KIẾN THỨC VÀ THÁI ĐỘ CỦA ĐIỀU DƯỠNG KHI ÁP DỤNG THANG ĐIỂM CẢNH BÁO SỚM (NEWS2)

Abstract

Objective: To determine the rate of knowledge, attitude and application rate of National early warning score 2 (NEWS2) of nurses based on Decision 3790/QD – BV on promulgating the process of organizing in-hospital emergency care of Military Hospital 175 and related factors. Methods: A descriptive cross-sectional study was conducted from September 2024 to June 2025 on 176 nurses directly caring for patients in ten departments implementing the pilot Emergency Resuscitation unit of the Hospital as prescribed in the above decision. Results: 75% of nurses had correct knowledge and 30.1% had a positive attitude when applying NEWS2. The rate of nurses who applied the early warning score (NEWS2) well in monitoring the clinical progress of patients was only 41.5%. Of which, 36.3% of nurses applied NEWS2 at the prescribed times, the rate of compliance with re-evaluation of the scale was 56.3%, the rate of nurses applying clinical responses when there was a change in the NEWS2 score was 62.5%. Factors related to the application of this score include the working department and the attitude of nurses. Conclusions: The rate of nurses applying the NEWS2 score well is not high, only 41.5%. Therefore, to maintain better implementation of NEWS2, the Hospital needs to consider integrating it into the electronic medical record system to simplify the process, increase feasibility and effectiveness in practical application.