A study to introduce National Early Warning Scores (NEWS) in care homes: Influence on decision‐making and referral processes

• Published in: Nursing open Vol. 9; no. 1; pp. 519 - 526
• Main Authors: Hodgson, Philip, Greaves, Jane, Cook, Glenda, Fraser, Angela, Bainbridge, Lesley
• Format: Journal Article
• Language: English
• Published: United States John Wiley & Sons, Inc 01.01.2022; John Wiley and Sons Inc; Wiley
• Subjects: Activities of Daily Living; care homes; Coronaviruses; COVID-19; Data collection; Early Warning Score; early warning scores; Family physicians; Frailty; Hospitalization; Humans; Illnesses; Interviews; Medical referrals; Older people; Primary care; Referral and Consultation; Trends; Vital signs; workforce development; United Kingdom > UK; England; early warning scores; frailty; older people; workforce development; care homes
• ISSN: 2054-1058; 2054-1058
• DOI: 10.1002/nop2.1091

Aim Early 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. Design Convergent parallel design. Methods Quantitative 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. Results A 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.