{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T11:37:20Z","timestamp":1774438640665,"version":"3.50.1"},"reference-count":34,"publisher":"Wiley","issue":"23-24","license":[{"start":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T00:00:00Z","timestamp":1567036800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2019,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To explore general hospital ward nurses' experiences with the National Early Warning Score and to determine its impacts on their professionalism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>The National Early Warning Score has broad appeal; it is a patient safety initiative designed to ensure early identification of and response to deteriorating patients in hospitals. However, it is still unclear how the tool impacts nurses' professionalism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A qualitative study with a hermeneutic design was conducted in autumn 2017; the study consisted of semi\u2010structured, in\u2010depth interviews with 14 hospital nurses. The data were analysed thematically to understand and interpret the nurses' experiences. Methods are reported using COREQ guidelines (see Appendix S1).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The study examined nurses' experience with the National Early Warning Score and its perceived impact on their professionalism. Four themes were identified: (a) the National Early Warning Score and clinical judgement in patient assessment, (b) responding to the National Early Warning Score standard, (c) involving the professional community and (d) adjusting the tool.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The National Early Warning Score may impact nurses' professionalism in diverse ways. Nurses are aware of the importance of incorporating all of their professional competence, comprising clinical judgement, discretion and accountability, with the National Early Warning Score to accurately assess patients' conditions. Findings indicated that the National Early Warning Score was beneficial to nurses' professional practice; however, accountability to this standard alone does not ensure quality care and patient safety.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>A greater understanding of the role of nurses' professional accountability when using the National Early Warning Score is needed to improve practice and ensure patient safety.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15021","type":"journal-article","created":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T19:24:38Z","timestamp":1565724278000},"page":"4389-4399","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Hospital nurses' professional accountability while using the National Early Warning Score: A qualitative study with a hermeneutic design"],"prefix":"10.1111","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0999-2221","authenticated-orcid":false,"given":"J\u00f8rghild Karlotte","family":"Jensen","sequence":"first","affiliation":[{"name":"Center of Diakonia and Professional Practice VID Specialized University Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randi","family":"Sk\u00e5r","sequence":"additional","affiliation":[{"name":"Faculty of Health and Social Sciences Western Norway University of Applied Sciences Bergen Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bodil","family":"Tveit","sequence":"additional","affiliation":[{"name":"Faculty of Health Studies VID Specialized University Oslo Norway"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,8,29]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.resuscitation.2014.01.013"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1891\/9780826125453"},{"issue":"2","key":"e_1_2_10_4_1","first-page":"53","article-title":"Accountability\u2014Definition and dimensions","volume":"28","author":"Bergman R.","year":"1981","journal-title":"International Nursing Review"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-981-10-2779-6_103-1"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2015.06.012"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13517"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nedt.2005.03.002"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.09.003"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13849"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14713"},{"key":"e_1_2_10_13_1","volume-title":"Professionalism: The third logic","author":"Freidson E.","year":"2001"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744-6198.2012.00283.x"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14239"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.291"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.13425"},{"key":"e_1_2_10_18_1","volume-title":"Professional accountability in social care and health: Challenging unacceptable practice and its management. 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