scholarly journals Web-Based Partograph on Early Detection of Emergency Cases and Referral Processes

2019 ◽  
Vol 11 (6) ◽  
pp. 79
Author(s):  
Devianti Tandiallo ◽  
Mardiana Ahmad ◽  
Syafruddin Syarif ◽  
Nasrudin A. Mappaware ◽  
Prihantono Prihantono ◽  
...  
Keyword(s):  
Mortality Rate ◽  
Early Detection ◽  
Warning System ◽  
Sampling Technique ◽  
Infant Mortality Rate ◽  
P Value ◽  
Web Based ◽  
Quasi Experimental ◽  
Emergency Detection ◽  
Better Than

INTRODUCTION: The partograph is designed as a tool to monitor a woman’s progress of labor. If it is used appropriately, the partograph can be used as a means of prevention and an early warning system to the need for further action such as caesarian section. The used of partograph is able to lower the percentage of Maternal Mortality Rate (MMR) and Infant Mortality Rate (IMR). This study aimed to determine the comparison between word electric browser (WEB)-based partograph and the conventional partograph. MATERIALS & METHODS: This study aimed to compare between the use of WEB-based patorgaph and conventional patograph. To gain the data, the researcher adopted quasi experimental method. Using purposive sampling technique, 30 women in labour were participated in this study. The data were analyzed by using the Independent T- test and Mann-Whitney test. RESULTS: The result of the study showed that the utilization of WEB-based partograph is faster in recording the contraction, oxytocin, and the process of giving birth than the utilization of conventional partograph. Furtehrmore, promptness of WEB-based partograph in early detection has p-value 0.000 (<0.05) and p-value in emergency detection is 0.014 (<0.05) which means that there was differences between the use of WEB-based partograph and conventional partograph. Meanwhile, p-value of referral process is 1.000 (>0.05) which means that there was no difference in using both WEB-based partograph and conventional partograph. CONCLUSION: This means that using the monitoring of the WEB-based partograph or the conventional partograph showed differences. The utilization of WEB-based partograph is better than conventional partograph since it can be used as a means to monitor the progress of labour.

scholarly journals The Competence of Health Workers in the Early Detection of Neonatal at the Puskesmas Ulee Kareng, Banda Aceh

2020 ◽  
Vol 7 (2) ◽  
pp. 12
Author(s):  
Dewi Marianthi ◽  
Teuku Alamsyah
Keyword(s):  
At Risk ◽  
Mortality Rate ◽  
Early Detection ◽  
Health Workers ◽  
Neonatal Care ◽  
Infant Mortality Rate ◽  
P Value ◽  
Quasi Experimental ◽  
Care Training ◽  
Banda Aceh

Infant mortality rate in Indonesia is quite high, and newborns have an even higher mortality rate compared to toodlesr or older infants. The competence of the health workers in identifying early detection of newborns at risk in the communit considered as one of the factors that generates  belated treatment in the health services. To increase the competence of health workers in early detection of newborns at risk by providing training for neonatal care. A quasi-experimental quantitative method, with one-group pretest-posttest design. The sample of the research is 45 health workers in Ulee Kareng Health Center, Banda Aceh. The result of the research revealed the increased competence in knowledge, attitudes and skills of the health workers with p value 0,0000 before and after the neonatal care training. Neonatal care training will increase the competence (knowledge, attitudes and skills) of health workers in early detection of newborns at risk.

scholarly journals ANALYSIS OF CHARACTERISTICS OF INFANT DEATH RATE (2015-2019) IN UPTD PUSKESMAS JAPARA KUNINGAN DISTRICT, 2020

2021 ◽  
Vol 1 (1) ◽  
pp. 12-22
Author(s):  
Yona Septina ◽  
Luthfiah Zakiyah ◽  
Heri Hermansyah ◽  
Siti Nunung Nurjannah
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Maternal Age ◽  
Sampling Technique ◽  
Infant Mortality Rate ◽  
P Value ◽  
Test Technique ◽  
Infant Deaths ◽  
Live Births ◽  
Birth Attendants

