Abstract
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 8hours 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.
| Original language | English |
|---|---|
| Journal | Applied Nursing Research |
| Volume | 29 |
| Pages (from-to) | 168-176 |
| Number of pages | 9 |
| ISSN | 0897-1897 |
| DOIs | |
| Publication status | Published - Feb 2016 |
| Externally published | Yes |
Keywords
- Adherence
- Early Warning Score
- Implementation process
- Monitoring practice
- Vital parameters
Citation Styles
- APA
- Author
- BIBTEX
- Harvard
- Standard
- RIS
- Vancouver