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THE EFFECT OF EARLY WARNING SYSTEM IMPLEMENTATION ON EARLY DETECTION OF EMERGENCY CONDITIONS IN HOSPITALIZED PATIENTS: A DESCRIPTIVE CORRELATION STUDY Intan , Intan Munawaroh; Ria, Ria Anggraini; Manggar, Manggar Purwacaraka; Lia, Lia Fadlilah; Intan Munawaroh
Jurnal Penelitian Vol 7 No 2 (2025): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/nh5bwd44

Abstract

Background: Patient safety is a primary focus in healthcare services, particularly in the early detection of clinical deterioration among hospitalized patients. Delays in identifying signs of critical conditions may increase the risk of cardiac arrest, disability, and even death. The Early Warning System (EWS) is an instrument used to efficiently and accurately detect patient deterioration through structured monitoring of vital parameters. This study aimed to determine the relationship between the implementation of EWS and the early detection of emergency conditions in hospitalized patients. Method: This research employed a descriptive correlation design with a cross-sectional approach. The sample of 60 nurses with a total sample. Data were collected using observation instruments assessing EWS implementation and early detection capability. Data analysis was performed using the Chi-Square test. Results showed that most nurses demonstrated a moderate level of EWS implementation (61.6%), while the ability for early detection of emergency conditions was predominantly in the good category (71.6%). The Chi-Square test revealed a significant relationship between EWS implementation and early detection ability with a p-value of 0.001 (p < 0.05). This indicates that the more optimal the EWS implementation, the faster and more accurate nurses are in recognizing clinical deterioration. Conclusion: The importance of consistent EWS application as a preventive measure against critical events in patients. Hospitals are encouraged to strengthen training programs, supervision, and support facilities to optimize EWS performance and enhance patient safety outcomes.
EFFECTIVENESS OF MODERN WOUND CARE MANAGEMENT BASED ON EVIDENCE-BASED NURSING Ossi Dwi Prasetio; Shulhan Arief Hidayat; Manggar Purwacaraka; Rio Ady Erwansyah
Jurnal Penelitian Vol 8 No 1 (2026): JURNAL PENELITIAN
Publisher : Institut Ilmu Kesehatan Nahdlatul Ulama Tuban

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.47710/vq5yhb90

Abstract

Background: Chronic wounds pose a challenge in healthcare due to the risk of infection, complications, amputations, and reduced quality of life for patients. Technological advances have led to the emergence of various modern wound care methods that are more effective than conventional methods. Methods: This study employed a literature review with the PRISMA approach. Articles were searched through Scopus, PubMed, ProQuest, and Google Scholar databases using keywords related to modern wound care and wound healing. Fifteen articles meeting the inclusion criteria were analyzed and synthesized. Results: The review showed that various modern wound care interventions, such as smart dressings, Negative Pressure Wound Therapy (NPWT), biological therapy, modern debridement, complementary therapies, and multidisciplinary approaches, can accelerate granulation tissue formation, enhance re-epithelialization, reduce infection and biofilm, and accelerate the healing process. NPWT is one of the interventions with the most consistent evidence of effectiveness, especially in complex and chronic wounds. Conclusion: Modern wound care management based on evidence-based practice has been shown to be more effective in improving wound healing through a combination of technology, regenerative therapy, and a holistic, patient-centered approach.