scholarly journals Midwives’ experiences of using the Obstetric Norwegian Early Warning System (ONEWS): A national cross-sectional study

2021 ◽  
Vol 5 (April) ◽  
pp. 1-9
Author(s):  
Line Fladeby ◽  
Marianne Raunedokken ◽  
Hannah Fonkalsrud ◽  
Dorte Hvidtjørn ◽  
Mirjam Lukasse
2018 ◽  
Vol 1 (1) ◽  
pp. 20-26
Author(s):  
Nur Alvira Pascawati ◽  
Ellen Petra Songjanan ◽  
Tri Baskoro Tunggul Satoto ◽  
Elisabeth Deta

Background: The presence of potential breeding places can be used to measure the risk of DHF transmission in Klaten. This result can be used by the community to eradication of mosquito breeding place on terget and can improve to early warning system through effective methods for vector control. The aim of the study is to know effective methods for vector control to improve early warning system.Methods: Type of study was analytic with cross-sectional study. The study was conducted in 104 households with simple random sampling technique. Data analysis used three stages: univariate, bivariate (Chi-square, Kolmogorov Smirnov, Spearman rank) and multivariate test (multiple logistic regression) with α=5%.Results: The density of larvae based on the value of CI, HI, and BI amounted to 1,6%, 19.2%, 27.9%. The potential place for larvae breed based on Maya Index of 76%. Containers of open wells with groundwater sources, the volume of water is more than 1 liter and the material from cement can be the preferred place for mosquitoes to breed. Multivariate analysis shows that open wells are strongly related and has a risk of 1,556 (CI: 1,199-2,019) increasing the density of larvae compared with other variables.The density of larvae based on who's standards indicates BI is a high category, HI is a moderate category and CI is a low category.Conclusions: The condition is influenced by the presence of open wells made of cement and can hold water in large quantities. Improve to early warning system of DHF transmission through effective methods for vector control in this area are to close the wells at the household level and conduct regular monitoring on the Controllable Sites.


2018 ◽  
Vol 6 (1) ◽  
pp. 29-38
Author(s):  
Nur Alvira Pascawati

The presence of potential breeding places can be used to measure the risk of DHF transmission in Klaten. This result can be used by the community to eridication of mosquito breeding place on terget and can improve to early warning system through effective methods for vector control. Type of study was analytic with cross-sectional study. The study was conducted in 104 households with simple random sampling technique. Data analysis used three stages: univariate, bivariate (Chi-square, Kolmogorov Smirnov, Spearman rank) and multivariate test with α=5%. The density of larvae based on the value of CI, HI, and BI amounted to 1.6%, 19.2%, 27.9%. The potential place for larvae breed based on Maya Index of 76%. Containers of open wells with groundwater sources, the volume of water is more than 1 liter and the material from cement can be the preferred place for mosquitoes to breed. Multivariate analysis shows that open wells are strongly related and has a risk of 1,556 (CI: 1,199-2,019) increasing the density of larvae compared with other variables.The density of larvae based on BI is a high category, HI is a moderate category and CI is a low category. This condition is influenced by the presence of open wells made of cement and can hold water in large quantities. Improve to early warning system of DHF transmission through identification of the presence of potential breading places in this area are to close the wells at the household level and conduct regular monitoring on the Controllable Sites.


1969 ◽  
Vol 6 (1) ◽  
pp. 748-752
Author(s):  
SAIDUL ABRAR ◽  
QAR1B ULLAH ◽  
SHAHID KHAN ◽  
NAEEMULLAH

BACKGROUND: The Disease Early Warning System (DEWS), implemented by the World HealthOrganization (WHO) in collaboration with the Ministry of Health and National Institute of Health, is themain national surveillance system to detect and respond to infectious disease epidemics in Pakistan. TheDEWS was initially implemented in response to natural disaster and displacement emergencies inPakistan, most notably the 2010 floods. However, the system has now expanded to cover about 107million people of Pakistan's population. Its approaches for outbreak detection include immediate alertreporting and weekly data collection from about 2800 health facilities.OBJECTIVE: To find out what problems and suggestions do the trained Health Care Workerscommunicate regarding Disease Early Warning System.MATERIAL & METHODS: This cross-sectional study was conducted on sixty nine Health CareWorkers trained on Disease Early Warning System, from twenty nine randomly selected Basic HealthUnits and Civil Dispensaries in District Swat in the Khyber Pakhtunkhwa province, Pakistan. Astructured interviewer administered questionnaire was used. Within each selected Health Care Facility,we aimed to interview the medical officer or technician in charge who is the designated focal point forDEWS or surveillance/outbreak control activities. At each Health Care Facility all respondents (if morethan one) were interviewed simultaneously in a focus group discussion.RESULTS: 47(68.1%) of the respondents communicated no problem, frequently mentioned barriers tohealth facility were communication problems 9(13.1%), shortage of mane power 4 (5.8%), Irrelevantissues 4(5.8%), Plotting watch chart 1(1.4), DEWS & DHIS forms 1( 1.4), English language 1( 1.4%) andno response 1( 1.4%)CONCLUSION: Improved means of communication needs to be introduced. Performance basedawards in the form of appreciation certificate may be considered. Refresher and on job trainings areneeded.KEY WORDS: Surveillance, Health Care Worker, Pakistan.


