The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review

Digital National Early Warning Score (NEWS) is a system designed to detect early clinical deterioration in patients by monitoring vital parameters using digital technology. The implementation of Digital NEWS in hospitals is increasingly gaining attention because of its ability to improve patient saf...

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Main Authors: Fricilia Noya, Yanny Trisyani, Etika Emaliyawati
Format: Article
Language:English
Published: Institut Ilmu Kesehatan STRADA Indonesia 2025-07-01
Series:Journal of Nursing Practice
Subjects:
Online Access:https://thejnp.org/index.php/jnp/article/view/680
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author Fricilia Noya
Yanny Trisyani
Etika Emaliyawati
author_facet Fricilia Noya
Yanny Trisyani
Etika Emaliyawati
author_sort Fricilia Noya
collection DOAJ
description Digital National Early Warning Score (NEWS) is a system designed to detect early clinical deterioration in patients by monitoring vital parameters using digital technology. The implementation of Digital NEWS in hospitals is increasingly gaining attention because of its ability to improve patient safety, efficiency in clinical decision-making, and reduce the workload of health workers. However, although many benefits have been identified, implementing Digital NEWS is open to various challenges and obstacles. This study aimed to explore the benefits, factors, and obstacles faced in implementing digital NEWS in Hospitals. This scoping review used the Arksey and O'Malley framework following the PRISMA for Scoping Review. Literature searches used three main databases: EbscoHost: Medline Ultimate, Pubmed, and Scopus, and also one search engine, Google Scholar. Ten relevant articles were analyzed in this study. Implementation of digital NEWS can improve early detection of deteriorating patient conditions, reduce medical response time, and improve communication between health teams. However, the success of its implementation is influenced by several factors, such as the availability of technological infrastructure, adequate training, and technological literacy among health staff. The main challenges include lack of resources, alarm fatigue, and cultural resistance to technological change. This review concludes that implementing digital NEWS has many benefits, but health workers still face many challenges and barriers. A comprehensive approach is needed to optimize the benefits of digital NEWS implementation, including investment in infrastructure, training, and managerial support.
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spelling doaj-art-e427907501b74ea6af00a3a93964dab72025-08-20T03:39:15ZengInstitut Ilmu Kesehatan STRADA IndonesiaJournal of Nursing Practice2614-34882614-34962025-07-018492694210.30994/jnp.v8i4.680657The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping ReviewFricilia Noya0Yanny Trisyani1https://orcid.org/0000-0002-4862-4950Etika Emaliyawati2https://orcid.org/0000-0002-9123-4843Master of Nursing Study Program, Faculty of Nursing, Padjadjaran University, Bandung, IndonesiaDepartment of Critical Care and Emergency Nursing, Faculty of Nursing, Padjadjaran University, Bandung, IndonesiaDepartment of Critical Care and Emergency Nursing, Faculty of Nursing, Padjadjaran University, Bandung, IndonesiaDigital National Early Warning Score (NEWS) is a system designed to detect early clinical deterioration in patients by monitoring vital parameters using digital technology. The implementation of Digital NEWS in hospitals is increasingly gaining attention because of its ability to improve patient safety, efficiency in clinical decision-making, and reduce the workload of health workers. However, although many benefits have been identified, implementing Digital NEWS is open to various challenges and obstacles. This study aimed to explore the benefits, factors, and obstacles faced in implementing digital NEWS in Hospitals. This scoping review used the Arksey and O'Malley framework following the PRISMA for Scoping Review. Literature searches used three main databases: EbscoHost: Medline Ultimate, Pubmed, and Scopus, and also one search engine, Google Scholar. Ten relevant articles were analyzed in this study. Implementation of digital NEWS can improve early detection of deteriorating patient conditions, reduce medical response time, and improve communication between health teams. However, the success of its implementation is influenced by several factors, such as the availability of technological infrastructure, adequate training, and technological literacy among health staff. The main challenges include lack of resources, alarm fatigue, and cultural resistance to technological change. This review concludes that implementing digital NEWS has many benefits, but health workers still face many challenges and barriers. A comprehensive approach is needed to optimize the benefits of digital NEWS implementation, including investment in infrastructure, training, and managerial support.https://thejnp.org/index.php/jnp/article/view/680barriersbenefitschallengesdigital newsfactors
spellingShingle Fricilia Noya
Yanny Trisyani
Etika Emaliyawati
The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review
Journal of Nursing Practice
barriers
benefits
challenges
digital news
factors
title The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review
title_full The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review
title_fullStr The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review
title_full_unstemmed The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review
title_short The Benefits, Factors, and Barriers Faced in the Implementation of Digital National Early Warning Score in Hospitals: A Scoping Review
title_sort benefits factors and barriers faced in the implementation of digital national early warning score in hospitals a scoping review
topic barriers
benefits
challenges
digital news
factors
url https://thejnp.org/index.php/jnp/article/view/680
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