The Effectiveness of Using Modified Early Warning Signs (MEWS) in Postpartum Mother Assessment, Koh Kha Hospital, Lampang Province
Abstract
The quasi-experimental research of Two-group Interrupted Time Design aims to investigate: 1) the results of using the modified early warning signs (MEWS) approach to postpartum maternal assessment. and 2) the satisfaction of registered nurses with the use of the modified early warning signs (MEWS). The sample was purposively sampling, consisting of 1) immediately postpartum mothers within the first 24 hours after delivery while in the delivery room at Koh Kha Hospital, Lampang Province, divided into a control group receiving standard nursing care from November to December 2023 (n=55), and an experimental group using the modified early warning signs (MEWS) from January to February 2024 (n=55); 2) 7 registered delivery room nurses. Research tools included the modified early warning signs (MEWS) in postpartum mother assessment, assessment of nurses' skills and satisfaction, and evaluation of question relevance to objectives (IOC) by 3 obstetric experts, yielding a reliability coefficient of 0.67-1.00. The modified early warning signs (MEWS) in postpartum mother assessment (MEWS) recording form showed inter-rater reliability of 0.92 using Cohen's kappa. Statistical analysis included descriptive statistics, Chi-square test and Fisher’s exact
The study found that the experimental group did not have an incidence of postpartum hemorrhage, whereas the control group had an incidence of postpartum hemorrhage of 5.45%. Registered nurses had accurate skills in recording assessment results at 100% and provided nursing care according to warning sign levels at 82.72%. Overall, nurses' satisfaction was high level. (mean = 4.40, S.D = 0.59). The research findings, the researchers plan to implement the modified early warning signs (MEWS) assessment in the postpartum special care unit at Koh Kha Hospital to significantly enhance the quality and safety of postpartum maternal care.
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