Tucker Guy, Lusher Adele
Programme Leader in District Nursing, Senior Lecturer, Northumbria University, and fellow, Queen's Nursing Institute.
District Nursing Sister, Northumbria Healthcare Trust.
Br J Community Nurs. 2018 Feb 2;23(2):76-79. doi: 10.12968/bjcn.2018.23.2.76.
This discussion article focuses on the literature surrounding early warning scoring systems and their use in primary care, specifically within district nursing. Patient deterioration is a global concern, associated with high mortality rates and avoidable deaths. Early recognition and response by nursing and other health care staff has been attributed to early warning scoring systems (EWSS) and tools. However, the use of equivalent tools in the community appears to be lacking. This review concludes that there is no consensus over the use of EWSS in district nursing and culture of practice is varied, rather than standardised.
这篇讨论文章聚焦于围绕早期预警评分系统及其在初级保健中的应用的文献，特别是在社区护理领域。患者病情恶化是一个全球性问题，与高死亡率和可避免的死亡相关。护理人员和其他医护人员的早期识别和应对归功于早期预警评分系统（EWSS）和工具。然而，社区中似乎缺乏等效工具的使用。本综述得出结论，在社区护理中使用EWSS尚无共识，实践文化各不相同，而非标准化。