Infant mortality is a death incident that occurs in newborns up to <1 year of age. Infant mortality is measured as the infant mortality rate, which is the number of deaths for children under 1 year of age per 1000 births. According to WHO, the infant mortality rate in Indonesia reaches 27/1000 live births. Based on the health profile of West Java, the number of infant deaths in 2017 reached 3.4 / 1000 live births. In the UPTD Puskesmas Japara there are 34 cases of infant mortality. Infant mortality is caused by several factors, including maternal age, education, birth attendants, and parity. The research objective was to determine the analysis of the characteristics of the incidence of infant mortality in 2015-2019 at the UPTD Puskesmas Japara, Kuningan Regency. The research method used was quantitative with a retrospective design, taken from secondary data 2015-2019, the population in the study was all infant deaths in the UPTD Puskesmas Japara, amounting to 34 people. Selection of a sample of 34 people using the total sampling technique. The statistical test technique uses the Chi Square test. The results showed that there was a relationship between parity (p-value = 0.006) and there was no relationship between maternal age (p-value = 0.129), education (p-value = 0.156), birth attendants (p-value = 0.781) and death. babies in 2015-2019 at UPTD Puskesmas Japara, Kuningan Regency. It can be concluded that the incidence of infant mortality occurs in some mothers with no risk age, some mothers with primary education, some mothers with multiparity parity. Suggestions for health centers are expected to increase the priority of health programs in an effort to reduce the incidence of infant mortality.

scholarly journals The Effect of Pictorial Models Health Education on Mother Skill in Determining Early Anemia on Primary School Children

2018 ◽  
Vol 1 (3) ◽  
pp. 1
Author(s):  
Aniharyati Aniharyati ◽  
Haris Haris ◽  
Ahmad Ahmad
Keyword(s):  
Health Education ◽  
Early Detection ◽  
Primary School ◽  
School Children ◽  
Teaching And Learning ◽  
Sampling Technique ◽  
Wilcoxon Test ◽  
Primary School Children ◽  
P Value ◽  
Quasi Experimental

Introduction: Early detection of anemia can be performed by mother and the mother should have knowledge and skills in it. Health education is a strategy in providing knowledge, comprehension, abilities and skills for empowerment. This is a quasi-experimental research with pre and post-test design in the same group. Researchers will assess mothers who have elementary school children before and after a pictorial model health education given on how to detect early anemia in primary school children. This research was conducted in Bontokape Village, Bolo Sub-district, Bima Regency. The population of this research was 150 people and 60 people were chosen as samples by purposive sampling technique. Data were analyzed by Wilcoxon test. Results: Unskilled category respondents are 91,7% before health education given and decrease to 0% after health education.Pictorial model health education is significantly influence on early detection mother skill of anemia in primary school children (p-value 0,00). Discussion: Narration and animation in teaching and learning process is an interesting media and proven effectively to improve learning result. Pictorial model health education can significantly improve the mother's skills.

scholarly journals Education of Friends as Improves Knowledge and Attitudes of Youth Adolescents

2020 ◽  
Vol 8 (4) ◽  
pp. 451
Author(s):  
Aric Frendi Andriyan ◽  
Arina Widya Murni ◽  
Rika Fatmadona
Keyword(s):  
Breast Cancer ◽  
Early Detection ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Wilcoxon Test ◽  
Control Group ◽  
P Value ◽  
Knowledge And Attitudes ◽  
Post Test ◽  
Quasi Experimental

Early detection is the first step in breast cancer prevention which targets can be done during adolescence, early detection in adolescents needs to be done through peer educators because adolescents prefer information from peers rather than parents or teachers, so that the material presented can improve BSE knowledge and attitude. This study aims to determine the effect of peer health education regarding knowledge and attitudes of BSE. The research design used a quasi-experimental study with a pre-post approach with a control group. Young women are the population in this study, with the sampling technique using purposive sampling. The sample used was 240 female teenage respondents according to the inclusion and exclusion criteria. Data collection using a questionnaire with Cronbach's alpha is 0.941> 0.7 for knowledge and 0.890 (> 0.361) for attitudes. Data analysis using the Wilcoxon test. The results showed that there was a difference between the pre-test median knowledge score was 14 and increased to 22 after the post-test with a P value of  0.000 <0.05 and the pre-test attitude median value was 17 increasing to 23 after the post-test with P Value 0.000 <0.05. Based on the research, it can be concluded that peers are very influential in increasing BSE knowledge and attitudes so that it is very important in early detection of breast cancer.

