2023). Analysis Of The Implementation Of The Community-Based Total Sanitation Program (Cbts) In Unaaha District, Konawe Regency, Southeast Sulawesi Province, Indonesia. World Journal Of Advanced Research And Reviews, 18(2), 657–670. Https://Doi.Org/10.30574/Wjarr.2023.18.2.0875

Rizka Nurhayati, Devi Angeliana Kusumaningtiar, Putri Handayani, N. W. S. (2023). The Effectiveness Of The Implementation Of The Community-Based Total Sanitation Program, The First Pillar Of Stop Open Defecation In The Work Area Of The Palmerah District Public Health Centre In 2022. Kesans: International Journal Of Health And Science, 1(April).

Rulino, L., & Putri, M. (2023). Pengetahuan Perawat Dalam Menerapkan Early Warning Score System Pada Pasien Gawat Darurat . 9, 70–76.

Subhan, N., Giwangkencana, G. W., Prihartono, M. A., & Tavianto, D. (2019). Implementasi Early Warning Score Pada Kejadian Henti Jantung Di Ruang Perawatan Rumah Sakit Dr. Hasan Sadikin Bandung Yang Ditangani Tim Code Blue Selama Tahun 2017. Jurnal Anestesi Perioperatif, 7(1), 33–41. Https://Doi.Org/10.15851/Jap.V7n1.1583

Sukmawati, Urwatil Wusqa Abidin, H. (2021). Hubungan Hygiene Dan Sanitasi Lingkungan Terhadap Kejadian Stunting Pada Balita Di Desa Kurma. Journal Peqguruang: Conference Series (Jpcs), 3(November). Https://Doi.Org/Https://Dx.Doi.Org/10.35329/Jp.V3i2.2553

Suyanti, S., Ilmi, B., & Harun, L. (2023). Analisis Faktor Yang Berhubungan Early Warning System Di Bangsal Rawat Inap Dewasa. Jurnal Kesmas Asclepius, 5(2), 78–93. Https://Doi.Org/10.31539/Jka.V5i2.7649

Syam Mahyudi Dedi, H. S. S. (2020). Hubungan Kebiasaan Cuci Tangan, Mengelola Air Minum Dan Makanan Dengan Stunting Di Sulawesi Tengah. Gorontalo Journal Of Public Health, 3(1), 15–22.

Tosepu, R., Nurmayang Sari, S., Juraiti, W., Maretti Hana, A., Sahara, Y., & Yulianti Ilham, A. (2023). A Description Of Community-Based Total Sanitation (Cbts) Pillar 1 Facilities In The Working Area Of Abeli Public Health Center In 2019 -- 2022. Kne Social Sciences, 2023, 255–261. Https://Doi.Org/10.18502/Kss.V8i9.13336

Vazquez Ar, S. A. (2023). Cardiac Arrest As A Public Health Issue. Emerg Med Clin North Am, 1(3), 405–411. Https://Doi.Org/10.1016/J.Emc.2023.05.003

Widayati, S. (2021). Hubungan Pengetahuan Dan Beban Kerja Perawat Dengan Kelengkapan Pengisian Early Warning Score (Ews) Oleh Perawat Di Rs Dr. Soetarto Yogyakarta. Repositori Universitas Muhammadiyah Klaten, 22–33.

Widegdo, H., Marti, E., & Ratnawati, E. (2022). Hubungan Antara Beban Kerja Dengan Kepatuhan Perawat Dalam Pendokumentasian Early Warning System (Ews) Di Ruang Rawat Inap Rumah Sakit Panti Rahayu Gunung Kidul. I Care Jurnal Keperawatan Stikes Panti Rapih, 3(2), 158–167. Https://Doi.Org/10.46668/Jurkes.V3i2.179

Yuliani Soeracmad, Y. S. (2019). Hubungan Sanitasi Lingkungan Rumah Tangga Dengan Kejadian Stunting Pada Anak Balita Di Puskesmas Wonomulyo Kabupaten Polewali Mandar Tahun 2019. J-Kesmas: Jurnal Kesehatan Masyarakat, 5(2), 138. Https://Doi.Org/10.35329/Jkesmas.V5i2.519

Yuseasmicel1), Rasymi Delvy2), Nentiendestri3), E. (2024). Hubungan Pengetahuan Perawat Dengan Dokumentasi Pengisian Form Ews ( Early Warning Scoring ) Di Instalasi Rawat Inap. 7(1).

