ArticleNursing open2022
A study to introduce National Early Warning Scores (NEWS) in care homes: Influence on decision-making and referral processes.
Article in Nursing open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- Healthcare personnel's clinical decision-making competence in care for acutely ill older adults in home care: a cross-sectional study.BMC nursing · 2026Article
- 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
- Development and Validation of a NEWS2-Enhanced Multivariable Prediction Model for Clinical Deterioration and In-Hospital Mortality in Hospitalized Adults.Medicina (Kaunas, Lithuania) · 2025Article
- 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
- Article
- Evaluation of a Telemonitoring System Using Electronic National Early Warning Scores for Patients Receiving Medical Home Care: Pilot Implementation Study.JMIR medical informatics · 2024Article
- Feasibility of a placebo-controlled trial of antibiotics for possible urinary tract infection in care homes: a qualitative interview study.BJGP open · 2023Article
- Early warning scores and trigger recommendations must be used with care in older home nursing care patients: Results from an observational study.Nursing open · 2023Observational
- Recognising and responding to acute deterioration in care home residents: a scoping review.BMC geriatrics · 2023Article
- A study to introduce National Early Warning Scores (NEWS) in care homes: Influence on decision-making and referral processes.Nursing open · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimEarly warning scores are commonly used in hospital settings, but little is known about their use in care homes. This study aimed to evaluate the impacts of National Early Warning Scores alongside other measures in this setting.
designConvergent parallel design.
methodsQuantitative data from 276 care home residents from four care homes were used to analyse the relationship between National Early Warning Scores score, resident outcome and functional daily living (Barthel ADL (Barthel Index for Activities of Daily Living)) and Rockwood (frailty). Interviews with care home staff (N = 13) and care practitioners (N = 4) were used to provide qualitative data.
resultsA statistically significant link between National Early Warning Scores (p = .000) and Barthel ADL (p = .013) score and hospital admissions was found, while links with Rockwood were insignificant (p = .551). Care home staff reported many benefits of National Early Warning Scores, including improved communication, improved decision-making and role empowerment. Although useful, due to the complexity of the resident population's existing health conditions, National Early Warning Scores alone could not act as a diagnostic tool.
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