Efektivitas Aroma Terapi Lemon untuk Menangani Emesis Gravidarum

2019 ◽  
Vol 11 (4) ◽  
pp. 277-284
Author(s):  
Vitrianingsih Vitrianingsih ◽  
Sitti Khadijah
Keyword(s):  
Pregnant Women ◽  
Sampling Technique ◽  
T Test ◽  
The Body ◽  
Nausea And Vomiting ◽  
P Value ◽  
Purposive Sampling ◽  
Body Tissues ◽  
Quasi Experimental ◽  
Paired T Test

Studi memperkirakan emesis gravidarum terjadi pada 50-90% kehamilan. Mual muntah pada kehamilan memberikan dampak yang signifikan bagi tubuh dimana ibu menjadi lemah, pucat dan cairan tubuh berkurang sehingga darah menjadi kental (hemokonsentrasi). Keadaan ini dapat memperlambat peredaran darah dan berakibat pada kurangnya suplay oksigen serta makanan ke jaringan sehingga dapat membahayakan kesehatan ibu dan janin. Salah satu terapi yang aman dan dapat dilakukan untuk mengurangi keluahan mual muntah pada ibu hamil adalah pemberian aromaterapi lemon. Penelitian bertujuan untuk mengetahui efektifitas aroma terapi lemon untuk menangani emesis gravidarum. Penelitian ini menggunakan rancangan Quasi experiment  dengan  one group pre-post test design. Populasi penelitian adalah ibu hamil yang mengalami emesis gravidarum di Kecamatan Berbah, Sleman. Jumlah sampel 20 ibu hamil trimester pertama yang diambil dengan teknik purposive sampling. Pengukuran mual muntah dilakukan debelum dan setelah  pemberian aromaterapi lemon menggunakan Indeks Rhodes. Analisa data menggunakan uji Paired t-test. Hasil penelitian didapatkan rata-rata skor mual muntah sebelum pemberian aromaterapi lemon berdasarkan Indeks Rhodes pada Ibu Hamil dengan emesis gravidarum yaitu 22,1 dan terjadi penurunan skor setelah pemberian aromaterapi lemon menjadi 19,8. Ada pengaruh pemberian aromaterapi lemon dengan pengurangan mual muntah pada ibu hamil (p-value = 0.017). Berdasarkan hasil penelitian dapat disimpulkan pemberian aromaterapi lemon efektif untuk mengurangi emesis gravidarum pada ibu hamil trimester pertama.  Kata kunci: aromaterapi lemon, emesis gravidarum THE EFFECTIVENESS OF LEMON AROMATHERAPY FOR HANDLING EMESIS GRAVIDARUM   ABSTRACT Studies estimate that nausea and vomiting (emesis gravidarum) occur in 50 – 90% of pregnancies. Nausea and vomiting of pregnancy have a significant impact on the body in which it makes a mother becomes weak, pale, and decreasing body fluid so that the blood becomes thick (hemoconcentration). This situation can slow down blood circulation and inflict the lack of oxygen and food supplies to the body tissues so that it can endanger the health of the mother and fetus. One of the therapies that is safe and can be conducted to reduce nausea and vomiting of pregnancy is by giving the lemon aromatherapy treatment. The research aims to determine the effectiveness of the aroma of lemon therapy to deal with emesis gravidarum. This study applied quasi-experimental research with one group pretest-posttest design. The population of this study was pregnant women who experienced emesis gravidarum. Furthermore, samples were 20 mothers from Berbah, Sleman taken by using a purposive sampling technique. Nausea and vomiting were assessed between before and after giving lemon aromatherapy using the Rhodes Index. The data were analyzed using the paired t-test. The mean score of nausea and vomiting before giving lemon aromatherapy on mother with emesis gravidarum based on the Rhodes Index was 22.1. However, it decreased after given lemon aromatherapy treatment to 19.8. Therefore, there was an effect on giving lemon aromatherapy treatment toward the decrease of nausea and vomiting for pregnant women (p-value = 0.017). Lemon aromatherapy is effective to reduce emesis gravidarum.  Keywords: lemon aromatherapy, emesis gravidarum

EFEKTIFITAS KONSELING LAKTASI PADA IBU HAMIL TRIMESTER III TERHADAP PELAKSANAAN MENYUSUI

2019 ◽  
Vol 11 (1) ◽  
pp. 41-50
Author(s):  
Heni Purwaningsih ◽  
Umi Aniroh ◽  
Eko Mardiyaningsih
Keyword(s):  
Mortality Rate ◽  
Pregnant Women ◽  
Body Position ◽  
Development Program ◽  
Optimal Growth ◽  
Infant Mortality Rate ◽  
P Value ◽  
Time Data ◽  
Emotional Bonding ◽  
Post Test

