Beliefs and attitudes of nurses and physicians about do not resuscitate orders and who should speak to patients and families about them

Sulmasy, Daniel P.; He, Müller; McAuley, Ruth; Ury, Wayne A.

doi:10.1097/ccm.0b013e31817c79fe

Cited by 48 publications

(45 citation statements)

References 26 publications

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“…32,33 Moreover, professional nursing societies include communicating about goals of care among the responsibilities of the ICU nurse, 11,34 and many nurses are comfortable embracing this role. 35 Time constraints and continuity of care are known barriers for timely and effective communication by physicians with patients and families in the ICU. 36,37 Although time constraints exist for busy ICU nurses as well, nurses can help to overcome these barriers to communication and contribute in important ways to effective communication.…”

Section: Discussionmentioning

confidence: 99%

Training Nurses for Interdisciplinary Communication with Families in the Intensive Care Unit: An Intervention

Krimshtein

Luhrs

Puntillo

et al. 2011

Journal of Palliative Medicine

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Background: Critical care nurse communication training has largely been limited to didactic materials, interactive training for nurse supervisors, or brief participatory learning programs within the context of comprehensive end-of-life care educational seminars. Preliminary evidence suggests that an interactive approach can also be effective in communication skills training for intensive care unit (ICU) nurses. Methods: We implemented a 1-day educational intervention in five acute care hospitals within Veterans Integrated Service Network (VISN) 3 (New York-New Jersey region) of the Department of Veterans Affairs and focused solely on communication skills and targeted specifically to nurses providing bedside care for critically ill patients. A ''learner centered'' approach to skills training that has several integral components was employed. Among these are: a cognitive, evidence-based foundation upon which to build new skills; a method such as roleplay that allows participants to practice newly learned skills; and an affective component, during which trainees can freely discuss their impressions of the exercise or explore difficulties that may have been encountered. Before and after the program we conducted a detailed assessment of participants' self-rated communication skills and of the techniques and materials we used. Results and conclusions: Post-program responses documented significant improvement in self-evaluated skills for each of the core tasks we assessed. Evidence suggests that communication with patients and families in the ICU can be most effectively approached in an interdisciplinary way. For nurses to fully realize their potential for optimal communication as members of the multidisciplinary team, they must be equipped with the necessary skills. We believe this new program helps to expand the range of approaches for training nurses in essential communication skills.

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Section: Discussionmentioning

confidence: 99%

Training Nurses for Interdisciplinary Communication with Families in the Intensive Care Unit: An Intervention

Krimshtein

Luhrs

Puntillo

et al. 2011

Journal of Palliative Medicine

View full text Add to dashboard Cite

show abstract

“…Moreover, physicians generally think that nurses are competent to communicate with patients and families about prognosis, goals, and end-of-life treatment preferences. 28 Helping nurses reset their expectations about their roles in family meetings may help increase effective involvement of nurses in the meetings.…”

Section: Discussionmentioning

confidence: 99%

Nurses as Intermediaries: How Critical Care Nurses Perceive Their Role in Family Meetings

Ahluwalia¹,

Schreibeis-Baum²,

Prendergast³

et al. 2015

American Journal of Critical Care

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“…Six categories were used to assess the respondents' opinions and attitudes toward DNR orders for dying newborns 9,10) . Respondents were asked to indicate whether they strongly agreed, somewhat agreed, were unsure, somewhat disagreed, or strongly disagreed with each category.…”

Section: Surveymentioning

confidence: 99%

Investigation of Neonatal Staff Members' Attitudes toward End-of-Life Decision Making about Dying Newborns

et al. 2017

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Purpose: The objective of this study was to investigate physicians' attitudes toward ethical end-of-life decision making about dying newborns. Methods: Between October and December 2015, we surveyed 185 neonatal staff members working at 6 neonatal intensive care units to investigate their attitudes toward ethical end-of-life decision making about dying newborns. Results:The respondents generally agreed with using sedatives/analgesics to suppress pain despite the risk of fatality (80%), continuing current treatment without using other treatment methods (56.2%), and withholding emergency treatment in the form of cardiac arrest resuscitation (48.1%). In contrast, most respondents disagre ed with administering drugs for the purpose of ending life, withholding neonatal intensive care, and withholding mechanical ventilation. Although the respondents believed that it is necessary to suggest that the parents of dying neonates sign do-notresuscitate (DNR) orders (62.7%), most of them found it difficult to talk to parents/ families about DNR orders (90.8%), or wanted to refrain from obtaining families' consent in person (84.9%). Conclusion: Korean neonatal staff members believed that withholding or withdrawal of treatment is necessary when making ethical decisions about dying neonates; however, they preferred to use conservative, rather than active interventions.

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Beliefs and attitudes of nurses and physicians about do not resuscitate orders and who should speak to patients and families about them

Cited by 48 publications

References 26 publications

Training Nurses for Interdisciplinary Communication with Families in the Intensive Care Unit: An Intervention

Training Nurses for Interdisciplinary Communication with Families in the Intensive Care Unit: An Intervention

Nurses as Intermediaries: How Critical Care Nurses Perceive Their Role in Family Meetings

Investigation of Neonatal Staff Members' Attitudes toward End-of-Life Decision Making about Dying Newborns

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