Effects of Implementing the Newborn Modified Early Warning Scoring (NEWS) in Neonatal Care, The Queen Sirikit National Institute of Child Health
Keywords:newborn modified early warning scoring, neonate, unplanned moving to ICU, unplanned cardiopulmonary resuscitation
Introduction: A transition from inside the womb to outside environment of all newborns is at risk for life-threatening complications. Professional nurses play an important role in assessing early warning signs and providing care to prevent them from harmful complications. Research objectives: To develop the Newborn Modified Early Warning Scoring (NEWS) program and study the effects of implementing the program by focusing on both nurse’s and patient’s outcomes. Research methodology: This research and development (R&D) was conducted between October 1, 2020 and May 31, 2021 by applying the System Theory and The Deming Cycle (PDCA). The subjects included 31 professional nurses and 220 neonatal patients. The research tools included NEWS assessment program, lesson plans, NEWS knowledge assessment, NEWS practice checklist, and nurses’ satisfaction on using the NEWS program questionnaire. Data were analyzed by using percentage, mean, standard deviation, pair t-test, and Fisher’s Exact test statistics. Results: The results revealed that (1) the nurses’ knowledge of the NEWS assessment after using the program was significantly higher than before using the program (p<.001), (2) the nurses' practice on the NEWS assessment was correct, passing with the average of 96.77 percent (x ̅= 96.77, S.D.= 7.47), (3) The overall satisfaction on utilizing NEWS assessment of the professional nurses was at the most satisfied, (4) After implementing the NEWS assessment program, the incidence of unplanned moving patients into the ICU decreased statistically significant (p<.005), and no incidence of requiring unplanned resuscitation (CPR) of the patient was found. Conclusion: The NEWS program is effective for monitoring newborn patients’ complications and help provide suitable care according to their conditions. Implications: The NEWS program should be applied to assess neonatal patients in neonatal care facilities. Further research should be conducted in other affiliated healthcare institutions for newborns in all 13 healthcare service areas.
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