Midwives’ experiences of using the Obstetric Norwegian Early Warning System (ONEWS): A national crosssectional study

Line K. L. Fladeby, Line K. L. Fladeby and Marianne Raunedokken, Marianne Raunedokken and Hannah E. Fonkalsrud, Hannah E. Fonkalsrud and Dorte Hvidtjørn, Dorte Hvidtjørn and Mirjam Lukasse, Mirjam Lukasse (2021) Midwives’ experiences of using the Obstetric Norwegian Early Warning System (ONEWS): A national crosssectional study. European Journal of Midwifery, 5 (2). pp. 1-9. ISSN 2585-2906

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Abstract

INTRODUCTION Increasing numbers of maternity units are implementing routine and standardized monitoring of all women using a form of Early Warning Score System with the aim to early detect women at risk of developing critical illness or a deterioration of their condition. The implementation in Norway is relatively new. This study aimed to describe Norwegian midwives’ experiences with the Obstetric Norwegian Early Warning System (ONEWS).
METHODS We performed a cross-sectional study based on an electronic questionnaire, sent to heads of midwifery at all maternity units in Norway for distribution to their clinically active midwives. Thirty-one of 48 units had implemented ONEWS for over a month. About 1020 midwives received the questionnaire, 232 (23%) responded.
RESULTS Of the participants, 217 (93.5%) reported receiving sufficient training and 230 (99.1%) reported using the same scoring system, including the same vital parameters
measured. The criteria for use of ONEWS varied between units regarding inclusion criteria and frequency of scoring. A total of 214 (92.2%) midwives agreed that ONEWS has value
in the surveillance of high-risk women, while 152 (65.5%) agreed that ONEWS contributes to medicalization of the care of low-risk women. Some 166 (71.6%) midwives reported
that ONEWS was time consuming and 159 (68.5%) that the measures need to be better adapted to childbearing women.
CONCLUSIONS Maternity units in Norway implementing ONEWS use an almost identica riteria for whom to score and how often. Midwives considered ONEWS particularly suited for high-risk women and not for low-risk childbearing women.

Item Type:	Article
Uncontrolled Keywords:	maternal observations, Obstetric Early Warning System, Obstetric Norwegian Early Warning System
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Medicine, Health and Life Sciences > School of Medicine
Depositing User:	Mrs Ni Made Yunia Dwi Savitri
Date Deposited:	04 Jul 2022 00:43
Last Modified:	04 Jul 2022 00:43
URI:	http://eprints.triatmamulya.ac.id/id/eprint/1227

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