ArticleJournal of advanced nursing2025
Critical Points of Risk in Registered Nurses' Use of a National Early Warning Score-Perceptions and Challenges.
Article in Journal of advanced nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
2 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ethical challenges in the algorithmic era: a systematic rapid review of risk insights and governance pathways for nursing predictive analytics and early warning systems.BMC medical ethics · 2025Pooled it
- Turkish version of the Nurse Intuition Patient Deterioration Scale: cross-cultural adaptation and validation study.BMC nursing · 2026Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo explore Registered Nurses' experiences and perceptions of using the National Early Warning Score in the U.K. as part of the recognition and management of acute adult patient deterioration.
designHermeneutic Phenomenological design.
methodsSixteen Registered Nurses from a U.K. NHS hospital were interviewed using an interpretative phenomenological approach (2019-2020).
resultsRegistered Nurses' use of NEWS highlighted 3 risk areas: delegation of vital sign monitoring to unregistered staff leading to uncertainty and delayed escalation, junior nurses' over-reliance on NEWS and deference to expertise, and senior nurses' self-management of deteriorating patients. The workplace culture revealed frequent compromises and limited learning opportunities.
conclusionWhen using NEWS, failure to recognise associated risks threatens patient safety. Wrong decisions at the three 'pinch points' may lead to missed chances in preventing deterioration. Incorrect judgements may lead to unrecognised patient deterioration or inappropriate management leading to preventable adverse events. IMPLICATIONS FOR THE PROFESSION AND PATIENT CARE: The way in which NEWS is used by healthcare professionals brings inherent patient safety risks. Addressing education gaps and fostering a supportive culture in nursing, valuing and enhancing nurses' clinical judgement, is crucial for mitigating these risks and ensuring patient safety. IMPACT: The study deepens understanding of nurses' use of NEWS and identifies components affecting the recognition of patient deterioration. REPORTING
methodAdherence to the EQUATOR guidelines SRQR confirmed. PATIENT OR PUBLIC CONTRIBUTION: Service user involvement was included within the design of the study and ethical approval.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.