Program pembangunan kesehatan di Indonesia masih berfokus pada upaya peningkatan derajat kesehatan ibu dan anak terutama pada masa prenatal. Hal ini disebabkan masih tingginya Angka Kematian Ibu (AKI) dan Angka Kematian Bayi (AKB). ASI yang diberikan sejak usia dini dan dilanjutkan dengan ASI eksklusif selama 6 bulan dapat menurunkan angka kesakitan dan angka kematian bayi serta meningkatkan tumbuh kembang bayi secara optimal.  Penelitian ini bertujuan untuk mengetahui efektifitas pemberian konseling laktasi terhadap pelaksanaan menyusui pada ibu hamil trimester III. Desain penelitian menggunakan quasi eksperimen dengan rancangan One Group Pre-test dan  Post-test Desain. Populasi dalam penelitian ini adalah ibu hamil trimester III dan sampel yang diambil adalah 18 ibu hamil. Alat penggumpulan data menggunakan lembar observasi BREAST (body position, respons, emotional bonding, anatomy dan sucking time). Analisis data menggunakan wilcoxon.Hasil penelitian didapatkan pelaksanaan menyusui sebelum dilakukan konseling laktasi dalam kategori kurang (72,2%) sedangkan pelaksanaan menyusui setelah dilakukan konseling laktasi (77,8%) dalam kategori baik. Konseling laktasi efektif dilakukan untuk meningkatkan pelaksanaan menyusui denganp-value 0,003 (p<0,005).Konseling laktasi seharusnya diberikan pada masa prenatal sehingga pada saat postpartum, ibu sudah mampu memberikan asi secara maksimal. Pendampingan terhadap ibu hamil juga berperan dalam pelaksanaan pemberian ASI.   Kata kunci : Konseling laktasi, ASI, pelaksanaan menyusui   THE EFFECTIVENESS OF LACTATION COUNSELING IN THE 3rd TRIMESTER PREGNANT WOMEN ON BREASTFEEDING IMPLEMENTATION   ABSTRACT Indonesia's health development program still focuses on improving mother and child health, especially at the prenatal stage. It is due to the high maternal mortality rate (MMR) and Infant Mortality Rate (IMR). Breastmilk given from an early age and continued with exclusive breastfeeding for six months can reduce infants morbidity and mortality rate and increase their optimal growth. The purpose is to investigate the effectiveness of lactation counseling to the implementation of breastfeeding in third-trimester. The study design used quasi experiments with one group pre-test and post-test. Population was the 3rd-trimester pregnant mothers, and the samples were 18 mothers. The data collection tool used BREAST observation sheets (body position, response, emotional bonding, anatomy and sucking time). Data analysis used Wilcoxon. The result of the research shows that breastfeeding before lactation counseling is in less category (72,2%) while breastfeeding after lactation counseling (77,8%) is in a goodcategory. Effective lactation counseling is performed to improve the implementation of breastfeeding with p-value 0.003 (p <0.005). Lactation counseling should be given during the prenatal period so that at the time of postpartum, the mother has been able to give breastmilk maximally. Mentoring for pregnant women also plays a role in the implementation of breastfeeding Keywords: lactation counseling, breast milk, breastfeeding implementation

FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN KEJADIAN BBLR DI RUMAH SAKIT UMUM DAERAH PALEMBANG BARI TAHUN 2013

2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Juliana Widyastuti Wahyuningsih Juliana Widyastuti Wahyuningsih
Keyword(s):  
Birth Weight ◽  
Mortality Rate ◽  
Low Birth Weight ◽  
Random Sampling ◽  
Maternal Age ◽  
Univariate Analysis ◽  
Infant Mortality Rate ◽  
Survey Method ◽  
P Value ◽  
Chi Square

