Paediatric Practitioners' Acceptance of the National Paediatric Early Warning System ( <scp>PEWS</scp> )

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.