Informed consent and the aftermath of cardiopulmonary resuscitation: Ethical considerations

Bjorklund, Pamela; Lund, Denise M

doi:10.1177/0969733017700234

Cited by 8 publications

(2 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Over 70% of patients are willing to learn detailed information about DNR consent and share the DNR decision with their family members [ 9 , 31 ]. In addition, effective, high-quality communication among family members and health care providers can reduce decision-making conflicts [ 17 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Investigating Key Factors Related to the Decision of a Do-Not-Resuscitate Consent

Lin

Liu

Huang

et al. 2021

IJERPH

View full text Add to dashboard Cite

Background: The decision to sign a do-not-resuscitate (DNR) consent is critical for patients concerned about their end-of-life medical care. Taiwan’s National Health Insurance Administration (NHIA) introduced a family palliative care consultation fee to encourage family palliative care consultations; since its implementation, identifying which families require such consultations has become more important. In this study, the Taiwanese version of the Palliative Care Screening Tool (TW–PCST) was used to determine each patient’s degree of need for a family palliative care consultation. Objective: This study analyzed factors associated with signing DNR consents. The results may inform family palliative care consultations for families in need, thereby achieving a higher DNR consent rate and promoting the effective use of medical resources, including time, labor, and funding. Method: In this retrospective study, logistic regression analysis was conducted to determine which factors affected the DNR decisions of 2144 deceased patients (aged ≥ 20 years), whose records were collected from the Taipei City Hospital health information system from 1 January to 31 December 2018. Results: Among the 1730 patients with a DNR consent, 1298 (75.03%) received family palliative care consultations. The correlation between DNR consent and family palliative care consultations was statistically significant (p < 0.001). Through logistic regression analysis, we determined that participation in family palliative care consultation, TW–PCST score, type of ward, and length of stay were significant variables associated with DNR consent. Conclusions: This study determined that TW–PCST scores can be used as a measurement standard for the early identification of patients requiring family palliative care consultations. Family palliative care consultations provide opportunities for patients’ family members to participate in discussions about end-of-life care and DNR consent and provide patients and their families with accurate medical information regarding the end-of-life care decision-making process. The present results can serve as a reference to increase the proportion of patients willing to sign DNR consents and reduce the provision of ineffective life-prolonging medical treatment.

show abstract

Section: Discussionmentioning

confidence: 99%

Investigating Key Factors Related to the Decision of a Do-Not-Resuscitate Consent

Lin

Liu

Huang

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…As the rescuer stands vertically above the patient's chest wall, exert at least 5 cm of downward pressure. Utilize the hips as the fulcrum and a supporting body weight to squeeze the chest[9].When practicing CPR, the body complains of exhaustion and shortness of breath due to the increased cardio vascular workload. Lactic acid builds up in the blood and muscles, causing fatigue[10].…”

mentioning

confidence: 99%

A Experience of Emeregncy Nurses in Performing Cardiopulmonary Resucitation (CPR) in Denpasar, Bali

Astuti,

Wahyuni,

Ulandewi

et al. 2023

BEDR

View full text Add to dashboard Cite

Introduction: When the heart stops beating, blood flow throughout the body stops, which is known as cardiac arrest. Cardiopulmonary resuscitation (CPR) is necessary as quickly as feasible in cardiac arrest. When meeting cardiac arrest patients, nurses typically feel uneasy and anxious because they feel unqualified and untrained to do cardiopulmonary resuscitation.The purpose of this study is to thoroughly examine nurses' experiences with cardiopulmonary resuscitation in cardiac arrest patients in the ER Dharma Yadnya Hospital. Methods: a single case study qualitative research design utilizing thematic analysis methods. Snowball sampling is the sample method, and there are 6 participants. In-depth interviews were used to acquire the data. Results: (1) Cardiopulmonary resuscitation management, (2) Nurse's emotional description when performing CPR, (3) Supporting factors for the success of CPR, (4) Unstable family emotions, patient's physical condition and poor coordination of the medical team, (5) Nurses' calmness as seen from professionalism, (6) Practice taking action in panic situations and (7) psychological readiness prior to performing CPR. Conclusion: Despite having the skills to do CPR, ED nurses were anxious about performing it. They later experienced psychological harm as well. Education that encourages CPR skills and support networks to lessen psychological discomfort for ED nurses could be beneficial.

show abstract

The Significance of Professional Codes and Ethical Guidelines in Difficult Clinical Situations

Wetterauer

Schürmann

Reiter-Theil

2022

Codes of Ethics and Ethical Guidelines

View full text Add to dashboard Cite

Informed consent and the aftermath of cardiopulmonary resuscitation: Ethical considerations

Abstract: Analysis from this perspective shows where changes in informed consent practices are needed and where leverage might be exerted to create change in the direction of deeper and more detailed discussions about CPR survival rates and possible consequences of survival.

Cited by 8 publications

References 26 publications

Investigating Key Factors Related to the Decision of a Do-Not-Resuscitate Consent

Investigating Key Factors Related to the Decision of a Do-Not-Resuscitate Consent

A Experience of Emeregncy Nurses in Performing Cardiopulmonary Resucitation (CPR) in Denpasar, Bali

The Significance of Professional Codes and Ethical Guidelines in Difficult Clinical Situations

Contact Info

Product

Resources

About