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Abstract: Knowledge, compliance, and attitude toward assessing and documenting Early Warning Signs (EWS) are critical for emergency department patients, influencing triage and immediate treatment planning. Despite the importance of EWS in hospital settings, limited research exists on nursing documentation of EWS in electronic medical records (EMR). Inadequate EWS documentation can compromise the accuracy of patient assessments, delay the activation of the Rapid Response Team (RRT), and increase the risk of adverse events. This study aims to evaluate the impact of EWS training on knowledge, attitude, and compliance among nurses in the Emergency Department. A quantitative, quasi-experimental design pre-post intervention design was used in this study. The study was conducted in a private hospital's Accident and Emergency Department in the Klang Valley. All staff nurses in the department were recruited using total sampling. A researcher developed a questionnaire assessed nurses' knowledge and attitudes toward EWS documentation, while a retrospective audit was conducted to measure compliance with EWS. Pre-training, 16 nurses (80.0%) demonstrated good knowledge of EWS, which increased to 18 nurses (90.0%) post-training. All respondents (100.0%, n=20) exhibited a positive attitude toward EWS pre and post-training. Regarding compliance, 15 nurses (75.0%) adhered to EWS documentation pre-training, which improved to 19 nurses (95.0%) post-training. The findings highlight that Emergency nurses possess strong knowledge and positive attitudes toward EWS documentation. Training effectively increased compliance with EWS documentation. Ongoing training sessions and regular audits should be implemented to ensure continuous compliance and quality improvement in EWS documentation among staff nurses. DOI: http://dx.doi.org/10.51505/ijmshr.2024.8603 |
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