Bryson, Angala_DNP_2021

Title Bryson, Angala_DNP_2021
Alternative Title Implementation of Pediatric early Warning Signs Guideline in a Rural Community Hospital
Creator Bryson, Angala
Collection Name Doctor of Nursing Practice (DNP)
Description The following Doctor of nursing Practice dissertation examines the implementation and effectiveness of the Pediatric Early Warning Signs (PEWS) tool in the Uintah Basin Meidcal Center (UBMC), a rural community hospital.
Abstract Uintah Basin Medical Center (UBMC), a rural community hospital, has infrequent pediatric admissions to the medical-surgical (MS) and intensive care units (ICU). The Pediatric early warning signs (PEWS) tool monitors, detects and responds to signs of deterioration in hospitalized children. This DNP project implemented a PEWS guideline in the MS and ICU at UBMC to provide an objective measurement tool that assists the nursing staff in identifying early signs of pediatric patient deterioration. The PEWS guideline was introduced to 28 nurses and 13 certified nursing assistants (CNAs). PEWS scoring criteria and normal pediatric vital signs were explained and distributed on a badge card for reference. PEWS usage and outcomes, and nursing confidence in detecting early pediatric clinical deterioration, were evaluated for five months through chart reviews and nursing surveys. Thirty-six pediatric patients were admitted to the MS and ICU departments during the evaluation period. 63% of the admissions had PEWS documented. Two pediatric patients were transferred to a higher acuity of care hospital. Early detection of clinical deterioration improves patient outcomes, helps prevent invasive treatments, and reduces patient transfers. PEWS assists in the early recognition and response of infrequent clinical deterioration and improves nurse confidence and competency in caring for pediatric patients, which is imperative for reducing avoidable transfers and improving pediatric patient care outcomes in rural community hospitals.
Subject Pediatric medicine; Health promotion; Nursing
Keywords Pediatric early warning signs; Clinical deterioration; Early interventions
Digital Publisher Stewart Library, Weber State University, Ogden, Utah, United States of America
Date 2021
Medium Dissertation
Type Text
Access Extent 636 KB; 34 page PDF
Language eng
Rights The author has granted Weber State University Archives a limited, non-exclusive, royalty-free license to reproduce his or her theses, in whole or in part, in electronic or paper form and to make it available to the general public at no charge. The author retains all other rights.
Source University Archives Electronic Records; Annie Taylor Dee School of Nursing. Stewart Library, Weber State University
OCR Text Show
Format application/pdf
ARK ark:/87278/s6wtbg1b
Setname wsu_atdson
ID 12066
Reference URL https://digital.weber.edu/ark:/87278/s6wtbg1b
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