Early warning score (ews) merupakan sistem yang dirancang untuk mendeteksi dini perburukan kondisi pasien melalui pemantauan tanda-tanda vital. meskipun telah diterapkan di rumah sakit x kota tarakan, pelaksanaan ews belum sepenuhnya optimal. kepatuhan perawat dalam melakukan monitoring ews dapat dipengaruhi oleh berbagai faktor seperti pengetahuan, pelatihan, dan beban kerja. tujuan dari penelitian ini yaitu untuk mengetahui hubungan antara pengetahuan, pelatihan, dan beban kerja perawat dengan kepatuhan dalam monitoring ews di ruang rawat inap rumah sakit x kota tarakan. penelitian ini menggunakan pendekatan kuantitatif dengan desain cross-sectional. jumlah responden sebanyak 49 perawat yang dipilih melalui teknik total sampling. instrumen yang digunakan berupa kuesioner dan lembar observasi. data dianalisis menggunakan uji statistik gamma. hasil penelitian menunjukkan bahwa mayoritas responden memiliki tingkat pengetahuan yang baik (85,7%), telah mengikuti pelatihan ews (71,4%), dan menunjukkan tingkat kepatuhan tinggi dalam monitoring ews (95,9%). sebagian besar responden juga mempersepsikan beban kerja mental tinggi (63,3%). hasil uji gamma menunjukkan bahwa tidak terdapat hubungan yang signifikan antara pengetahuan (p = 0,182), pelatihan (p = 0,153), dan beban kerja (p = 0,885) dengan kepatuhan monitoring ews. pengetahuan, pelatihan, dan beban kerja tidak memiliki hubungan yang signifikan dengan kepatuhan perawat dalam monitoring early warning score. diperlukan pendekatan lain dalam meningkatkan kepatuhan, seperti supervisi rutin, evaluasi implementasi ews, dan perbaikan sistem pendokumentasian kata kunci: early warning score, kepatuhan perawat, pengetahuan, pelatihan, beban kerja

Early warning score (ews) is a system designed to detect early deterioration in patient condition through monitoring vital signs. the implementation of ews has not been fully optimal although it has been implemented in hospital x, tarakan city nurse compliance in conducting ews monitoring can be influenced by various factors such as knowledge, training, and mental workload. the aim of this study was to determine the correlation between knowledge, training, and workload of nurses with compliance in ews monitoring in the inpatient ward of hospital x, tarakan city. this study employed a quantitative approach with a cross-sectional design. the number of respondents was 49 nurses selected through total sampling technique. the instruments used were questionnaires and observation sheets. data were analysed through the gamma statistical test. the results showed that the majority of respondents had a good level of knowledge (85.7%), had attended ews training (71.4%), and showed a high level of compliance in ews monitoring (95.9%). most respondents also perceived a high mental workload (63.3%). the results of the gamma test showed that there was no significant correlation between knowledge (p=0.182), training (p=0.153), and mental workload (p = 0.885) with compliance with ews monitoring knowledge, training, and workload did not have a significant correlation with nurse compliance in early warning score monitoring other approaches are needed to improve compliance, such as routine supervision, evaluation of ews implementation, and improvement of the documentation system keywords: early warning score, nurse compliance, knowledge, training, mental workload