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All Journal Jurnal Kesehatan Mesencephalon Jurnal Kesehatan Mesencephalon Journal Of Nursing Practice Holistic Nursing and Health Science Care : Jurnal Ilmiah Ilmu Kesehatan Jurnal Ilmu Keperawatan Jiwa JAIM (Jurnal Abdi Masyarakat) Nursing Sciences Journal Jurnal Ilmiah STIKES Yarsi Mataram Jurnal Lentera Journal for Quality in Public Health Jurnal Mahasiswa Kesehatan Journal of Community Service for Health Strada Jurnal Ilmiah Kesehatan (SJIK)
Erik Irham Lutfi
Fakultas Ilmu Kesehatan Universitas Kadiri
Humanities Dentistry Economics, Econometrics & Finance Education Health Professions Medicine & Pharmacology Neuroscience Nursing Public Health Social Sciences Veterinary Other

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Integrating the Early Warning Scoring System (EWSS) into Nursing Students’ Assessment to Enhance Critical Thinking and Optimize Patient Care in Inpatient Settings Lutfi, Erik Irham; Suharto, Idola Perdana Sulistyoning; Haryuni, Sri; Fitriasnani, Meirna Eka; Wahdi, Achmad
Journal Of Nursing Practice Vol. 9 No. 3 (2026): April
Publisher : Universitas STRADA Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30994/jnp.v9i3.1039

Abstract

Background: High-quality nursing care begins with an accurate and comprehensive patient assessment. The Early Warning Scoring System (EWSS) is a vital tool in inpatient units for monitoring vital signs and detecting early signs of clinical deterioration, enabling timely intervention. However, field observations indicate that nursing students often lack a practical understanding and the ability to apply EWSS, leading to passivity and uncertainty in clinical decision-making. Therefore, the development of EWSS-based initial assessments within nursing care reports is essential to enhance students' critical thinking and rational intelligence in clinical practice.Purpose: This study aims to develop and implement an EWSS-based initial assessment model that enables students to integrate assessment findings, scoring values, and appropriate clinical interventions. Through the interpretation of EWSS scores, students are expected to improve their clinical reasoning and decision-making skills within inpatient nursing services.Methods: This study employed a comparative analytical quantitative design. The research was conducted in the inpatient wards of a hospital in East Java. The population consisted of all nursing profession students (Ners) undergoing clinical practice in 2024, with a total sample size of 28 respondents. The independent variable was the nursing care report integrated with EWSS indicators, while the dependent variable was the students' rational intelligence in clinical decision-making related to EWSS outcomes. Data were collected using initial assessment observation sheets supplemented with EWSS. Statistical analysis was performed using the Wilcoxon test to determine differences before and after the intervention.Results: The integration of EWSS parameters into nursing students' assessment instruments significantly improved their ability to accurately interpret patients' clinical conditions and guided them in determining interventions, thereby enhancing rational intelligence. Conclusion: Early exposure to EWSS among students ultimately supports the creation of safer (patient safety) and more effective nursing care across all clinical practice settings.
Co-Authors Abda Abda Achmad Wahdi Agnes, Yeni Lufiana Novita Agus Sugeng Rahayu Ah Yusuf, Ah Alimansur , Moh. Alimansur, Moh. Ariadi Santoso, Ariadi Arif Nurma Etika Bella Ainun Eka Wardani Brahmbhatt, Shrutt Budi Heryanto Darwadi Darwadi Delja Ayuk Rasidi Dewi Nur Afifi Dhita Kris Prasetyanti Dian Pitaloka Priasmoro, Dian Pitaloka Didik Susetiyanto Atmojo Edwin Putra Setya Indiarto Elfred Rinaldo Kasimo Eliya Rohani Ema Fatmawati Anindya Etika , Arif Nurma Evi Husniati Sya'idah Evi Husniati Sya'idah Fachry Abda El Rahman Fauzia Laili Ferlina Jaizah Agustin Fernando Fernando Fithri Rif’atul Himmah Fitria Rahayu , Velinda Fitriasnani, Meirna Eka Hendy Hengky Irawan Heri Kristianto Huda Rohmawati Indah Jayani Indah Jayani Indah Jayani Isnaeni, Ely Jamhari Jamhari Karingga, Devangga Darma Kurnia Kurnia Novitasari M. Dian Ruhamak M. Dian Ruhamak, M. Dian Martianawati Martianawati Mayasari Putri Ardela Mayta Sari Dwianggimawati Moh Alimansyur Mujtahid Bin Abd. Kadir Munadi Munadi Nara Lintan Mega Puspita Novia Ulfa Nur Rahmadi, Afif Nur Rohmah, Sinta Koniatul Nur Wasilatul Kauniyah Pamadya Vitasmoro, Pamadya Puspitosari, Dewi Retno Rahayu, Mega Diasty Rahma Kusuma Dewi Retno Puspitosari, Dewi Satria Eureka Nurseskasatmata Siswi Wulandari Siti Siti Aminah Sri Haryuni Sulistyawati, Wiwin Sulistyawati, Wiwin Sulistyoning Suharto, Idola Perdana Sulistyoning Suharto, Idola Perdana Susmiati Susmiati Susmiati Susmiati Sutriningsih, Ani Sutrisno, Sutrisno Titin Andri Wihastuti Tontowi Jauhari winarti, eko Wiwin Sulistyawati Yeni Frilia Sabbok Yeni Lufiana Novita Agnes Yeni Lufiana Novita Agnes Yeni Puspita Anggraini Yunalia, Endang Mei Yuni Asri