Implementation of the National Early Warning Score in nursing practice: incorporation of a technology for clinical surveillance in a federal hospital

Authors

DOI:

https://doi.org/10.18310/2446-4813.2026v12n2.5188

Keywords:

Nursing, Patient Safety, Physiological Monitoring, Biomedical Technology, Clinical Decision-Making

Abstract

Objective: To analyze the process of incorporating the National Early Warning Score into the nursing team's practice in a medical ward of a federal hospital. Method: A field study with a qualitative and descriptive approach, conducted through semi-structured interviews, systematic observation, and document analysis. The interviews were analyzed using IRAMUTEQ software through Descending Hierarchical Classification. Results: The implementation occurred progressively, with adjustments throughout the study period. Lexical analysis revealed operational and organizational challenges related to the incorporation of the technology, as well as recognition of the scale as an instrument to support clinical surveillance, decision-making, and patient safety. At the end of the analyzed period, 68.6% of the forms showed adequate completion, indicating partial implementation of the tool. Conclusion: The scale was recognized as a relevant technology for the early detection of clinical deterioration; however, its consolidation depends on continuous training, institutional monitoring, and adaptation to care routines. The incorporation of healthcare technologies in public hospitals involves not only the availability of instruments, but also the reorganization of work processes, continuing education, and the strengthening of the patient safety culture.

Author Biographies

  • Lucas Soares Franco, Federal University of the State of Rio de Janeiro

    - Nurse at Bonsucesso Federal Hospital/GHC

    - Postgraduate degree in Medical and Surgical Clinic (residency)

    - Postgraduate degree in Family Health

    -Researcher of the process: IMPLEMENTATION OF THE NATIONAL EARLY WARNING SCORE IN NURSING PRACTICE INCORPORATION OF A TECHNOLOGY FOR CLINICAL SURVEILLANCE IN A FEDERAL HOSPITAL

  • Daniel Filho, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil.

    Nurse with a postgraduate degree in Medical-Surgical Nursing and Nursing Resident in Family and Community Health.

     
  • Pablo Moreno , Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro, Brazil.

    He holds a degree in Nursing and Obstetrics from the Federal University of Rio de Janeiro (2023). He is currently a nurse at the Municipal Government of Nova Friburgo. He has experience in Nursing, with emphasis on medical-surgical nursing, emergency care, and obstetrics. His academic activities focus mainly on the following topics: health education, coronavirus infections, health promotion, and cardiovascular diseases.

  • Aline Ramos Velasco, Ministry of Health

    Registered Nurse graduated from the Federal University of the State of Rio de Janeiro - UNIRIO (1999). Specialist in Operating Room Nursing, Professional Education in Health (Nursing), Family Health, Health Care Network Management, Occupational Health Nursing, and Educational Process Mediation in Digital Learning. Master in Nursing, focusing on Nursing and Population: knowledge, attitudes, and health practices, from the Federal University of the State of Rio de Janeiro (2014). PhD in Sciences from the Federal University of the State of Rio de Janeiro. Currently, a Nurse at the Ministry of Health and the Ministry of Education. Has extensive experience in Nursing, with emphasis on Surgical Block Nursing, Education, Public Health, and Occupational Health.

  • Clarissa Coelho Vieira Guimarães, Federal University of São Paulo

    Nurse, PhD in Science, and postdoctoral researcher, CAPES fellow (PIPD), affiliated with the Graduate Program in Translational Medicine at the Escola Paulista de Medicina, Universidade Federal de São Paulo (EPM/UNIFESP), Brazil. She has academic and clinical experience in Pediatrics and Neonatology, patient safety, health technologies, aeromedical transport, and health management, with experience in high-complexity hospital settings, including service as a Nursing Officer in the Brazilian Air Force. She has completed international academic and institutional technical visits at the University of Oviedo (Spain) and the Escola Superior de Enfermagem do Porto (Portugal). She develops extension and hospital volunteer activities, especially in the Florecer Project at the Hospital Universitário Gaffrée e Guinle (HUGG), integrating science, humanized care, and social commitment, and is a member of research groups affiliated with UNIFESP and UNIRIO.

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Published

2026-07-20

Issue

Vol. 12 No. 2 (2026): Revista Saúde em Redes

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Artigos Originais

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Copyright (c) 2026 Lucas Soares Franco, Daniel Souza da Silva Filho, Pablo Pereira Moreno, Aline Ramos Velasco, Clarissa Coelho Vieira Guimarães

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How to Cite

Soares Franco, L., Souza da Silva Filho, D. ., Pereira Moreno , P., Ramos Velasco, A. ., & Coelho Vieira Guimarães, C. . (2026). Implementation of the National Early Warning Score in nursing practice: incorporation of a technology for clinical surveillance in a federal hospital. Saúde Em Redes, 12(2), 5188. https://doi.org/10.18310/2446-4813.2026v12n2.5188