Utilization of modified early warning score among ward nurses at Konkola mine hospital, Chililabombwe, Zambia.
| dc.contributor.author | Kanyenda, Regina Mutolwa | |
| dc.date.accessioned | 2025-07-02T12:19:42Z | |
| dc.date.available | 2025-07-02T12:19:42Z | |
| dc.date.issued | 2025 | |
| dc.description | Thesis of Master of Critical Care Nursing. | |
| dc.description.abstract | Background: Hospitalized patients, including those in the Intensive Care Unit, often experience clinical deterioration. The Modified Early Warning Score helps healthcare providers monitor patients’ conditions to anticipate serious adverse events. The recognition, response, and treatment of deteriorating patients are essential for improving patient outcomes and reducing unexpected deaths,length of stay, and cost of Intensive Care Unit care. Therefore, improving patient monitoring, using a simple and user-friendly tool like the Modified Early Warning Score system, remains crucial for early detection and prompt treatment to prevent severe adverse effects. Aim: To establish the utilization of Modified Early Warning Score and its associated factors among ward nurses at Konkola Mine Hospital, Chililabombwe, Zambia. Methods: A cross-sectional descriptive study was conducted among 81 randomly selected nurses using simple random sampling. Data were collected using a validated structured questionnaire. All ethical guidelines were upheld. Data was analyzed using SPSS version 27 employing Chi-square and binary logistic regression tests. Results: The study results revealed suboptimal utilization of the Modified Early Warning Score at 68% with significant associations between age group (p= 0.029), gender (p = 0.001), level of education (p = 0.001), training in Modified Early Warning Score (p = 0.001), attitude (p = 0.001), and knowledge (p = 0.001). Training had a significant impact on Modified Early Warning Score utilization as respondents who had not received training were less likely to utilize MEWS compared to those who had received training (AOR = 11.76; 95% CI, 1.34–103.19; p = 0.026). Respondents with a positive attitude towards Modified Early Warning Score were more likely to utilize it compared to those with a negative attitude (AOR = 5.28; 95% CI, 1.08–6.24; p = 0.003). Knowledge was another important predictor, with respondents who had adequate knowledge of MEWS being more likely to utilize it than those with inadequate knowledge (AOR = 3.05; 95% CI, 0.01–0.32; p = 0.002). Conclusion: This study highlights the suboptimal utilization of Modified Early Warning Score among ward nurses, with significant gaps in knowledge and training. The results underscore the need for targeted education and training programs to enhance nurses' understanding and adoption of Modified Early Warning Score, ultimately improving early detection and response to patient deterioration. Addressing these gaps is critical to ensuring the effective implementation of Modified Early Warning Score and enhancing patient safety and outcomes. Keywords: Modified early warning score, utilization, clinical deterioration, intensive care unit | |
| dc.identifier.uri | https://dspace.unza.zm/handle/123456789/9258 | |
| dc.language.iso | en | |
| dc.publisher | The University of Zambia | |
| dc.title | Utilization of modified early warning score among ward nurses at Konkola mine hospital, Chililabombwe, Zambia. | |
| dc.type | Thesis |