ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2020
Implementation of the National Early Warning Score in UK care homes: a qualitative evaluation.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Observational
- Use of a digital application to enhance communication and triage between care homes and national health service community services in the United Kingdom: a qualitative evaluation.BMC geriatrics · 2025Article
- Article
- Which acute deterioration tools are used in long-term care facilities and how have they been evaluated? A scoping review.BMC health services research · 2025Article
- Dying in residential care homes during the early COVID-19 pandemic: a qualitative interview study.BMC geriatrics · 2025Article
- 'In the shower crying…but we came back in the following day and did it all again'. Distress and resilience in care home staff during the COVID-19 pandemic- A qualitative interview study.BMC geriatrics · 2024Article
- Preparing of Point-of-Care Reagents for Risk Assessment in the Elderly at Home by a Home-Visit Nurse and Verification of Their Analytical Accuracy.Diagnostics (Basel, Switzerland) · 2023Article
- Implementation of a digital early warning score (NEWS2) in a cardiac specialist and general hospital settings in the COVID-19 pandemic: a qualitative study.BMJ open quality · 2023Article
- NEWS2 and the older person.Clinical medicine (London, England) · 2022Article
- Comorbidity-adjusted NEWS predicts mortality in suspected patients with COVID-19 from nursing homes: Multicentre retrospective cohort study.Journal of advanced nursing · 2022Article
- National Early Warning Scores and COVID-19 deaths in care homes: an ecological time-series study.BMJ open · 2021Article
- Article
- Early Warning Scores in Patients with Suspected COVID-19 Infection in Emergency Departments.Journal of personalized medicine · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe National Early Warning Score (NEWS) is a tool for identifying and responding to acute illness. When used in care homes, staff measure residents' vital signs and record them on a tablet computer, which calculates a NEWS to share with health services. This article outlines an evaluation of NEWS implementation in care homes across one clinical commissioning group area in northern England.
aimTo identify challenges to implementation of NEWS in care homes. DESIGN AND
settingQualitative analysis of interviews conducted with 15 staff members from six care homes, five health professionals, and one clinical commissioning group employee.
methodInterviews were intended to capture people's attitudes and experiences of using the intervention. Following an inductive thematic analysis, data were considered deductively against normalisation process theory constructs to identify the challenges and successes of implementing NEWS in care homes.
resultsCare home staff and other stakeholders acknowledged that NEWS could enhance the response to acute illness, improve communication with the NHS, and increase the confidence of care home staff. However, the implementation did not account for the complexity of either the intervention or the care home setting. Challenges to engagement included competing priorities, insufficient training, and shortcomings in communication.
conclusionThis evaluation highlights the need to involve care home staff and the primary care services that support them when developing and implementing interventions in care homes. The appropriateness and value of NEWS in non-acute settings requires ongoing monitoring.
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