ABSTRACT   Low birth weight (LBW) infants with birth weight is less than 2500 grams, regardless of gestational age. Statistically showed 90 % incidence of LBW obtained in developing countries with a mortality rate 35 times higher tinggi.Di South Sumatra Province Infant Mortality Rate ( IMR ) is 29 per 1,000 live births. In Palembang BARI hospitals incidence of LBW in 2013 amounted to 317 cases . The purpose of this study is to determine is there a relationship between the factors of age, education, and parity with the incidence of Low Birth Weight in Palembang BARI hospitals in 2013. This study used survey method crosss sectional analytic approach. The study population was all women who gave birth and was admitted to hospital obstetrics Palembang BARI installations in 2013 amounted to 901. This research was conducted in February 2014. Samples were taken with a random sampling method sistematic. Analyze data using statistical test Chi - Square. Results of univariate analysis of this study showed that 193 (69.4 %) of the respondents had low birth weight, and 85 (30.6 %) respondents had BBLN. 63 (22.7 %) of respondents with a high risk of maternal age and 215 (77.3 %) of respondents with a low risk of maternal age. 157 (56.5 %) respondents with low education mothers and 121 (43.5 %) of respondents with higher education mothers. 48 (17.3 %) respondents with high parity mothers and 230 (82.7 %) respondents with low parity mothers. So the bivariate analysis showed no significant association between maternal age with the incidence of LBW with P value = 0.035, no significant association between education and the incidence of LBW with P value = 0.006, and no significant relationship between the incidence of low birth weight with parity P value = 0.041. It is recommended for health care workers (midwives) hospital in order to be used as material information regarding the occurrence of LBW and as an input as well as the evaluation of success in good health or when needed to do counseling and care of LBW, especially to mothers who give birth to low birth weight baby.   ABSTRAK Berat badan lahir rendah (BBLR) adalah bayi dengan berat lahir kurang dari 2500 gram tanpa memandang masa gestasi. Secara statistik menunjukkan 90% kejadian BBLR didapatkan di negara berkembang dengan angka kematiannya 35 kali lebih tinggi.Di Propinsi Sumatera Selatan Angka Kematian Bayi (AKB) sebesar 29 per 1.000 kelahiran hidup. Di RSUD Palembang BARI Tahun 2013 angka kejadian BBLR berjumlah 317 kasus. Tujuan Penelitian ini adalah untuk mengetahui adakah hubungan antara faktor umur, pendidikan, dan paritas dengan kejadian Berat Badan Lahir Rendah di RSUD Palembang BARI Tahun 2013. Penelitian ini menggunakan metode survey analitik dengan pendekatan crosss sectional. Populasi penelitian ini adalah semua ibu yang melahirkan dan dirawat inap di instalasi kebidanan RSUD Palembang BARI Tahun 2013 berjumlah 901. Penelitian ini dilakukan pada bulan Februari 2014. Sampel penelitian diambil dengan metode sistematic random sampling. Analisa data menggunakan uji statistik Chi – Square. Hasil penelitian analisis univariat ini menunjukkan bahwa 193 (69,4%) responden mengalami BBLR, dan 85 (30,6%) responden mengalami BBLN. 63 (22,7%) responden dengan umur ibu resiko tinggi dan 215 (77,3%) responden dengan umur ibu resiko rendah. 157 (56,5%) responden dengan ibu pendidikan rendah dan 121 (43,5%) responden dengan ibu pendidikan tinggi. 48 (17,3%) reponden dengan ibu paritas tinggi dan 230 (82,7%) responden dengan ibu paritas rendah. Sehingga analisa bivariat menunjukkan ada hubungan yang bermakna antara umur ibu dengan kejadian BBLR dengan P value = 0,035, ada hubungan yang bermakna antara pendidikan dengan kejadian BBLR dengan P value = 0,006 dan ada hubungan yang bermakna antara paritas dengan kejadian BBLR dengan P value = 0,041. Disarankan bagi petugas kesehatan (bidan) rumah sakit agar dapat dijadikan sebagai bahan informasi mengenai terjadinya BBLR dan sebagai bahan masukan serta evaluasi keberhasilan dalam pelayanan kesehatan yang baik atau bila perlu dilakukannya penyuluhan serta asuhan  tentang BBLR khususnya kepada ibu yang melahirkan Bayi dengan BBLR.  

