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An Appraisal of Nurses' Awareness and Implementation of Early Warning Signs Monitoring in Pediatric Patients at Kano State General Hospital

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  • NGN 5000

Background of the Study
Early warning signs (EWS) monitoring in pediatric patients is a critical practice in preventing severe complications and improving clinical outcomes. EWS involves identifying early physiological changes in patients that may indicate deteriorating health, allowing for timely interventions. In pediatric care, early identification of signs of sepsis, respiratory distress, and other acute conditions can be lifesaving. Nurses play an essential role in monitoring vital signs and assessing patients for any signs of deterioration (Oluwole et al., 2023). At Kano State General Hospital, pediatric nurses are tasked with ensuring that young patients are closely monitored for changes that could signal a worsening condition. However, despite the importance of EWS, there is limited research on the awareness and implementation of this practice among nurses at this hospital.

The use of EWS systems in pediatric care has been shown to improve patient outcomes by enabling early interventions and reducing the occurrence of preventable complications (Sokoya et al., 2024). However, for these systems to be effective, nurses must be adequately trained and committed to implementing them consistently. At Kano State General Hospital, there are concerns that nurses may not always be fully aware of the significance of EWS or may not implement monitoring protocols effectively, leading to missed opportunities for early intervention.

This study seeks to assess nurses' awareness and implementation of early warning signs monitoring in pediatric patients at Kano State General Hospital, evaluate factors influencing implementation, and identify potential barriers to effective monitoring.

Statement of the Problem
Early warning signs monitoring is crucial in preventing adverse outcomes in pediatric patients. However, despite the availability of guidelines for monitoring pediatric patients for early warning signs, there are concerns that nurses at Kano State General Hospital may not be adequately aware of or consistently implementing these protocols. This study will evaluate nurses' awareness of EWS and their practices in implementing early warning signs monitoring for pediatric patients.

Objectives of the Study

  1. To assess nurses' awareness of early warning signs monitoring in pediatric patients at Kano State General Hospital.

  2. To evaluate the implementation of early warning signs monitoring by nurses in the pediatric ward at Kano State General Hospital.

  3. To identify barriers that prevent nurses from effectively implementing early warning signs monitoring in pediatric patients at Kano State General Hospital.

Research Questions

  1. What is the level of nurses' awareness regarding early warning signs monitoring in pediatric patients at Kano State General Hospital?

  2. How do nurses at Kano State General Hospital implement early warning signs monitoring in the pediatric ward?

  3. What are the challenges nurses face in implementing early warning signs monitoring in pediatric patients?

Research Hypotheses

  1. There is no significant relationship between nurses' awareness of early warning signs and their implementation of monitoring protocols in pediatric patients at Kano State General Hospital.

  2. Nurses with prior training on early warning signs monitoring are more likely to implement the protocol effectively.

  3. Environmental and institutional factors do not significantly affect the implementation of early warning signs monitoring by nurses at Kano State General Hospital.

Scope and Limitations of the Study
The study will focus on nurses working in the pediatric ward at Kano State General Hospital. It will assess their awareness of early warning signs and the implementation of monitoring protocols. The study is limited by the potential biases in self-reported data and the focus on one hospital, limiting the generalizability of the findings.

Definitions of Terms

  • Early Warning Signs (EWS): Early physiological changes or clinical indicators that suggest a patient’s condition may be deteriorating.

  • Pediatric Monitoring: The process of continuously or periodically observing a pediatric patient's vital signs to identify early signs of potential complications.

  • Sepsis: A severe infection that spreads throughout the body, often leading to organ failure if not detected and treated early.





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