To assess the effectiveness of Modified Early Warning Score (MEWS) on Patients Outcome and Barriers related to its use by Nursing Officers in Medicine Ward, AIIMS, New Delhi.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 200
- 试验地点
- 1
- 主要终点
- To assess and compare the effect of Modified Early Warning Score (MEWS) on Patients Outcome in Experimental and Control group.
研究概览
简要总结
Researcher is conducting a research study to assess the effectiveness of Modified Early Warning Score (MEWS) assessment on patient’s outcome and barriers that are faced by nursing officers during implementation of MEWS in Medicine Ward of AIIMS New Delhi.
Early detection of clinically unstable patients is the cornerstone in improving the patient’s outcome that require a series of steps, including vital signs documentation and interpretation, subsequent meaningful communication, timely and appropriate management.(14) Implementation and use of MEWS Scale will help nurses identify the subtle signs of early deterioration of the patient and make the proper clinical decisions to prevent complications. It will also improve the patient’s outcome, adds to the knowledge of the nurses in early recognition and development of interprofessional relationship.
Nurses are the frontline healthcare workers taking care of the patients using a standard nursing process. They need to be competent and efficient enough to assess the signs of early deterioration of the patient to prevent further complications. Failure of the nurses in identifying the deteriorated patient and providing the early intervention can lead to severity of illness that can result in worsening morbidity and mortality. MEWS Scale is not being implemented in the current setting and hence the Nurses are not able to recognize sign of deterioration with the help of MEWS Scale and it places the patient at risk of developing uneventful conditions that can lead to death.
Therefore, the goal of this study is to make nurses more efficient and competent in implementation and use of MEWS Scale in recognizing the early signs of patient’s deterioration. It will also help in determining the effectiveness of MEWS on patient’s outcome, providing early treatment and preventing untoward events as cardiac arrest, shock, intubations, mortality. Researcher intend to increase the nurses knowledge to effectively use and implement MEWS to prevent patients from developing complications by early recognization of changing vital parameters. It will also benefit the patients by decrease adverse events and mortality.
研究设计
- 研究类型
- Interventional
- 分配方式
- Not Applicable
- 盲法
- Participant Blinded
入排标准
- 年龄范围
- 18.00 Year(s) 至 99.00 Year(s)（—）
- 性别
- All
入选标准
- •patients age> 18 years are enrolled in the study.
排除标准
- •patients who do not agree to give the consent.
- •patients who are on ventilator.
- •patients who died within 24 hours after recruitment to the study.
结局指标
主要结局
To assess and compare the effect of Modified Early Warning Score (MEWS) on Patients Outcome in Experimental and Control group.
时间窗: The effect of implementation of Modified Early Warning Score(MEWS) on Patients outcome will be assessed from the time of admission to the ward till the occurrence of any adverse outcome or till discharge of the patient from the ward. | Barriers faced by nursing officers will be assessed at the end of the study.
To identify the barriers related to implementation and use of Modified Early Warning Score (MEWS) by Nursing Officers in Medicine Ward of AIIMS, New Delhi.
时间窗: The effect of implementation of Modified Early Warning Score(MEWS) on Patients outcome will be assessed from the time of admission to the ward till the occurrence of any adverse outcome or till discharge of the patient from the ward. | Barriers faced by nursing officers will be assessed at the end of the study.
次要结局
- To determine the association of patients outcome with selected demographic variables of the patient.(It will be determined after data collection.)