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Hospital nurses' professional accountability while using the National Early Warning Score: A qualitative study with a hermeneutic design

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  • Jørghild Karlotte Jensen
  • Randi Skår
  • Bodil Tveit

Abstract

Aim To explore general hospital ward nurses' experiences with the National Early Warning Score and to determine its impacts on their professionalism. Background The National Early Warning Score has broad appeal; it is a patient safety initiative designed to ensure early identification of and response to deteriorating patients in hospitals. However, it is still unclear how the tool impacts nurses' professionalism. Methods A qualitative study with a hermeneutic design was conducted in autumn 2017; the study consisted of semi‐structured, in‐depth interviews with 14 hospital nurses. The data were analysed thematically to understand and interpret the nurses' experiences. Methods are reported using COREQ guidelines (see Appendix S1). Results The study examined nurses' experience with the National Early Warning Score and its perceived impact on their professionalism. Four themes were identified: (a) the National Early Warning Score and clinical judgement in patient assessment, (b) responding to the National Early Warning Score standard, (c) involving the professional community and (d) adjusting the tool. Conclusion The National Early Warning Score may impact nurses' professionalism in diverse ways. Nurses are aware of the importance of incorporating all of their professional competence, comprising clinical judgement, discretion and accountability, with the National Early Warning Score to accurately assess patients' conditions. Findings indicated that the National Early Warning Score was beneficial to nurses' professional practice; however, accountability to this standard alone does not ensure quality care and patient safety. Relevance to clinical practice A greater understanding of the role of nurses' professional accountability when using the National Early Warning Score is needed to improve practice and ensure patient safety.

Suggested Citation

  • Jørghild Karlotte Jensen & Randi Skår & Bodil Tveit, 2019. "Hospital nurses' professional accountability while using the National Early Warning Score: A qualitative study with a hermeneutic design," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(23-24), pages 4389-4399, December.
  • Handle: RePEc:wly:jocnur:v:28:y:2019:i:23-24:p:4389-4399
    DOI: 10.1111/jocn.15021
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    References listed on IDEAS

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    1. Claire Foley & Maura Dowling, 2019. "How do nurses use the early warning score in their practice? A case study from an acute medical unit," Journal of Clinical Nursing, John Wiley & Sons, vol. 28(7-8), pages 1183-1192, April.
    2. Kimberly D Johnson & Lindsey Mueller & Chris Winkelman, 2017. "The nurse response to abnormal vital sign recording in the emergency department," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(1-2), pages 148-156, January.
    3. Jean E Stevenson & Johan Israelsson & Goran Petersson & Peter A Bath, 2018. "Factors influencing the quality of vital sign data in electronic health records: A qualitative study," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(5-6), pages 1276-1286, March.
    4. Duncan J Smith & Leanne M Aitken, 2016. "Use of a single parameter track and trigger chart and the perceived barriers and facilitators to escalation of a deteriorating ward patient: a mixed methods study," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(1-2), pages 175-185, January.
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