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Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members

BACKGROUND: One dilemma in the end-of-life care is making decisions for conducting cardiopulmonary resuscitation (CPR). This dilemma is perceived in different ways due to the influence of culture and religion. This study aimed to understand the experiences of CPR team members about the do-not-resusc...

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Autores principales: Assarroudi, Abdolghader, Heshmati Nabavi, Fatemeh, Ebadi, Abbas, Esmaily, Habibollah
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5294444/
https://www.ncbi.nlm.nih.gov/pubmed/28216869
http://dx.doi.org/10.4103/0973-1075.197946
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author Assarroudi, Abdolghader
Heshmati Nabavi, Fatemeh
Ebadi, Abbas
Esmaily, Habibollah
author_facet Assarroudi, Abdolghader
Heshmati Nabavi, Fatemeh
Ebadi, Abbas
Esmaily, Habibollah
author_sort Assarroudi, Abdolghader
collection PubMed
description BACKGROUND: One dilemma in the end-of-life care is making decisions for conducting cardiopulmonary resuscitation (CPR). This dilemma is perceived in different ways due to the influence of culture and religion. This study aimed to understand the experiences of CPR team members about the do-not-resuscitate order. METHODS: CPR team members were interviewed, and data were analyzed using a conventional content analysis method. RESULTS: Three categories and six subcategories emerged: “The dilemma between revival and suffering” with the subcategories of “revival likelihood” and “death as a cause for comfort;” “conflicting situation” with the subcategories of “latent decision” and “ambivalent order;” and “low-quality CPR” with the subcategories of “team member demotivation” and “disrupting CPR performance.” CONCLUSION: There is a need for the development of a contextual guideline, which is required for respecting the rights of patients and their families and providing legal support to health-care professionals during CPR.
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spelling pubmed-52944442017-02-17 Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members Assarroudi, Abdolghader Heshmati Nabavi, Fatemeh Ebadi, Abbas Esmaily, Habibollah Indian J Palliat Care Original Article BACKGROUND: One dilemma in the end-of-life care is making decisions for conducting cardiopulmonary resuscitation (CPR). This dilemma is perceived in different ways due to the influence of culture and religion. This study aimed to understand the experiences of CPR team members about the do-not-resuscitate order. METHODS: CPR team members were interviewed, and data were analyzed using a conventional content analysis method. RESULTS: Three categories and six subcategories emerged: “The dilemma between revival and suffering” with the subcategories of “revival likelihood” and “death as a cause for comfort;” “conflicting situation” with the subcategories of “latent decision” and “ambivalent order;” and “low-quality CPR” with the subcategories of “team member demotivation” and “disrupting CPR performance.” CONCLUSION: There is a need for the development of a contextual guideline, which is required for respecting the rights of patients and their families and providing legal support to health-care professionals during CPR. Medknow Publications & Media Pvt Ltd 2017 /pmc/articles/PMC5294444/ /pubmed/28216869 http://dx.doi.org/10.4103/0973-1075.197946 Text en Copyright: © 2017 Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Assarroudi, Abdolghader
Heshmati Nabavi, Fatemeh
Ebadi, Abbas
Esmaily, Habibollah
Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members
title Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members
title_full Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members
title_fullStr Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members
title_full_unstemmed Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members
title_short Do-not-resuscitate Order: The Experiences of Iranian Cardiopulmonary Resuscitation Team Members
title_sort do-not-resuscitate order: the experiences of iranian cardiopulmonary resuscitation team members
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5294444/
https://www.ncbi.nlm.nih.gov/pubmed/28216869
http://dx.doi.org/10.4103/0973-1075.197946
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