Early Warning; Inpatients; Translation; Education, Nursing, Continuing.
Early Warning; Inpatients; Translation; Education, Nursing, Continuing.
Introduction: Hospitalized patients are subject to unexpected changes in their clinical status. The vulnerability presented by inmates in wards is, even today, a major problem in health institutions. Thus, in response to this problem, in 1997 the first EWS (Early Warning Scores, in Portuguese, Early Warning Score) was created. One of the most effective and updated scores, called NEWS 2 (2017) offers a standardized approach to assess acute diseases and uses physiological parameters that are routinely collected by the nursing team. In a recent study related to COVID-19, NEWS 2 demonstrated that, parameters, age and blood were added, a robust tool in the identification of patients with a tendency to develop the severe form of the disease. As important as the updated concept of the score is the formation of teams for their use in clinical practice. Thus, in January 2019, the National Health Service (NHS) England in partnership with NHS Improvement, Health Education England and the Royal College of Physicians (RCP) published an English language course on NEWS 2 that provides support tools for its implementation and illustrates practical examples of how it is being implemented in England. Considering its importance for assistance, its positive potential for the managerial and financial spheres, as well as its applicability in scale and social impact. Aim:carry out the translation and cross-cultural adaptation, from English to Brazilian Portuguese, of the NEWS 2 e-learning Program, referring to the Acute Care module, offering it as a course on the AVASUS Platform (Virtual Environment of Learning from the Unified Health System). Method: study of a mixed method that included documentary research (integrative literature review) and methodological research aimed at achieving translation, cultural adaptation with validation by judges and production of the course script. Results: Based on the literature review, it was found that the NEWS 2 score has scientific evidence to support its use in inpatients, including those undergoing hospital treatments due to coronavirus contamination. The translation and cultural adaptation of the NEWS 2 e-learning program in Brazilian Portuguese is in progress. Preliminary Discussion and Conclusions: Given the importance and urgency in standardizing EWS in the reality of hospitals in Brazil, the course offered via AVASUS aims to facilitate the implementation of NEWS 2 in the Brazilian health system, which will favor the early identification and intervention of patients with a risk of clinical deterioration, reducing the incidence of unfavorable outcomes and positively impacting the population's health, in addition to containing intensive bed occupations and likely decreasing hospital costs. The relevance of the NEWS 2 score for clinical practice is highlighted, especially in the context of the COVID-19 pandemic, which alerts health services, professionals and the community to the importance of training nursing teams, in particular, in the identification of complications to inpatients.