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The Concept of Do Not Resuscitate for the Families of the Patients at King Abdul-Aziz University Hospital

AIM: Do not resuscitate (DNR) is an order in medical practice for the patients who are suffering from a grave medical condition, and their life is in danger to end. DNR decision-making varies from one hospital to another. This study is aimed to assess the knowledge of the patients' relatives ab...

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Autores principales: Alsaati, Bashaer Abdulrahim, Aljishi, Maram Nader, Alshamakh, Sunds Salah, Basharaheel, Hadeel Ahmed, Banjar, Nujood Shawqi, Alamri, Rawan Saleh, Alkhayyat, Shadi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7888411/
https://www.ncbi.nlm.nih.gov/pubmed/33623315
http://dx.doi.org/10.4103/IJPC.IJPC_228_19
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author Alsaati, Bashaer Abdulrahim
Aljishi, Maram Nader
Alshamakh, Sunds Salah
Basharaheel, Hadeel Ahmed
Banjar, Nujood Shawqi
Alamri, Rawan Saleh
Alkhayyat, Shadi
author_facet Alsaati, Bashaer Abdulrahim
Aljishi, Maram Nader
Alshamakh, Sunds Salah
Basharaheel, Hadeel Ahmed
Banjar, Nujood Shawqi
Alamri, Rawan Saleh
Alkhayyat, Shadi
author_sort Alsaati, Bashaer Abdulrahim
collection PubMed
description AIM: Do not resuscitate (DNR) is an order in medical practice for the patients who are suffering from a grave medical condition, and their life is in danger to end. DNR decision-making varies from one hospital to another. This study is aimed to assess the knowledge of the patients' relatives about DNR concept and their opinion about the DNR decision-making. MATERIALS AND METHODS: This was a nonintervention cross-sectional study conducted, during 2016, among 420 patients' relatives in the Emergency Department at King Abdul-Aziz University Hospital in KSA. Data were collected by interviewing the participants. Data were further analyzed using SPSS software. The Chi-square test was used to determine the associations. RESULTS: Variation in responses related to the DNR concept was observed. Around 44% of participants thought that DNR involved maximum intervention in the hospital, including intensive care. Further, the majority (55.2%) of the participants were assured about the quality of the services the patient would receive. Furthermore, 51% of the participants believed that ultimately, it should always be the doctor who decides on a DNR decision. Meanwhile, 36.4% of the relatives opined that the family members should be involved in the discussion regarding the DNR order. CONCLUSION: We observed a gap in the understanding of the concept and decision-making of DNR-order among the participants. Health-care providers should provide a greater explanation about DNR orders to the families of the patients to avoid any misunderstandings, and also support them psychologically to avoid any stress they might encounter in such situations.
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spelling pubmed-78884112021-02-22 The Concept of Do Not Resuscitate for the Families of the Patients at King Abdul-Aziz University Hospital Alsaati, Bashaer Abdulrahim Aljishi, Maram Nader Alshamakh, Sunds Salah Basharaheel, Hadeel Ahmed Banjar, Nujood Shawqi Alamri, Rawan Saleh Alkhayyat, Shadi Indian J Palliat Care Original Article AIM: Do not resuscitate (DNR) is an order in medical practice for the patients who are suffering from a grave medical condition, and their life is in danger to end. DNR decision-making varies from one hospital to another. This study is aimed to assess the knowledge of the patients' relatives about DNR concept and their opinion about the DNR decision-making. MATERIALS AND METHODS: This was a nonintervention cross-sectional study conducted, during 2016, among 420 patients' relatives in the Emergency Department at King Abdul-Aziz University Hospital in KSA. Data were collected by interviewing the participants. Data were further analyzed using SPSS software. The Chi-square test was used to determine the associations. RESULTS: Variation in responses related to the DNR concept was observed. Around 44% of participants thought that DNR involved maximum intervention in the hospital, including intensive care. Further, the majority (55.2%) of the participants were assured about the quality of the services the patient would receive. Furthermore, 51% of the participants believed that ultimately, it should always be the doctor who decides on a DNR decision. Meanwhile, 36.4% of the relatives opined that the family members should be involved in the discussion regarding the DNR order. CONCLUSION: We observed a gap in the understanding of the concept and decision-making of DNR-order among the participants. Health-care providers should provide a greater explanation about DNR orders to the families of the patients to avoid any misunderstandings, and also support them psychologically to avoid any stress they might encounter in such situations. Wolters Kluwer - Medknow 2020 2020-11-19 /pmc/articles/PMC7888411/ /pubmed/33623315 http://dx.doi.org/10.4103/IJPC.IJPC_228_19 Text en Copyright: © 2020 Indian Journal of Palliative Care http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Original Article
Alsaati, Bashaer Abdulrahim
Aljishi, Maram Nader
Alshamakh, Sunds Salah
Basharaheel, Hadeel Ahmed
Banjar, Nujood Shawqi
Alamri, Rawan Saleh
Alkhayyat, Shadi
The Concept of Do Not Resuscitate for the Families of the Patients at King Abdul-Aziz University Hospital
title The Concept of Do Not Resuscitate for the Families of the Patients at King Abdul-Aziz University Hospital
title_full The Concept of Do Not Resuscitate for the Families of the Patients at King Abdul-Aziz University Hospital
title_fullStr The Concept of Do Not Resuscitate for the Families of the Patients at King Abdul-Aziz University Hospital
title_full_unstemmed The Concept of Do Not Resuscitate for the Families of the Patients at King Abdul-Aziz University Hospital
title_short The Concept of Do Not Resuscitate for the Families of the Patients at King Abdul-Aziz University Hospital
title_sort concept of do not resuscitate for the families of the patients at king abdul-aziz university hospital
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7888411/
https://www.ncbi.nlm.nih.gov/pubmed/33623315
http://dx.doi.org/10.4103/IJPC.IJPC_228_19
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