Overview of the completeness of Early Warning Score (EWS) documentation by nurses in the Emergency Installation Room (IGD) at Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City
Keywords:
Early Warning Score, Documentation, Nurse, Emergency Room
Abstract
The high incidence of critical conditions and deaths due to delays in early detection is a major concern in emergency services. Although triage has been implemented at the Emergency Installation (IGD) of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City, continuous monitoring through Early Warning Score (EWS) documentation has not been carried out optimally. This study aims to find out the completeness of EWS documentation by nurses in the emergency room of Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City. This research method is a quantitative research with an analytical descriptive design. The variable in this study is a single variable, namely the description of the completeness of EWS documentation by nurses. The sampling technique used the total sampling method with a total of 33 nurses. Data was collected through observation sheets on EWS documentation. The results of the study found that 24 respondents (72.7%) documented EWS completely, while 9 respondents (27.3%) did not complete it, especially on body temperature and urine production/hour parameters. The conclusions of this study show that although most nurses (72.7%) have implemented EWS documentation well. Suggestions are needed for routine training, supervision, and the provision of adequate facilities and infrastructure to support the completeness of EWS documentation optimally.
References
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Anestesi Perioperative, 7(1), 33– 41.
Suhaimi Fauzan, Pramana Yoga, Ikbal Fradianto, M. A. M. (2022). The level of knowledge of nurses on the Early Warning System (EWS). Year, 1(2), 2963–3753.
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K. N. D. M. A. (2022). Early Triage Comparison
Warning Score , National Early
Warning Score , Rapid Emergency Medicine Score, and Modified Early Warning Score in Predicting Patient Mortality Rate
Trauma at the Emergency Room of Dr. Saiful Anwar Hospital Malang. Magazine
Health, 9(2), 78–85.
Afrianti, R. A., & Wiryansyah, O. A. (2023). The Influence of Nurses' Knowledge Level With
Implementation of Early Warning Score
( EWS ). Scientific Journal of Multi Science Health, 15(1), 233– 243.
Arikunto s. (2019). The Effect of Ice Breaking Techniques on Results. 15(2), 32–47.
Armanto, Lesmana, H., Ose, M. I., Pujianto, A., Tukan, R. A., &
Hasriana. (2024). Factors Related to Nurse Compliance in Documenting the Early Warning Score System (EWSS) at RSUD DR. JUSUF SK. 4(5), 1–23.
Astuti, L. P., Trisyani, Y., & Mirwanti, R. (2023).
Early Warning Implementation
System (Ews) in
Detecting Acute Worsening in Adult Patients in Hospital Inpatient Rooms. Journal of Telenursing
(JOTING), 5(2), 1590–1603.
Baequny, A., Amirudin, Z., Studi, P., Pekalongan, K., Ministry of Health, P., Baequny, A., & Amirudin, Z. (2021). ISSN : 2807-9280 Literature Study : Improving Patient Safety in
Purpose Detection :
Identify research articles on the effectiveness of the use of EWS as an instrument for early detection of worsening of patients' conditions.
Method: This study is me. 1–9.
Darsini, Fahrurrozi, & Cahyono, E. A. (2019). Knowledge; Article Review. Journal of Nursing,
12(1), 97.
Daryani, Fitri Suciana, Sri Sat Titi Hamranani, & Widayati. (2023). The Relationship of Knowledge and Workload to the Completeness of Early Warning Score (EWS) Filling at Dr. Soetarto Hospital, Yogyakarta. Motor Sciences Journal of Health Sciences, 18(1), 22–33.
Fadlilah, S., Hamdani Rahil, N., & Lanni, F. (2020). Analysis of factors affecting blood pressure and peripheral oxygen saturation (Spo2). Kusuma Husada Health Journal,
Spo 2, 21–30.
Faradilla, A. N. (2022). Analysis
Inaccuracies and
Incomplete diagnosis of inpatients at the Indonesian Civil Service Hospital in Soemitro Surabaya. Journal of the Stikes Foundation, Kolisch 1996, 49–56.
