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Winner Winner Turkey Dinner! An Empirical Approach to Measuring Palatability and Satisfaction with Emergency Department Turkey Sandwiches. 赢家赢家火鸡晚餐!急诊科火鸡三明治适口性与满意度之实证研究。
Pub Date : 2022-01-01 Epub Date: 2022-04-01
D Toomey, C E Goldfine, T B Erickson, P R Chai

Introduction: Despite their popularity in many EDs, little is known regarding perceptions of turkey sandwiches among patients. Given the importance of turkey sandwiches as a form of nutrition provided in EDs, we sought to quantify the composition and taste of ED turkey sandwiches through a quantitative assessment of turkey sandwiches by ED staff.

Methods: This was a blinded observational study performed at a tertiary, urban academic medical center in Boston, MA. We collected ED turkey sandwiches up to 48 hours prior to study days from 4 emergency departments in the Boston area (2 community hospitals and 2 academic medical centers). We enrolled ED physicians, nurses, physician assistants, and staff who were exposed to four sandwiches in a random fashion. Participants were asked to assess sandwiches on a Likert scale of 1 to 5 on a variety of factors including, nutritional value "goodness", smell "olfactory", texture "bite", ingredient distribution "balance", appearance "look", and flavor "edibility" to produce a composite score for sandwich quality (GOBBLE score). Next, participants were asked standardized questions surrounding suitability for consumption and nutrition on a 10 point Likert scale. We calculated mean scores and measured differences using t-tests.

Results: We enrolled 22 participants over the study period. Twenty-one participants completed all measures. GOBBLE scores were calculated and averaged for sandwiches. A One-way ANOVA test was performed to measure statistically significant differences between mean GOBBLE scores (p<0.05) with a post hoc Tukey HSD procedure used to assess for statistically significant difference for pairwise comparison. A significant difference (p=0.009) was noted between the 4 sandwiches being compared, with a single site outperforming the others. Aggregating for academic and community sites demonstrated no statistically significant difference (p=0.08). Sandwiches in general were not considered healthy or palatable by study subjects.

Conclusion: Despite out-performance by a single ED, there is no significant difference in the quality of sandwiches provided to patients in EDs between academic and community hospitals. ED turkey sandwiches do not appear to be food items that are viewed as healthy or recommended to patients by ED staff who participated in this study.

引言:尽管火鸡三明治在许多急诊科很受欢迎,但很少有人知道病人对火鸡三明治的看法。鉴于火鸡三明治作为急诊科提供的一种营养形式的重要性,我们试图通过急诊科工作人员对火鸡三明治的定量评估来量化急诊科火鸡三明治的成分和味道。方法:这是一项盲法观察性研究,在马萨诸塞州波士顿的一个三级城市学术医疗中心进行。我们在研究日前48小时从波士顿地区的4个急诊科(2个社区医院和2个学术医疗中心)收集了急诊火鸡三明治。我们招募了急诊科医生、护士、医师助理和工作人员,他们以随机的方式接触到四种三明治。参与者被要求按照1到5的李克特量表对三明治进行评估,包括营养价值“好”、气味“嗅觉”、质地“咬感”、成分分布“平衡”、外观“外观”和味道“可食性”,从而得出三明治质量的综合评分(GOBBLE评分)。接下来,参与者被要求以10分的李克特量表就饮食和营养的适宜性提出标准化问题。我们使用t检验计算平均得分和测量差异。结果:我们在研究期间招募了22名参与者。21名参与者完成了所有测量。对三明治的“狼吞虎咽”分数进行计算并取平均值。采用单因素方差分析(one - one ANOVA)检验来衡量平均GOBBLE评分之间的统计学差异(p)。结论:尽管单个急诊科的表现优于其他急诊科,但学术医院和社区医院为急诊科患者提供的三明治质量没有显著差异。参与这项研究的急诊科工作人员似乎并不认为火鸡三明治是健康的食物,也不推荐给病人。
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Global journal of emergency medicine
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