Zairinayati, Z., & Purnama, R. (2019). Hubungan Hygiene Dan Sanitasi Lingkungan Dengan Kejadian Stunting Pada Balita. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 10(1).

Zhang , Jiang Jx, Xia J, Yu C, Zhong Mh, Pang Qy, Mao Yl, D. X. (2023). Analysis Of Clinical Application Effects And Challenges Of Early Warning System For The High-Risk Obstetric Women Of China: A Scoping Review. J Clin Nurs, 32(9-10), 2073–2085. Https://Doi.Org/10.1111/Jocn.16288.

Alfadhila Khairil Sinatrya, & Lailatul Muniroh. (2019). Hubungan Faktor Water, Sanitation, And Hygiene (Wash) Dengan Stunting Di Wilayah Kerja Puskesmas Kotakulon, Kabupaten Bondowoso . Amerta Nutrition, 3(3), 164–170. Https://Doi.Org/10.2473/Amnt.V3i3.2019.164-170

Amir, A., Juhanto, A., & Azis, R. (2023). Pengaruh Lima Pilar Stbm Terhadap Angka Kejadian Stunting Di Kecamatan Camba Kabupaten Maros. Jurnal Kesehatan Delima Pelamonia, 3(1), 1–9.

Andersen Lw, Holmberg Mj, Berg Km, Donnino Mw, G. A. (2019). In-Hospital Cardiac Arrest: A Revie. Jama., 26;321(12), 1200–1210. Https://Doi.Org/10.1001/Jama.2019.1696.

B, W. (2022). The National Early Warning Score: From Concept To Nhs Implementation. Clin Med (Lond), 22(6, 499–505. Https://Doi.Org/10.7861/Clinmed.2022-News-Concept

Barros Aj, E. K. (2023). In-Hospital Cardiac Arrest. Merg Med Clin North Am., 41(3), 455–464. Https://Doi.Org/10.1016/J.Emc.2023.03.003.

Dilibero J, M. K. (2021). Outcomes Of In-Hospital Cardiac Arrest: A Review Of The Evidence. Crit Care Nurs Clin North Am, 33(3)(343-356.). Https://Doi.Org/10.1016/J.Cnc.2021.05.009.

Ekwantoro, Putra, K. R., & Setyoadi. (2021). The Factors Correlated To Nurses’ Decision Activating Code Blue Team In Hospital. International Journal Of Public Health Science, 10(1), 202–206. Https://Doi.Org/10.11591/Ijphs.V10i1.20574

Febriana Sekar Wijayanti, Princess Handayani, Veza Azteria, M. N. (2023). Overview Of Cbts Pillar 1 Program Evaluation Stop Open Defecation (Sod) At The Public Health Center, Taman Sari District, West Jakarta City In 2022. Kesans: International Journal Of Health And Science, 3(1).

Hasibuan, A. N. (2020). Pengambilan Keputusan Klinis Perawat Rumah Sakit. 8.

Hassan, M. U., Aamer, M., Chattha, M. U., Haiying, T., Khan, I., Seleiman, M. F., Rasheed, A., Nawaz, M., Rehman, A., Aslam, M. T., Afzal, A., & Huang, G. (2021). Sugarcane Distillery Spent Wash (Dsw) As A Bio-Nutrient Supplement: A Win-Win Option For Sustainable Crop Production. Agronomy, 11(1). Https://Doi.Org/10.3390/Agronomy11010183

Hazra D, Nekkanti Ac, Jindal A, Sanjay M, Florence I, Yuvaraj S, A., & Kpp. (2022). Code Blue: Predictors Of Survival. J Anaesthesiol Clin Pharmacol., 38(2), 208-214.

Hidayat, D. I., Agushybana, F., & Nugraheni, S. A. (2020). Early Warning System Pada Perubahan Klinis Pasien Terhadap Mutu Pelayanan Rawat Inap. Higeia Journal Of Public Health Research And Development, 4(3), 506–519.

Kemenkes Ri. (2022). Profil Kesehatan Indonesia 2021. In Pusdatin.Kemenkes.Go.Id.

Kementerian Kesehatan Republik Indonesia. (2023). Pedoman Pelaksanaan Sanitasi Total Berbasis Masyarakat (Stbm) 2023.

