The Effectiveness Of The Application Of Nursing Early Warning Score System (NEWSS) In Reducing The Frequency Of Emergency Cardiac Arrest: A Case Study Of Pelamonia Hospital, Makassar


  • Nusdin Nunu Nusdin Universitas Megarezky



NEWSS, Cardiac Arrest Emergency


One of the efforts made by nurses to identify deterioration or emergency incidents in patients is through the use of Nursing Early Warning Score System (NEWSS). This study therefore aims to determine the effectiveness of this system in reducing the frequency of cardiac arrest in patients. A quasi-experiment with a post-test only control group design was adopted and a sample of 80 respondents was obtained. Furthermore, the research instrument consists of 7 physiological parameters in the NEWSS assessment, under standard operating procedures. The results from the Mann Whitney test with a P value of 0.000, (P <0.05) indicate that the System is effective in reducing the frequency of emergency cardiac arrests.


Keywords: NEWSS, Cardiac Arrest Emergency


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(1) Sutherasan Y, Theerawit P, Suporn A, Nongnuch A, Phanachet P, Kositchaiwat C. Introducing the early warning scoring system and protocol on clinical outcomes in a tertiary referral university hospital. Therapeutics and clinical risk management. 2018;14:2089.

(2) Goldberger ZD, Chan PS, Berg RA, Kronick SL, Cooke CR, Lu M, et al. Duration of resuscitation efforts and survival after in-hospital cardiac arrest: an observational study. The Lancet. 2012;380(9852):1473-81.

(3) Sakinah S, Fadil M, Firdawati F. Faktor-Faktor yang Berhubungan dengan Tingkat Pengetahuan Dokter Jaga IGD tentang Penatalaksanaan Kasus Henti Jantung di Rumah Sakit Tipe C se-Sumatera Barat. Jurnal Kesehatan Andalas. 2019;8(1):1-9.

(4) Muthmainnah M. Hubungan Tingkat Pengetahuan Awam Khusus Tentang Bantuan Hidup Dasar Berdasarkan Karakteristik Usia di RSUD X Hulu Sungai Selatan. Healthy-Mu Journal. 2019;2(2):31-5.

(5) Maftoohian M, Assarroudi A, Stewart JJ, Dastani M, Rakhshani MH, Sahebkar M. Evaluating the Use of a Modified Early Warning Score in Predicting Serious Adverse Events in Iranian Hospitalized Patients: A Prognostic Study. Journal of Emergency Nursing. 2020;46(1):72-82.

(6) Bian Y, Xu F, Lv R-j, Wang J-l, Cao L-j, Xue L, et al. An early warning scoring system for preventing acute heart failure. International Journal of Cardiology. 2015;183:111-6.

(7) Brangan E, Banks J, Brant H, Pullyblank A, Le Roux H, Redwood S. Using the National Early Warning Score (NEWS) outside acute hospital settings: a qualitative study of staff experiences in the West of England. BMJ open. 2018;8(10):e022528.

(8) Lavoie P, Clarke SP, Clausen C, Purden M, Embed J, Mailhot T, et al. Nurses' judgments of patient risk of deterioration at change-of-shift handoff: Agreement between nurses and comparison with early warning scores. Heart & Lung. 2020;49(4):420-5.

(9) Kyriacos U, Jelsma J, James M, Jordan S. Early warning scoring systems versus standard observations charts forwards in South Africa: a cluster randomized controlled trial. Trials. 2015;16(1):103.

(10) Bramley R. Digitising the National Early Warning Score NEWS2

(11) Physicians RCo. National early warning score (NEWS) 2. Standardizing the assessment of acute illness severity in the NHS. 2017.

(12) Sulistyowati A. Pemeriksaan Tanda-Tanda Vital. Akademi Keperawatan Kerta Cendekia Sidoarjo; 2018.

(13) Musliha. Keperawatan Gawat Darurat. Yogyakarta: Nuha Medika. Yogyakarta: Nuha Medika; 2010.

(14) Pazar B, Yava A. Evaluation of Early Warning Scoring System and Nursing Guide Application in Post-Anaesthesia Care Unit. Turkish Journal of Anaesthesiology and Reanimation. 2013;41(6):216.

(15) Kemenkes RI. Gambaran kesehatan lanjut usia di Indonesia. Jakarta: Buletin Jendela, Data dan Informasi Kesehatan: Kemenkes, RI. 2013.

(16) Ahmad ZS, Soeharto S, Fathoni M. Efektifitas Vitalpac Early Warning Scoring Sebagai Deteksi Dini Perburukan Pasien Access Block Di Igd Dr. Iskak Tulungagung. Jurnal Kesehatan Mesencephalon. 2017;3(2).

(17) Covino M, Sandroni C, Santoro M, Sabia L, Simeoni B, Bocci MG, et al. Predicting intensive care unit admission and death for COVID-19 patients in the emergency department using early warning scores. Resuscitation. 2020;156:84-91.

(18) Sunardi S, Sukaedah E. Model Nursing Early Warning System Score (Newss) Dengan Aplikasi Tehnologi Informasi Sebagai Pengkajian Deteksi Kegawatan Pada Klien Stroke Di Rs Kabupaten Tangerang. Jurnal Medikes (Media Informasi Kesehatan). 2018;5(2):242-53.

(19) Stafseth SK, Grønbeck S, Lien T, Randen I, Lerdal A. The experiences of nurses implementing the Modified Early Warning Score and a 24-hour on-call Mobile Intensive Care Nurse: An exploratory study. Intensive and Critical Care Nursing. 2016;34:33-41.

Subbe CP, Kruger M, Rutherford P, Gemmel L. Validation of a modified Early Warning Score in medical admissions. Qjm. 2001;94(10):521-6.