Early detection of clinically unstable patients is the cornerstone in improving the patient’s outcome that require a series of steps, including vital signs documentation and interpretation, subsequent meaningful communication, timely and appropriate management.(14) Implementation and use of MEWS Scale will help nurses identify the subtle signs of early deterioration of the patient and make the proper clinical decisions to prevent complications. It will also improve the patient’s outcome, adds to the knowledge of the nurses in early recognition and development of   interprofessional relationship.

Nurses are the frontline healthcare workers taking care of the patients using a standard nursing process. They need to be competent and efficient enough to assess the signs of early deterioration of the patient to prevent further complications. Failure of the nurses in identifying the deteriorated patient and providing the early intervention can lead to severity of illness that can result in worsening morbidity and mortality. MEWS Scale is not being implemented in the current setting and hence the Nurses are not able to recognize sign of deterioration with the help of MEWS Scale and it places the patient at risk of developing uneventful conditions that can lead to death.

Therefore, the goal of this study is to make nurses more efficient and competent in implementation and use of MEWS Scale in recognizing the early signs of patient’s deterioration. It will also help in determining the effectiveness of MEWS on patient’s outcome, providing early treatment and preventing untoward events as cardiac arrest, shock, intubations, mortality. Researcher intend to increase the nurses knowledge to effectively use and implement MEWS to prevent patients from developing complications by early recognization of changing vital parameters. It will also benefit the patients by decrease adverse events and mortality.