Usability of the Surprise Question by Nurses and Patients' Families for Risk Stratification in Emergency Patients: A Prospective Cohort Study.
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| Title: | Usability of the Surprise Question by Nurses and Patients' Families for Risk Stratification in Emergency Patients: A Prospective Cohort Study. |
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| Authors: | Liu, Yi1, Li, Dongze1, Jia, Yu1, Yu, Jing1, Li, Fanghui1, Gao, Yongli1, Ma, Yan2, Wan, Zhi1, Zeng, Zhi1, Zhang, Wei1 341697749@qq.com |
| Source: | Inquiry (00469580). 4/18/2023, p1-10. 10p. |
| Subject Terms: | *Research methodology evaluation, *Research methodology, *Family attitudes, *Longitudinal method, Nurses' attitudes, Confidence intervals, Patients, Mann Whitney U Test, Risk assessment, Hospital admission & discharge, Emergency medical services, Questionnaires, Research funding, Hospital wards, Chi-squared test, Statistical hypothesis testing, Descriptive statistics, Resuscitation, Logistic regression analysis |
| Geographic Terms: | China |
| Abstract: | The Surprise Question is an effective tool to identify patients in need of palliative care. But it is unknown whether the Surprise Question can effectively predict adverse outcomes in Emergency patients. Therefor this study is to determine the utility of the modified Surprise Question for risk stratification in emergency patients. And assessed if the modified Surprise Question could be used by different healthcare personnel. Nurses and patients' families were asked to respond as "Yes" or "No" to the modified Surprise Question for each patient. The outcome was resuscitation unit admission. Logistic regression was used to determine covariant significantly associated with resuscitation unit admission. The area under the curve for the second Surprise Question response by nurses was 0.620, which improved to 0.704 when the responses of nurses and patients' families were in agreement. The clinical impression of nurses is a valuable tool to predict altered conditions for medium-acuity patients, and the diagnostic accuracy improves when responses of patients' families and nurses agreed. The clinical impression of nurses is a valuable tool to predict altered conditions for medium-acuity patients, and the diagnostic accuracy improves when responses of patients' families and nurses agreed. [ABSTRACT FROM AUTHOR] |
| Copyright of Inquiry (00469580) is the property of Sage Publications Inc. and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Education Research Complete |
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