Khairina, I., Malini, H., & Huriani, E. (2020). Pengetahuan Dan Keterampilan Perawat Dalam Pengambilan Keputusan Klinis Triase. Link, 16(1), 1–5. Https://Doi.Org/10.31983/Link.V16i1.5449

Kwami, C. S., Godfrey, S., Gavilan, H., Lakhanpaul, M., & Parikh, P. (2019). Water, Sanitation, And Hygiene: Linkages With Stunting In Rural Ethiopia. International Journal Of Environmental Research And Public Health, 16(20). Https://Doi.Org/10.3390/Ijerph16203793

Lee, R.-P. (2020). Early Warning System Safeguarding Patient Lives. Hu Li Za Zhi, 67(1), 4–5. Https://Doi.Org/10.6224/Jn.202002_67(1).01

Liou, H.-L. (2020). Early Warning System For Illness Deterioration In Critically Ill Patients. Hu Li Za Zhi, 67(1), 19–24. Https://Doi.Org/0.6224/Jn.202002_67(1).04

Lisa Cameron, Paul Gertler, Manisha Shah, Maria Laura Alzua, Sebastian Martinez, S. P. (2022). The Dirty Business Of Eliminating Open Defecation: The Effect Of Village Sanitation On Child Height From Field Experiments In Four Countries. Journal Of Development Economics, 157.

Mayasari, E., Sari, F. E., & Yulyani, V. (2022). Hubungan Air Dan Sanitasi Dengan Kejadian Stunting Di Wilayah Kerja Upt Puskesmas Candipuro Kabupaten Lampung Selatan Tahun 2021. Indonesian Journal Of Helath And Medical, 2(1), 51–59.

Mirawati, A., Deswita, D., & Solok Poltekkes Kemenkes Padang, K. (2022). Efektifitas Early Warning System Score Dalam Pencegahan Perburukan Pasien Di Rumah Sakit. Jurnal Kesehatan Lentera ’Aisyiyah, 5(1), 568–576.

Moh. Projo Angkasa1, Suparjo2, Sudirman3, Ahmad Baequny4, Z. A. (2021). Studi Literatur : Peningkatan Keselamatan Pasien Dalam Deteksi Dini Kegawatdaruratan Pasien Menggunakan Early Warning Score. 1–9.

Munawaroh, L., & Barlianto, W. (2020). Relationship Between Nurse Knowledge And Decision Making Of Code Blue Activation In Rsud Bangil Pasuruan, Indonesia. International Journal Of Nursing Education, 12(4), 86–90. Https://Doi.Org/10.37506/Ijone.V12i4.11222

Noviansyah, N., Romli, K., Mukmin, H., & Wijayanto, R. (2022). Strategy For Accelerating Stunting Prevention Through Religious Approach To Generate Qualified Generation. International Journal Of Public Health Science, 11(3), 1058–1066. Https://Doi.Org/10.11591/Ijphs.V11i3.21383

Penketh J, N. J. (2022). N-Hospital Cardiac Arrest: The State Of The Art. Crit Care., 6;26(1), 376. Https://Doi.Org/10.1186/S13054-022-04247-Y

Rahayu, C. D., & Mulyani, S. (2020). Pengambilan Keputusan Klinis Perawat. Jurnal Ilmiah Kesehatan, 10(1), 1–11.

Rahman, Wirna Armei D, & Febriana Muchtar. (2023). Analysis Of The Implementation Of The Community-Based Total Sanitation Program (Cbts) In Unaaha District, Konawe Regency, Southeast Sulawesi Province, Indonesia. World Journal Of Advanced Research And Reviews, 18(2), 657–670. Https://Doi.Org/10.30574/Wjarr.2023.18.2.0875

Rizka Nurhayati, Devi Angeliana Kusumaningtiar, Putri Handayani, N. W. S. (2023). The Effectiveness Of The Implementation Of The Community-Based Total Sanitation Program, The First Pillar Of Stop Open Defecation In The Work Area Of The Palmerah District Public Health Centre In 2022. Kesans: International Journal Of Health And Science, 1(April).

Rulino, L., & Putri, M. (2023). Pengetahuan Perawat Dalam Menerapkan Early Warning Score System Pada Pasien Gawat Darurat . 9, 70–76.

