ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2000
Discussions of "code status" on a family practice teaching ward: what barriers do family physicians face?
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2000. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 47 citations in OpenAlex.
- Challenges in perioperative code status management: a national survey among Swiss anaesthetists.Resuscitation plus · 2026Article
- Patient- and caregiver-reported outcome and experience measures for evaluating serious illness communication: An environmental scan.Palliative care and social practice · 2026Review
- All providers Better Communication Skills (ABCs) program: protocol for a randomized controlled trial assessing communication training effectiveness with interprofessional clinicians.BMC palliative care · 2025Article
- Physicians' opinion of patients' CPR decision: Secondary analysis from a pilot RCT.Resuscitation plus · 2025Article
- A mixed methods pilot study of a serious illness communication training curriculum among medical residents.Palliative care and social practice · 2025Article
- A descriptive analysis of obstacles to fulfilling the end of life care goals among cardiac arrest patients.Resuscitation plus · 2021Article
- Code status communication training in postgraduate oncology programs: a needs assessment.Current oncology (Toronto, Ont.) · 2020Article
- The Experience of Do-Not-Resuscitate Orders and End-of-Life Care Discussions among Physicians.International journal of environmental research and public health · 2020Article
- Housestaff perceptions on training and discussing the Maryland Orders for Life Sustaining Treatment Form (MOLST).PloS one · 2020Article
- Doctors' attitudes towards the introduction and clinical operation of do not resuscitate orders (DNRs) in Ireland.Irish journal of medical science · 2018Article
- Initial Development of a Computer Algorithm to Identify Patients With Breast and Lung Cancer Having Poor Prognosis in a Safety Net Hospital.The American journal of hospice & palliative care · 2016Article
- Communication About Advance Directives and End-of-Life Care Options Among Internal Medicine Residents.The American journal of hospice & palliative care · 2015Article
- Decision making in advanced heart failure: a scientific statement from the American Heart Association.Circulation · 2012Article
- Awareness of do-not-resuscitate orders: what do patients know and want?Canadian family physician Medecin de famille canadien · 2012Article
- Hospital do-not-resuscitate orders: why they have failed and how to fix them.Journal of general internal medicine · 2011Review
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatients want physicians to ascertain their wishes related to resuscitation, yet such discussions of "code status" are often delayed in the hospital setting, which compromises patient autonomy. Few studies have examined family physicians' views on this topic. Our objectives were to explore the experiences of family physicians and family practice residents in establishing code status with their patients who had been admitted to hospital and to identify barriers to these discussions.
methodsSemistructured, in-depth interviews were conducted with 5 family physicians and 5 family practice residents admitting patients to a family practice teaching ward in a university-affiliated urban tertiary care hospital. Interview transcripts were analysed inductively, and grounded theory was used to identify conceptual categories and recurring themes. Key findings were validated by means of member checking with participants, consensus meetings of the research team and consultation with qualitative researchers.
resultsBarriers to code-status discussions included personal discomfort with confronting mortality, fear of damaging the doctor-patient relationship or harming the patient by raising the topic of death, limited time to establish trust, and difficulty in managing complex family dynamics. In spite of these challenges, family physicians and residents viewed discussions of resuscitation as a significant part of their role.
interpretationFamily physicians and residents need to develop personal awareness about difficulties in confronting mortality, enhance their communication strategies for broaching the topic of code status in the context of a trusting doctor-patient relationship and sharpen their skills in understanding and managing family dynamics related to end-of-life decisions. Awareness of the barriers to code-status discussions can inform research, education and hospital policy. Consultation with patients is needed to develop effective communication strategies.
Indexed as
Identifiers
11107460PMC80314W1856763153What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.