The effect of adult Early Warning Systems education on nurses' knowledge, confidence and clinical performance: A systematic review

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dc.contributor.authorSaab, Mohamad M.
dc.contributor.authorMcCarthy, Bridie
dc.contributor.authorAndrews, Tom
dc.contributor.authorSavage, Eileen
dc.contributor.authorDrummond, Frances J.
dc.contributor.authorWalshe, Nuala
dc.contributor.authorForde, Mary
dc.contributor.authorBreen, Dorothy
dc.contributor.authorHenn, Patrick
dc.contributor.authorDrennan, Jonathan
dc.contributor.authorHegarty, Josephine
dc.contributor.funderDepartment of Healthen
dc.date.accessioned2018-02-05T16:33:22Z
dc.date.available2018-02-05T16:33:22Z
dc.date.issued2017-05-22
dc.date.updated2018-02-05T16:22:50Z
dc.description.abstractAims: This review aims to determine the effect of adult Early Warning Systems education on nurses’ knowledge, confidence and clinical performance. Background: Early Warning Systems support timely identification of clinical deterioration and prevention of avoidable deaths. Several educational programmes have been designed to help nurses recognize and manage deteriorating patients. Little is known as to the effectiveness of these programmes. Design: Systematic review. Data sources: Academic Search Complete, CINAHL, MEDLINE, PsycINFO, PsycARTICLES, Psychology and Behavioral Science Collection, SocINDEX and the UK & Ireland Reference Centre, EMBASE, the Turning Research Into Practice database, the Cochrane Central Register of Controlled Trials (CENTRAL) and Grey Literature sources were searched between October and November 2015. Review methods: This is a quantitative systematic review using Cochrane methods. Studies published between January 2011 - November 2015 in English were sought. The risk of bias, level of evidence and the quality of evidence per outcome were assessed. Results: Eleven articles with 10 studies were included. Nine studies addressed clinical performance, four addressed knowledge and two addressed confidence. Knowledge, vital signs recording and Early Warning Score calculation were improved in the short term. Two interventions had no effect on nurses’ response to clinical deterioration and use of communication tools. Conclusion: This review highlights the importance of measuring outcomes using standardized tools and valid and reliable instruments. Using longitudinal designs, researchers are encouraged to investigate the effect of Early Warning Systems educational programmes. These can include interactive e-learning, on-site interdisciplinary Early Warning Scoring systems training sessions and simulated scenarios.en
dc.description.sponsorshipDepartment of Health, Ireland (National Clinical Effectiveness Committee)en
dc.description.statusPeer revieweden
dc.description.versionAccepted Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationSaab, M. M., McCarthy, B., Andrews, T., Savage, E., Drummond, F. J., Walshe, N., Forde, M., Breen, D., Henn, P., Drennan, J. and Hegarty, J. (2017) 'The effect of adult Early Warning Systems education on nurses’ knowledge, confidence and clinical performance: A systematic review', Journal of Advanced Nursing, 73(11), pp. 2506-2521. doi: 10.1111/jan.13322en
dc.identifier.doi10.1111/jan.13322
dc.identifier.endpage2521en
dc.identifier.issn1365-2648
dc.identifier.issued11en
dc.identifier.journaltitleJournal of Advanced Nursingen
dc.identifier.startpage2506en
dc.identifier.urihttps://hdl.handle.net/10468/5370
dc.identifier.volume73en
dc.language.isoenen
dc.publisherWileyen
dc.rights© 2017 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Saab MM, et al. The effect of adult Early Warning Systems education on nurses’ knowledge, confidence and clinical performance: A systematic review. J Adv Nurs. 2017;73:2506–2521, which has been published in final form at https://doi.org/10.1111/jan.13322. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving.en
dc.subjectClinical deteriorationen
dc.subjectClinical performanceen
dc.subjectConfidenceen
dc.subjectEducationen
dc.subjectKnowledgeen
dc.subjectLiterature reviewen
dc.subjectNursingen
dc.subjectResuscitationen
dc.subjectSystematic reviewen
dc.titleThe effect of adult Early Warning Systems education on nurses' knowledge, confidence and clinical performance: A systematic reviewen
dc.typeArticle (peer-reviewed)en
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