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Related Concept Videos

Surveys02:16

Surveys

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Often, psychologists develop surveys as a means of gathering data. Surveys are lists of questions to be answered by research participants, and can be delivered as paper-and-pencil questionnaires, administered electronically, or conducted verbally. Generally, the survey itself can be completed in a short time, and the ease of administering a survey makes it easy to collect data from a large number of people.
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If you want to understand how behavior occurs, one of the best ways to gain information is to simply observe the behavior in its natural context. However, people might change their behavior in unexpected ways if they know they are being observed. How do researchers obtain accurate information when people tend to hide their natural behavior? As an example, imagine that your professor asks everyone in your class to raise their hand if they always wash their hands after using the restroom. Chances...
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Survey Safety01:28

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Surveying near highways, rough terrain, or power lines involves significant risks. Working along highways is particularly dangerous and requires the use of warning signs and flagmen. It is safest to avoid working directly on roads and use offsets whenever possible. When highway work is unavoidable, it must follow all safety guidelines. Surveyors should wear bright clothing, such as orange reflective vests, to ensure visibility to motorists, coworkers, and hunters. In construction zones, wearing...
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The evaluation stage signals the end of the nursing process. The nurse gathers evaluative data to assess whether or not the patient has attained the expected results. Whereas the nurse collects data in the nursing assessment to identify the patient's health concerns, the evaluation stage data determines if the indicated health issues are resolved. Evaluative data collection includes two sections: the data acquired to evaluate patient outcomes and the time criteria for data collection.
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Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
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Data Collection II01:29

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The nursing history captures and records the patient's health status, so that a care plan evolves to meet the patient's individual needs. The nursing health history is a part of the initial assessment. A comprehensive history covers all health dimensions and plays a significant role in the assessment process. A comprehensive history includes the patient's biographical information, reasons for seeking health care, expectations, present and past health history, medications, and...
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Using the "Surprise Question" in Nursing Homes: A Prospective Mixed-Methods Study.

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The "Surprise Question" (SQ) can help identify nursing home residents needing palliative care. Shorter time frames, particularly the seasonal SQ, improved prediction accuracy, though staff found it ambiguous.

Keywords:
advance care planningclinical decision-makingend-of-life carelong-term carenursing homespalliative care

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Area of Science:

  • Gerontology
  • Palliative Care Medicine
  • Health Services Research

Background:

  • The "Surprise Question" (SQ) aids in identifying patients for palliative care.
  • Its standard 12-month prognosis may be too long for nursing home residents with high needs.

Purpose of the Study:

  • To assess the accuracy and acceptability of modified SQ versions with shorter prognostication periods (3-month, 6-month, seasonal) in nursing homes.

Main Methods:

  • Prospective mixed-methods study involving 47 healthcare professionals and 313 nursing home residents in Ontario, Canada.
  • Accuracy was evaluated via chart audit; acceptability was assessed through focus groups and interviews.

Main Results:

  • The seasonal SQ demonstrated the highest prediction accuracy (66.7%), followed by 6-month (58.9%) and 3-month (57.1%) versions.
  • Despite accuracy, staff found the seasonal SQ ambiguous and expressed discomfort.

Conclusions:

  • Shortened SQ prognostication periods may aid palliative care discussions in nursing homes.
  • Enhanced understanding of palliative care and staff comfort with prognostication are crucial for effective implementation.