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Do-not-resuscitate (DNR) Orders’ Awareness and Perception Among Physicians: a National Survey

BACKGROUND: The concept of do-not-resuscitate (DNR) orders began when medical and surgical interventions increased the possibility of resuscitation in dying patients. Healthcare providers should start to care more about the quality of life rather than quantity. The acceptance of signing DNR orders v...

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Autores principales: Alahmadi, Sarah, Al Shahrani, Mohammed, Albehair, Maan, Alghamdi, Abdulrahman, Alwayel, Faten, Turkistani, Alaa, Alahmadi, Abdullah, Shehab, Zainab
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Academy of Medical Sciences of Bosnia and Herzegovina 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10591250/
https://www.ncbi.nlm.nih.gov/pubmed/37876561
http://dx.doi.org/10.5455/medarh.2023.77.288-292
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author Alahmadi, Sarah
Al Shahrani, Mohammed
Albehair, Maan
Alghamdi, Abdulrahman
Alwayel, Faten
Turkistani, Alaa
Alahmadi, Abdullah
Shehab, Zainab
author_facet Alahmadi, Sarah
Al Shahrani, Mohammed
Albehair, Maan
Alghamdi, Abdulrahman
Alwayel, Faten
Turkistani, Alaa
Alahmadi, Abdullah
Shehab, Zainab
author_sort Alahmadi, Sarah
collection PubMed
description BACKGROUND: The concept of do-not-resuscitate (DNR) orders began when medical and surgical interventions increased the possibility of resuscitation in dying patients. Healthcare providers should start to care more about the quality of life rather than quantity. The acceptance of signing DNR orders varies among physicians owing to different reasons and conceptions. OBJECTIVE: The aim of this national survey was to evaluate the extent of physicians’ knowledge and attitude towards do-not-resuscitate (DNR) orders in different hospitals and specialties in Saudi Arabia. METHODS: A cross-sectional study was conducted in Saudi Arabia and other Arab Gulf countries between March 2019 and May 2021. RESULTS: A total of 409 physicians completed the questionnaire (53.3% male, 47% of the participants were less than 30 years of age). Most participants had their residency medical training in Saudi Arabia (73.6%, n=281); 33.5% were emergency medicine (EM) physicians. Among 409 patients, 92.7% (n=379 ) were familiar with the DNR (do-not-resuscitate) ter. Half of the participants had never discussed a DNR status with the patient or family (n=215, 52.6%), however, only 38.4% had read the policy. A total of 275 (67.2%) participants were aware that their institute had a DNR policy, and a lack of patient/family understanding was the most common barrier for the majority to initiate DNR orders (53.9%, n=222). Most of the participants (65.8%, n=269) acknowledged a lack of training and understanding of the concepts of DNR orders. CONCLUSION: Most physicians who participated in this study were aware of the DNR order concept; however, half of them had never discussed or signed a DNR order. Patients and their families’ misunderstandings were considered the main barriers. In addition, the lack of training in the concepts of DNR orders was considered a major obstacle.
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spelling pubmed-105912502023-10-24 Do-not-resuscitate (DNR) Orders’ Awareness and Perception Among Physicians: a National Survey Alahmadi, Sarah Al Shahrani, Mohammed Albehair, Maan Alghamdi, Abdulrahman Alwayel, Faten Turkistani, Alaa Alahmadi, Abdullah Shehab, Zainab Med Arch Cross-Sectional Study BACKGROUND: The concept of do-not-resuscitate (DNR) orders began when medical and surgical interventions increased the possibility of resuscitation in dying patients. Healthcare providers should start to care more about the quality of life rather than quantity. The acceptance of signing DNR orders varies among physicians owing to different reasons and conceptions. OBJECTIVE: The aim of this national survey was to evaluate the extent of physicians’ knowledge and attitude towards do-not-resuscitate (DNR) orders in different hospitals and specialties in Saudi Arabia. METHODS: A cross-sectional study was conducted in Saudi Arabia and other Arab Gulf countries between March 2019 and May 2021. RESULTS: A total of 409 physicians completed the questionnaire (53.3% male, 47% of the participants were less than 30 years of age). Most participants had their residency medical training in Saudi Arabia (73.6%, n=281); 33.5% were emergency medicine (EM) physicians. Among 409 patients, 92.7% (n=379 ) were familiar with the DNR (do-not-resuscitate) ter. Half of the participants had never discussed a DNR status with the patient or family (n=215, 52.6%), however, only 38.4% had read the policy. A total of 275 (67.2%) participants were aware that their institute had a DNR policy, and a lack of patient/family understanding was the most common barrier for the majority to initiate DNR orders (53.9%, n=222). Most of the participants (65.8%, n=269) acknowledged a lack of training and understanding of the concepts of DNR orders. CONCLUSION: Most physicians who participated in this study were aware of the DNR order concept; however, half of them had never discussed or signed a DNR order. Patients and their families’ misunderstandings were considered the main barriers. In addition, the lack of training in the concepts of DNR orders was considered a major obstacle. Academy of Medical Sciences of Bosnia and Herzegovina 2023 /pmc/articles/PMC10591250/ /pubmed/37876561 http://dx.doi.org/10.5455/medarh.2023.77.288-292 Text en © 2023 Sarah Alahmadi, Mohammed Al Shahrani, Maan Albehair, Abdulrahman Alghamdi, Faten Alwayel, Alaa Turkistani, Abdullah Alahmadi, Zainab Shehab https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Cross-Sectional Study
Alahmadi, Sarah
Al Shahrani, Mohammed
Albehair, Maan
Alghamdi, Abdulrahman
Alwayel, Faten
Turkistani, Alaa
Alahmadi, Abdullah
Shehab, Zainab
Do-not-resuscitate (DNR) Orders’ Awareness and Perception Among Physicians: a National Survey
title Do-not-resuscitate (DNR) Orders’ Awareness and Perception Among Physicians: a National Survey
title_full Do-not-resuscitate (DNR) Orders’ Awareness and Perception Among Physicians: a National Survey
title_fullStr Do-not-resuscitate (DNR) Orders’ Awareness and Perception Among Physicians: a National Survey
title_full_unstemmed Do-not-resuscitate (DNR) Orders’ Awareness and Perception Among Physicians: a National Survey
title_short Do-not-resuscitate (DNR) Orders’ Awareness and Perception Among Physicians: a National Survey
title_sort do-not-resuscitate (dnr) orders’ awareness and perception among physicians: a national survey
topic Cross-Sectional Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10591250/
https://www.ncbi.nlm.nih.gov/pubmed/37876561
http://dx.doi.org/10.5455/medarh.2023.77.288-292
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