Effect Of Pregnancy Exercise On Third Trimester Primigravida Anxiety In Dealing With Childbirth

2021 ◽  
pp. 76-83
Author(s):  
Ismi Puji Astuti
Keyword(s):  
Treatment Group ◽  
Sampling Technique ◽  
The Body ◽  
Rank Test ◽  
Control Group ◽  
P Value ◽  
Research Subjects ◽  
Third Trimester ◽  
Quasi Experimental ◽  
Signed Rank Test

Background: The first labor anxiety is an unpleasant psychological condition due to physiological changes that cause psychological instability. The condition of excessive anxiety, worry, fear without cause, and stress, causes the muscles of the body to tense up, especially the muscles in the birth path to become stiff and hard, making it difficult to expand. This study analyzed the effect of pregnancy exercise on third trimester primigravida anxiety in dealing with childbirth. Methods: Quasi experimental design with nonrandomized pretest-postest control group. The sampling technique used was purposive sampling with 34 research subjects. 17 people for the treatment group were given pregnancy exercise 8 times, and 17 people for the control group were given health education about preparation for childbirth. Results: The results of data analysis using the Wilcoxon signed rank test showed that the average reduction in the treatment group was 8.00 and the control group was 3.00. The effect of pregnancy exercise on third trimester primigravida anxiety in the treatment group with a p-value (0.000) <(0.05), while the control group with a p-value (0.180)> (0.05). Conclusion: There is an effect of pregnancy exercise on third trimester primigravida anxiety in dealing with childbirth in the Wuryantoro Health Center work area. 

The Effectiveness of Basic Dance Movement Therapy on the Completeness of Motoric Skill in Preschool Children

2021 ◽  
Vol 10 (1) ◽  
pp. 1
Author(s):  
Sambodo Sriadi Pinilih ◽  
M. Khoirul Amin ◽  
Evi Rositasari
Keyword(s):  
Preschool Children ◽  
Motor Skills ◽  
Motor Development ◽  
Sampling Technique ◽  
Movement Therapy ◽  
Bivariate Analysis ◽  
P Value ◽  
Dance Movement Therapy ◽  
Dance Movement ◽  
Quasi Experimental

Motor development is one aspect of development that can integrate the development of other aspects. If the developmental aspect is not stimulated, the child's development will be delayed, so the child will have difficulty in following the learning process in elementary school. Basic Dance Movement Therapy is the provision of independent therapy. This study aims to determine the effectiveness of Basic Dance Movement Therapy on the Completeness of Motoric Skill in Preschool Children. This study used quasi-experimental with one group pre-post design. The sampling technique was Proportionate Stratified Random Sampling with a sample size of 58 children studying at Aisyiyah Playgroup, at Jamblang, Kaliabu Village, Salaman District and Az-Zahra NU Playgroup, Salaman District. Data analysis was performed using univariate and bivariate analysis with the Wilcoxon statistical test. There was a significant effectiveness of Basic Dance Movement Therapy and the completeness of motor skills of preschool children in Aisyiyah Playgroup, Jamblang, Kaliabu Village, Salaman District and Az-Zahra NU Playgroup,  Salaman, with a p-value of 0.000 (p <0.05). Basic Dance Movement Therapy is effective to improve the children's motoric skills. Suggestion: This study can be used as the basic for further research, namely modified therapy under normal conditions or combined with other methods that can be done online or offline.

scholarly journals IMPLEMENTATION OF EARLY WARNING SYSTEM IN NURSING WARD: A LITERATURE REVIEW

2021 ◽  
Vol 10 (1) ◽  
pp. 126-134
Author(s):  
Meli Diana ◽  
Dimas Hadi Prayoga ◽  
Dini Prastyo Wijayanti
Keyword(s):  
Early Detection ◽  
Early Warning ◽  
Scoring System ◽  
Early Warning System ◽  
Sudden Cardiac Arrest ◽  
Warning System ◽  
High Rate ◽  
Early Warning Score ◽  
Score System ◽  
Emergency Detection

Background: Hospital service is a process that involves all elements in the hospital including nurses and inpatient rooms or nursing wards. Different inpatient conditions will be treated in separated wards, by the same token patients with unstable conditions are admitted in intensive care units, this procedure aims to reduce the mortality incidence due to sudden cardiac arrest, therefore early detection of patients’ clinical deterioration using the early warning score system performed by the nurse in the nursing wards is required. Objective: This review study is a summary of the early warning system implementation in the nursing wards. Design: The data was obtained from international journal providers Proquest and Ebsco databases. The author accessed unair.remotexs.co website. Review Methods: Narative Review. Results: Early warning score is an effective intervention for emergency detection in patients. Conclusion: Early detection clinical emergency or known as the Early Warning Score System (EWSS) is the application of a scoring system for early detection of patient's condition before a worsening situation occurs. The implementation of this scoring system is necessary due to the high rate of deterioration of patient conditions that requiring immediate management to prevent profound deterioration and its subsequent adverse effect Keywords : Early warning system;nurse care;literatur;review

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