Fauzi, A., Nisa, B., Napitupulu, D., Abdillah, F., Zonyfar, C., Permana, S. D. H., &
Sumartiningsih, M. S. (2022). Research Methodology. In Suparyanto and Rosad (2015. CV. Pena Persada.
Fradianto, I., Fauzan, S., Maulana,
M. A., Pramana, Y., Yulanda, N. A., & Andriyanto, A. (2022). Barriers To the Implementation of the Early Warning Score in the Hospital Treatment Room. International Journal of Nursing and Midwifery Science (Ijnms), 6(1), 11–16.
Gardner-Thorpe, J., Love, N., Wrightson, J., Walsh, S., & Keeling, N. (2016). The value of Modified Early Warning Score (MEWS) in surgical inpatients: A prospective observational study. Annals of the Royal College of Surgeons of England, 88(6), 571–575.
Harviani Hamsah, Rahmat H. Djalil, & Irma M. Yahya. (2022). Nurse Knowledge Relationship
About Early Warning Score
(ews) With an assessment of patient emergency at Bhayangkara Tk.III Hospital, Manado City. Health Journal
Trust, 6(1), 32–38.
Hermawan, I. (2019). Quantitative, Qualitative & Mixed Method Education Research Methodology (I. Hermawan (ed.)). Hidayatul Quran Kuningan.
Horton, D. J., Graves, K. K., Kukhareva, P. V., Johnson, S.
A., Cedillo, M., Sanford, M., Dunson, W. A., White, M., Roach, D., Arego, J. J., & Kawamoto, K. (2020). Modified Early Warning Score -based clinical decision support: Cost impact and clinical outcomes in sepsis. JAMIA Open, 3(2), 261– 268.
Indrawati, & Yulianto. (2023). Knowledge Enhancement
Nurses about the Early Warning Score to improve nurse compliance in the implementation of early warning scores in the inpatient room. Nucl. Phys., 2(1), 104–116.
Julianto, Daud, I., & Fahriyadi, A. (2020). The relationship between nurses' knowledge level and motivation and the implementation of ews in hospitals. Journal of Nursing Invention, 1(2), 41–47.
Kanda, R. L., & Tanggo, W. D. (2022). Bachelor of Nursing and Nursing Study Program at Stella Maris Makassar College of Health 2022. Stella Maris Makassar Journal 2022, 10–80.
Kelly, M., & Jeffries, P. (2022). Clinical simulation in health care-Contemporary learning for safety and practice. Collegian, 19(3), 115–116.
Ministry of Health. (2023). Diseases Cause the Highest Death in Indonesia.
Khasanah, N. (2024). Analysis
Factors related to
Application of Early Warning
System (ews) in the Inpatient Ward of Permata Medika Hospital
Kebumen. 15(1), 37–48.
Maulana, M. A. R. (2021).
The relationship between the quality of nursing services and patient satisfaction in the hospital emergency room. Sec. 20.
McGaughey, J., O’Halloran, P., Porter, S., & Blackwood, B. (2017). Early warning systems and rapid response to the deteriorating patient in hospital: A systematic realist review.
Journal of Advanced Nursing, 73(12), 2877–2891.
Mirawati, A., Deswita, D., & Solok Poltekkes, Ministry of Health, Padang, K. (2022). The Effectiveness of Early Warning System Score in Preventing Worsening of Patients in Hospitals. Journal of Lantern Health 'Aisyiyah, 5(1), 568–576.
Mulyati, D. S., & Safitri, A. (2024). The Relationship between Mental Workload and Nurse Compliance Level in the Implementation of the Early Warning Score System (EWSS) in Inpatient Rooms. Journal of Management Nursing, 3(3), 349–359.
Notoatmodjo. (2018). Health Promotion & Health Behavior. In Jakarta: EGC
(Issue June).
Nurfalah Setyawati, Hartyowidi Yuliawuri, S. R. (2023). Health Research Methodology. In Eureka Media Aksara. CV
Eureka Media Script.
