Paediatric Practitioners' Acceptance of the National Paediatric Early Warning System (PEWS)

Kaye, LK, Tume, LN ORCID: 0000-0002-2547-8209 and White, P (2026) Paediatric Practitioners' Acceptance of the National Paediatric Early Warning System (PEWS). Nursing in Critical Care, 31 (4). ISSN 1362-1017

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Abstract

Early detection of deterioration in children in hospital is essential for improving patient outcomes, prompting NHS England to introduce a digital National Paediatric Early Warning System (PEWS) in November 2023. Our service evaluation examined a locally delivered digital version of the PEWS system, introduced in July 2025 to explore paediatric staffs' acceptance before and after implementation, measured by the Technology Integration Evaluation Resource (TIER), based on the Technology Integration Model. Online surveys were completed pre- and post-implementation. Acceptance did not significantly change over time. However, user motivation, agency and perceived cost–benefit as well as perceptions of PEWS as an extension of self, were positively associated with acceptance, highlighting key psychological factors influencing digital health adoption.

Item Type:	Article
Uncontrolled Keywords:	digital acceptance; paediatric care; PEWS; psychology; technology acceptance; Humans; Early Diagnosis; Attitude of Health Personnel; Child; State Medicine; England; Surveys and Questionnaires; Early Warning Score; Digital Health; PEWS; digital acceptance; paediatric care; psychology; technology acceptance; Humans; Attitude of Health Personnel; State Medicine; Child; Digital Health; England; Surveys and Questionnaires; Early Diagnosis; Early Warning Score; 4203 Health Services and Systems; 42 Health Sciences; Prevention; Health Services; Clinical Research; Generic health relevance; 3 Good Health and Well Being; Humans; Attitude of Health Personnel; State Medicine; Child; Digital Health; England; Surveys and Questionnaires; Early Diagnosis; Early Warning Score; 1110 Nursing; 3202 Clinical sciences; 4205 Nursing
Subjects:	R Medicine > RT Nursing
Divisions:	Nursing and Advanced Practice
Publisher:	Wiley
Date of acceptance:	4 June 2026
Date of first compliant Open Access:	27 July 2026
Date Deposited:	27 Jul 2026 12:29
Last Modified:	27 Jul 2026 12:29
DOI or ID number:	10.1111/nicc.70547
URI:	https://researchonline.ljmu.ac.uk/id/eprint/29074

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