PEWS in Clinical Assessment of Children : educational video for nursing students
Holm, Heta (2021)
Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-2021120523841
https://urn.fi/URN:NBN:fi:amk-2021120523841
Tiivistelmä
PEWS is a scoring tool developed for monitoring and alerting staff to clinical deterioration of children admitted to the hospital. PEWS is an abbreviation of the Pediatric Early Warning Score or Systems. PEWS is part of general safety development of health care, in which standardization of nursing has been proven to decrease the chance of human errors and the lack of subjective evaluation. Information retrieval about PEWS shows there are multiple different early warning systems being used in pediatric health care around the world. This thesis was focused on the Finnish national PEWS. The Finnish national PEWS conforms to the Bedside PEWS and was modified by the Registered Nurses’ Association and the Doctors’ Association. The vital parameters included in the Finnish national PEWS were described in more detail in this thesis. The characteristics of assessing a pediatric patient were emphasized, too. Assessment techniques that work well with most adult patients are not necessarily appropriate for child patients, especially for the very young.
This thesis was carried out as a development work. In the development work, an educational video for nursing students about utilizing the Finnish national PEWS was produced. A video was chosen as the method for the development work because active learning strategies promote higher levels of student engagement and deeper learning. The development work aimed to improve the competency of nursing students of Savonia University of Applied Sciences (Savonia UAS) regarding the use of PEWS in Finland. The client organisation of the development work was Savonia UAS. The educational video was exclusively created for a Paediatric and Family Nursing course in the curriculum of Savonia UAS Bachelor’s Degree Programme in Nursing.
The educational video presented two patient cases. Case-based learning is a pedagogical approach that prepares students for clinical practice through authentic cases. The first case presented a 4-year-old patient with vitals within the reference values. The second case handled a severe situation with a 2-month-old patient. Feedback was collected from nursing students of Savonia UAS before and after making the video. A total of 24 students took part in the questionnaire when previewing the video. The students found the video easy to follow and supportive of their learning. The content was seen as accurate and useful, summarizing the main points of the implementation of PEWS. Thus the aim of improving the competency of nursing students regarding the use of PEWS in Finland seems supported. The Finnish national PEWS has been available for 3 years since 2018. Yet, there is little research done on the topic in Finland. A future study could discuss the feasibility of the current PEWS model in different nursing environments in Finland.
This thesis was carried out as a development work. In the development work, an educational video for nursing students about utilizing the Finnish national PEWS was produced. A video was chosen as the method for the development work because active learning strategies promote higher levels of student engagement and deeper learning. The development work aimed to improve the competency of nursing students of Savonia University of Applied Sciences (Savonia UAS) regarding the use of PEWS in Finland. The client organisation of the development work was Savonia UAS. The educational video was exclusively created for a Paediatric and Family Nursing course in the curriculum of Savonia UAS Bachelor’s Degree Programme in Nursing.
The educational video presented two patient cases. Case-based learning is a pedagogical approach that prepares students for clinical practice through authentic cases. The first case presented a 4-year-old patient with vitals within the reference values. The second case handled a severe situation with a 2-month-old patient. Feedback was collected from nursing students of Savonia UAS before and after making the video. A total of 24 students took part in the questionnaire when previewing the video. The students found the video easy to follow and supportive of their learning. The content was seen as accurate and useful, summarizing the main points of the implementation of PEWS. Thus the aim of improving the competency of nursing students regarding the use of PEWS in Finland seems supported. The Finnish national PEWS has been available for 3 years since 2018. Yet, there is little research done on the topic in Finland. A future study could discuss the feasibility of the current PEWS model in different nursing environments in Finland.