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Implementation of Early Warning System (EWS) by Nurses in the Emergency Department and the Impact to Prevention Incident No Expected: Systematic Review Verdiansyah, Rio; Pujasari, Hening; Handiyani, Hanny; Afriani, Tuti
Indonesian Journal of Global Health Research Vol 7 No 5 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i5.6640

Abstract

The Emergency Department is a high-intensity clinical setting that manages critically ill patients who are highly susceptible to sudden clinical deterioration. Early detection through the implementation of the Early Warning System plays a crucial role in preventing unexpected adverse events, with nurses serving as the primary implementers of this system. This review aims to evaluate current evidence on the implementation of the Early Warning System by nurses in the Emergency Department and its impact on the prevention of unexpected adverse events. This study employed a systematic review approach by applying the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines during the article selection process and using the 2023 edition of the Joanna Briggs Institute (JBI) Critical Appraisal Tool to assess the quality of included studies. Search for articles through the ScienceDirect, ProQuest, PubMed, BMJ Journal, and EBSCO databases from 2020 to 2025. and 10 articles were analyzed. The majority of studies reported that the use of the Early Warning System consistently enhances the early detection of patient deterioration, accelerates clinical response, improves triage accuracy, and assists in predicting the need for advanced care such as admission to intensive care units. Implementation by nurses was also associated with improved compliance in vital signs monitoring and a reduction in patient mortality.
Transformation of Nursing Human Resources Based on Strategy: Addressing the Challenges of Value-Based Care in Modern Hospitals in Indonesia Verdiansyah, Rio; Meilina, Ratna; Fichara, Sitta Diani; Abdiansyah, Baskoro; Susilowati, Margareta; Wulandari, Rista Tri; Hariyati, Rr. Tutik Sri; Handiyani, Hanny
Indonesian Journal of Global Health Research Vol 7 No 4 (2025): Indonesian Journal of Global Health Research
Publisher : GLOBAL HEALTH SCIENCE GROUP

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.37287/ijghr.v7i4.6415

Abstract

Strategic planning and management of human resources (HR) play a crucial role in improving the quality of hospital services. This field study aims to analyze human resource development strategies, particularly in nursing, at Hospital. Field study method. Data were collected through interviews at Hospital X and documentation from Hospital X. Data were obtained through group-based analysis of academic documents and assessment of the hospital's existing conditions. The analysis revealed that Hospital X's main strengths lie in HR competencies, recruitment systems, and ongoing training programs. However, it faces challenges in work culture and career development systems. The proposed strategies include digitalizing HR management systems, collaborating with educational institutions to strengthen nursing capacity, and fostering a culture of patient safety. As part of the implementation, a five-year work plan was developed, encompassing CPD training programs, the development of a Human Resources Information System (HRIS), and the enhancement of reward and recognition programs. This strategic approach is expected to enhance the efficiency, productivity, and competitiveness of hospital human resources amid the transformation of healthcare services.