2020 ◽  
Vol 4 (1) ◽  
pp. 12
Author(s):  
Sekar Dwi Purnamasari ◽  
Denissa Faradita Aryani

<div class="WordSection1"><p class="AbstractContent"><strong>Objective:</strong> Early warning system (EWS) is a physiological scoring to observe the patient’s condition not only in hospital wards but also in Emergency Department (ED). At an overcrowded ER that have slow of patient flow, EWS is use as an early detection of patient’s deterioration by observing the vital signs. The purpose of this study was to identify the relationship between nurses’ knowledge of initial assessment and the application of EWS at emergency department.</p><p class="AbstractContent"><strong>Methods: </strong>This was a quantitative study that used descriptive correlative with cross-sectional design toward 70 emergency nurses.</p><p class="AbstractContent"><strong>Results:</strong> The result showed there was a relationship between nurses’ knowledge of initial assessment and the application of early warning system at emergency room <em>(p</em>=0 .001)<strong></strong></p><p><strong>Conclusion: </strong>The higher the level of nurses’ knowledge, their behavior is better. It is recommended to maintain the use of EWS in ED that already good through training regularly (re-certification).</p><p class="AbstractContent"><strong> </strong></p><div><p class="Keywords"><strong>Keywords: </strong>Early warning system; emergency department; initial assessment; nurses’ knowledge.</p></div></div>


2020 ◽  
Vol 11 (1) ◽  
pp. 413-422
Author(s):  
Fransiska Anita Ekawati ◽  
Miftahul Jannah Saleh ◽  
Alisyah Sri Astuti

National Early Warning System Scoring (NEWSS) adalah sebuah pendekatan sistematis yang menggunakan skoring untuk mengidentifikasi perubahan atau perburukan kondisi seseorang sekaligus menjadi standarisasi dalam perawatan sehingga perawat mampu menentukan langkah selanjutnya yang harus dikerjakan. Keterlambatan dalam pencegahan perburukan pasien yang dirawat inap menyebabkan pengaktifan code blue yang bisa disebabkan oleh beberapa faktor salah satunya karena kurangnya pengetahuan perawat tentang NEWSS sehingga mempengaruhi perawat dalam menerapkan protokol NEWSS. Penelitian ini bertujuan untuk mengetahui hubungan antara pengetahuan perawat tentang NEWSS dengan penerapannya. Jenis penelitian ini adalah observasional analitik dengan desain penelitian cross sectional. Metode pengambilan sampel menggunakan teknik probability sampling melalui proportional random sampling yang berjumlah 66 responden. Instrument yang digunakan adalah berupa kuesioner, uji yang digunakan dalam penelitian ini adalah uji statistik chi-square, nilai p = 0,083 yang dibaca pada analysis continuity correction. Hal ini menunjukkan bahwa p (0,083) > α (0,05) sehingga tidak ada hubungan pengetahuan perawat tentang NEWSS dengan penerapannya di ruang rawat inap Rumah Sakit Swasta  Makassar. Diharapkan bagi Institusi untuk meningkatkan supervisi, sehingga perawat tahu dan mampu menerapkan protokol NEWSS.


2019 ◽  
Vol 19 (2) ◽  
pp. 149-159
Author(s):  
Leong Yu Kai ◽  
Chai Yan Yu ◽  
Kok Piao Yee ◽  
Siti Nazihah Abdullah ◽  
Tan Qing Hang ◽  
...  

Dengue early warning system, based on many different factors including climatic factors, is likely to be a useful tool for predicting dengue cases. This study aims to assess the perceptions, attitudes, and responses to dengue early warning among a sample of residents in Kuala Lumpur, Malaysia as well as the factors associated with their willingness in participating dengue prevention public activity. A community-based cross-sectional study was conducted among residents of Titiwangsa District, Kuala Lumpur. A structured questionnaire was administered via face-to-face interview. About 75% of the respondents perceived dengue early warning as a useful tool for the community to take preventive measures. However, more than half did not know elevated temperature increases dengue cases. More than 80% wanted to know more how climate can be used to predict dengue outbreak. Willingness of participating in dengue control public activity was associated with age (p<0.001), educational level (p=0.005), perception (p<0.001), and attitude (p<0.001). Perception towards dengue early warning was positive among the urban residents. Majority of the participants reported good attitude with regard to dengue early warning while a minority demonstrated a poor response. Educational level, perception, and attitude are significantly associated with willingness to engage in dengue prevention public activity.


2017 ◽  
Vol 07 (01) ◽  
pp. 027-032 ◽  
Author(s):  
Joris Fuijkschot ◽  
Boris Kramer ◽  
Gijs Vos ◽  
Sam Sambeeck

AbstractThe objective was to evaluate the use of a pediatric early warning system (PEWS) score in Dutch general and university hospitals, 4 years after the introduction of a national safety program in which the implementation of a PEWS was advised. An electronic cross-sectional survey was used. All general and university hospitals (n = 91) with a pediatric department in The Netherlands were included in the study. The response rate was 100%. Three-quarters of all Dutch hospitals were using a PEWS score in the pediatric department. A wide variation in the parameters was found leading to 45 different PEWS scores. Almost all PEWS scores were invalidated, self-designed, or modified from other PEWS scores. In one-third of the hospitals with an emergency room, a PEWS was used with a wide variation in the parameters leading to 20 different PEWS scores, the majority of which are invalidated. Three-quarters of the hospitals did implement a PEWS score. The majority implemented an invalidated PEWS score. This may lead to a false sense of security or even a potentially dangerous situation. Although these systems are intuitively experienced as useful, the scientific evidence in terms of hospital mortality reduction and patient safety improvement is lacking. It is recommended to establish a national working group to coordinate the development, validation, and implementation of a wide safety program and a PEWS usable for both general and university hospitals.


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