The impact of introducing the Modified Early Warning Score ‘MEWS’ on emergency nurses’ perceived role and self-efficacy: A quasi-experimental study

•Impact of Early Warning Score on emergency nurses’ self-efficacy is established.•Impact of Early Warning Score on emergency nurses’ perceived role is approved.•Early Warning Score enhances nurses’ contribution in the acutely ill assessment.•Introducing Early Warning Score program in the Jordanian c...

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Bibliographic Details
Published in:International emergency nursing 2019-07, Vol.45, p.25-30
Main Authors: Al-Kalaldeh, Mahmoud, Suleiman, Khaled, Abu-Shahroor, Loai, Al-Mawajdah, Hala
Format: Article
Language:English
Subjects:
Emergency communications systems
Emergency Department
Emergency services
Interdisciplinary aspects
Intervention
MEWS
Multidisciplinary teams
Nurse
Nurses
Perceived role
Quasi-experimental methods
Self-Efficacy
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Summary:•Impact of Early Warning Score on emergency nurses’ self-efficacy is established.•Impact of Early Warning Score on emergency nurses’ perceived role is approved.•Early Warning Score enhances nurses’ contribution in the acutely ill assessment.•Introducing Early Warning Score program in the Jordanian context is recommended. Early warning Score is a bedside track and trigger system used to facilitate early detection and management of deteriorating patients. Although emergency department nurses are the key to implement this task, their interaction and contribution to provide an estimate of patients’ severities is still suboptimal and neglected. This study aimed to introduce an educational programme using the Modified Early Warning Score (MEWS) to nurses working in the emergency departments and to assess the programme impact on nurses’ self-efficacy and perceived role. This non-equivalent, multi-centre, quasi-experimental study, assigned two groups of emergency nurses into intervention and control. The intervention group received three interactive educational sessions totalling 12 h relevant to the application of MEWS in emergency situations using a validated programme called ‘COMPASs’. The other group received no intervention. Both groups were assessed for self-efficacy and perceived role in the pre-test, immediate post-test, and three months later follow-up phase. A total of 232 participants were divided into intervention and control groups (118 and 114, respectively), having no variations in age, gender, or experience as registered nurses. The intervention group showed a significant improvement in the self-efficacy scores for the nurses (F: 152.21, df: 2, p 
ISSN:1755-599X
1532-9267
1878-013X
DOI:10.1016/j.ienj.2019.03.005