Subhan, N., Giwangkencana, G. W., Prihartono, M. A., & Tavianto, D. (2019). Implementasi Early Warning Score Pada Kejadian Henti Jantung Di Ruang Perawatan Rumah Sakit Dr. Hasan Sadikin Bandung Yang Ditangani Tim Code Blue Selama Tahun 2017. Jurnal Anestesi Perioperatif, 7(1), 33–41. Https://Doi.Org/10.15851/Jap.V7n1.1583

Sukmawati, Urwatil Wusqa Abidin, H. (2021). Hubungan Hygiene Dan Sanitasi Lingkungan Terhadap Kejadian Stunting Pada Balita Di Desa Kurma. Journal Peqguruang: Conference Series (Jpcs), 3(November). Https://Doi.Org/Https://Dx.Doi.Org/10.35329/Jp.V3i2.2553

Suyanti, S., Ilmi, B., & Harun, L. (2023). Analisis Faktor Yang Berhubungan Early Warning System Di Bangsal Rawat Inap Dewasa. Jurnal Kesmas Asclepius, 5(2), 78–93. Https://Doi.Org/10.31539/Jka.V5i2.7649

Syam Mahyudi Dedi, H. S. S. (2020). Hubungan Kebiasaan Cuci Tangan, Mengelola Air Minum Dan Makanan Dengan Stunting Di Sulawesi Tengah. Gorontalo Journal Of Public Health, 3(1), 15–22.

Tosepu, R., Nurmayang Sari, S., Juraiti, W., Maretti Hana, A., Sahara, Y., & Yulianti Ilham, A. (2023). A Description Of Community-Based Total Sanitation (Cbts) Pillar 1 Facilities In The Working Area Of Abeli Public Health Center In 2019 -- 2022. Kne Social Sciences, 2023, 255–261. Https://Doi.Org/10.18502/Kss.V8i9.13336

Vazquez Ar, S. A. (2023). Cardiac Arrest As A Public Health Issue. Emerg Med Clin North Am, 1(3), 405–411. Https://Doi.Org/10.1016/J.Emc.2023.05.003

Widayati, S. (2021). Hubungan Pengetahuan Dan Beban Kerja Perawat Dengan Kelengkapan Pengisian Early Warning Score (Ews) Oleh Perawat Di Rs Dr. Soetarto Yogyakarta. Repositori Universitas Muhammadiyah Klaten, 22–33.

Widegdo, H., Marti, E., & Ratnawati, E. (2022). Hubungan Antara Beban Kerja Dengan Kepatuhan Perawat Dalam Pendokumentasian Early Warning System (Ews) Di Ruang Rawat Inap Rumah Sakit Panti Rahayu Gunung Kidul. I Care Jurnal Keperawatan Stikes Panti Rapih, 3(2), 158–167. Https://Doi.Org/10.46668/Jurkes.V3i2.179

Yuliani Soeracmad, Y. S. (2019). Hubungan Sanitasi Lingkungan Rumah Tangga Dengan Kejadian Stunting Pada Anak Balita Di Puskesmas Wonomulyo Kabupaten Polewali Mandar Tahun 2019. J-Kesmas: Jurnal Kesehatan Masyarakat, 5(2), 138. Https://Doi.Org/10.35329/Jkesmas.V5i2.519

Yuseasmicel1), Rasymi Delvy2), Nentiendestri3), E. (2024). Hubungan Pengetahuan Perawat Dengan Dokumentasi Pengisian Form Ews ( Early Warning Scoring ) Di Instalasi Rawat Inap. 7(1).

Zairinayati, Z., & Purnama, R. (2019). Hubungan Hygiene Dan Sanitasi Lingkungan Dengan Kejadian Stunting Pada Balita. Babul Ilmi Jurnal Ilmiah Multi Science Kesehatan, 10(1).

Zhang , Jiang Jx, Xia J, Yu C, Zhong Mh, Pang Qy, Mao Yl, D. X. (2023). Analysis Of Clinical Application Effects And Challenges Of Early Warning System For The High-Risk Obstetric Women Of China: A Scoping Review. J Clin Nurs, 32(9-10), 2073–2085. Https://Doi.Org/10.1111/Jocn.16288.




DOI: http://dx.doi.org/10.30829/contagion.v6i2.21243

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