Keywords
Clinical decision-making
Health technology
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Abstract
Objective: To validate the knowledge, use and difficulties related to the application of the Modified Early Warning Score (MEWS) among nurses working in a medical clinic of a public reference hospital in the Brazilian Amazon. Method: Cross-sectional, descriptive and quantitative study, with 15 healthcare nurses selected for convenience. Application is a structured questionnaire on professional profile, knowledge, use and difficulties related to MEWS. The data were analyzed by descriptive statistics, using frequencies, media and deviation-patrão. Results: Observed predominance of female sex, professionals with healthcare experience greater than ten years and high percentage of previous training on MEWS. Despite the extensive use of the score, difficulties have been identified related to the insufficiency of continuous training, the resistance of the equipment to the systematic use of the protocol and the operational limitations of the absence of computerized tools. Conclusion: As nurses recognize the relevance of MEWS for early identification of clinical deterioration, organizational and educational barriers persist that compromise its full use. The results reinforce the need for investments in permanent education and digital technologies that support clinical monitoring and evidence-based decision making.
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