The Impact of the NEWS2 on Self-Confidence and Anxiety in Nursing Students

Ashley Barnes

If an oral presentation is available, I am open to that opportunity as well.


The purpose of this pre-and post-interventional design study was to determine the impact of the National Early Warning Scale 2 (NEWS2) on self-confidence and anxiety levels of undergraduate Associate of Science in Nursing (ASN) and Bachelor of Science in Nursing (BSN) senior level nursing students during a clinical deterioration simulation. New graduate nurses and experienced nurses report a lack of self-confidence and increased anxiety when caring for a patient experiencing a clinical deterioration or decline. Senior level nursing students self-reported their self-confidence and anxiety levels using the Nursing Anxiety & Self-Confidence with Clinical Decision Making (NASC-CDMÓ ) scale before and after a clinical deterioration high-fidelity simulation. Before the simulation, students completed a preparation module that demonstrated correct use of the NEWS2 and reviewed key concepts of the simulation. The author followed International Nursing Association of Clinical Simulation Learning (INASCL) best practice guidelines for simulation design, implementation, and debriefing.

Results of the study showed a statistically significant increase in self-confidence levels and nearing statistically significant decrease in anxiety levels for the BSN students. The ASN students did not have a statistically significant change in their self-confidence or anxiety levels; however, their self-confidence levels increased, and their anxiety levels decreased from the pre simulation to post-simulation. These results can lead to positive patient outcomes, as graduate nurses can recognize clinical deterioration and intervene sooner.