Pujiastuti, D., Purwaty, E., Janah, J., Yohanes Ngadhi, P., Surianto, P., Chrisna Dewi, R., & Talu, Y.
(2021). The Application of the Early Warning System (EWS) as Early Detection of Deaths in Critical Care Areas. Journal of Nursing Research, 7(1), 1–9.
Risanti, R. D., Purwanti, E., & Novyriyana, E. (2021). Nurse Compliance Factors
Implementation of Surgical Safety Checklist in Central Surgical Installations. Journal of Nursing Science, 14(2), 80–91.
Riskesdas. (2019). Data on the Highest Cause of Death Diseases in Indonesia.
Rotua, C., & Widani, N. L. (2020).
Factors related to compliance with the implementation of Early Warning Score monitoring. Carolus Journal of Nursing, 2(2), 132–148.
Royal College of Physicians. (2017).
National Early Warning Score (NEWS) 2: Standardising the assessment of acute-illness severity in the NHS. In Updated report of a working party (Vol. 17, Issue 6).
Subhan, N., Giwangkencana, G. W., Prihartono, M. A., & Tavianto, D. (2019). Implementation of Early Warning Score on Cardiac Arrest Incident in the Treatment Room of Dr. Hasan Sadikin Bandung Hospital
Handled by the Code Blue team during 2017. Journal
Anestesi Perioperative, 7(1), 33– 41.
Suhaimi Fauzan, Pramana Yoga, Ikbal Fradianto, M. A. M. (2022). The level of knowledge of nurses on the Early Warning System (EWS). Year, 1(2), 2963–3753.
Susanti, S. (2022). Overview of the Implementation of Early Warning Score at University Hospital
Hasanuddin. 8.5.2017, 2003– 2005.
Suwaryo, P. A. W., Sutopo, R., & Utoyo, B. (2019). Nurses' knowledge in implementing the Early Warning Score System (EWSS) in the treatment room. Health Scientific Journal
Nursing, 15(2), 64.
Suyitno. (2018). Qualitative Research. In Journal
Equilibrium: Vol. 5 No. 9 (Issue c).
Swarjana, I. ketut. (2022). Sample Population, Sampling Techniques & Bias in Research (E. Risanto (ed.); First). Andi Offset CV. University, A. (2018). Medical and surgical emergencies.
(WHO), W. H. O. (2024). Data on the top 10 diseases that cause death in the world.
Widodo, S., Ladyani, F., Asrianto, L.
O., Rusdi, Khairunnisa, Lestari,
S. M. P., Wijayanti, D. R., Devriany, A., Hidayat, A., Dalfian, Nurcahyati, S.,
Sjahriani, T., Armi, Widya, N., & Rogayah. (2023). Research Method Textbook. CV. Sciense Techno Direct
Williams, B. (2022). The National Early Warning Score : From concept to NHS implementation. Clinical Medicine, Journal of the Royal College of Physicians of
London, 22(6), 499–505. Willner, D., Goldman, A., Azran, H., Stern, T., Kirshenbom, D., & Rosenthal, G. (2021). Early identification of acute kidney injury in the ICU with real-time urine output monitoring: a clinical investigation. BMC Nephrology, 22(1), 1–9.
Zulaeini, Hariyanto, S., Maria, D., Tauran, I., Urifah, S., Sugiarto, A., Muhsinah, S., Kurwiyah, N., Mairisi, E. L. D., Manik, M. J., Juliani, E., & Kuswati, A. (2023). Nursing
Professional.
Published
2025-07-31
How to Cite
Muhammad Fakhri Datau, Zulkifli B. Pomalango, & Dewi Hiola. (2025). Overview of the completeness of Early Warning Score (EWS) documentation by nurses in the Emergency Installation Room (IGD) at Prof. Dr. H. Aloei Saboe Hospital, Gorontalo City. International Journal of Health, Economics, and Social Sciences (IJHESS), 7(3), 1532~1541. https://doi.org/10.56338/ijhess.v7i3.8338
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Copyright (c) 2025 Muhammad Fakhri Datau, Zulkifli B. Pomalango, Dewi Hiola
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