Usability of the Surprise Question by Nurses and Patients' Families for Risk Stratification in Emergency Patients: A Prospective Cohort Study.

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 strat...

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Publicado en:Inquiry (00469580) pp. 1 - 11
Autores principales: Liu, Yi, Li, Dongze, Jia, Yu, Yu, Jing, Li, Fanghui, Gao, Yongli, Ma, Yan, Wan, Zhi, Zeng, Zhi, Zhang, Wei
Formato: Artículo
Publicado: Sage Publications Inc. 4/18/2023
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Usability of the Surprise Question by Nurses and Patients' Families for Risk Stratification in Emergency Patients: A Prospective Cohort Study.
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        au:
          Liu, Yi
          Li, Dongze
          Jia, Yu
          Yu, Jing
          Li, Fanghui
          Gao, Yongli
          Ma, Yan
          Wan, Zhi
          Zeng, Zhi
          Zhang, Wei
        affil:
          Sichuan University, Chengdu, China
          Xinjiang Medical University, Urumqi, China
      su:
        Nurses' attitudes
        Confidence intervals
        Research methodology evaluation
        Research methodology
        Patients
        Mann Whitney U Test
        Family attitudes
        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
        Longitudinal method
        China
      sug:
        subj:
          China
          Nurses' attitudes
          Confidence intervals
          Research methodology evaluation
          Research methodology
          Patients
          Mann Whitney U Test
          Family attitudes
          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
          Longitudinal method
      keyword:
        emergency treatment
        nurses
        patients
        risk assessment
        surprise question
      ab: 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.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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