Mandatory early warning scoring-implementation evaluated with a mixed-methods approach.
Aim: The aim of this study was to evaluate adherence to an intervention optimizing in-hospital monitoring practice, by introducing early warning scoring (EWS) of vital parameters. Background: Interventions comprising EWS systems reduce in-hospital mortality, but evaluation of adherence to such inter...
| Publicado en: | Applied Nursing Research Vol. 29; pp. 168 - 177 |
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| Autores principales: | , , , , |
| Formato: | algorithm forms research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Feb2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=116434300&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 116434300 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08971897 44Z jtl: Applied Nursing Research issn: 08971897 maglogo: N pubinfo: dt: Feb2016 vid: 29 pid: 82545 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 116434300 116434300 116434300 10.1016/j.apnr.2015.06.012 116434300 ppf: 168 ppct: 9 formats: tig: atl: Mandatory early warning scoring-implementation evaluated with a mixed-methods approach. aug: au: Bunkenborg, Gitte Poulsen, Ingrid Samuelson, Karin Ladelund, Steen Akeson, Jonas affil: Department of Anaesthesiology, Copenhagen University Hospital, Hvidovre, Denmark sug: subj: Program Implementation Evaluation Early Intervention Professional Competence Evaluation Vital Signs Evaluation Nurse Attitudes Evaluation Human Evaluation Research Time Factors Motivation Experimental Studies Semi-Structured Interview Multimethod Studies Hospital Units Denmark Denmark Pretest-Posttest Design Algorithms Utilization Kaplan-Meier Estimator Confidence Intervals Heart Rate Evaluation Blood Pressure Determination Body Temperature Determination Nurse Managers Adult Audiorecording Content Analysis Triangulation Thematic Analysis Nursing Assessment Clinical Assessment Tools Funding Source Adult: 19-44 years ab: Aim: The aim of this study was to evaluate adherence to an intervention optimizing in-hospital monitoring practice, by introducing early warning scoring (EWS) of vital parameters. Background: Interventions comprising EWS systems reduce in-hospital mortality, but evaluation of adherence to such interventions is required to correctly interpret interventional outcome. Method: Adherence was evaluated with a mixed-methods approach. Quantitative data, obtained pre-interventionally (2009) and postinterventionally (2010 and 2011), were used to calculate and compare time intervals between scorings of vital parameters. Semi-structured interviews were used to evaluate the implementation process. Results: We found significant reductions in time intervals between measurements of vital parameters in 2011 compared to 2009. Scorings of vital parameters were repeated within 8 hours in 71-77% of patients scoring total modified EWS levels of 0,2 or 4. The theme Motivation by clinical relevance and meaningfulness was identified as crucial to the implementation process. Conclusion: High adherence to an intervention may be strongly related to nurses' perceived clinical relevance of the intervention. pubtype: Academic Journal doctype: algorithm forms research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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