Evidence map›Paper›PMID 30013772›Full record

ArticleMultidisciplinary respiratory medicine2018

Nurses and physicians' viewpoints about decision making of do not attempt resuscitation (DNAR).

Masoud Fallahi, Somaye Mahdavikian, Alireza Abdi, Fariba Borhani, Parvin Taghizadeh, Behzad Hematpoor

Abstract read
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Article in Multidisciplinary respiratory medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
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9citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Masoud Fallahi1Nursing Department, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Somaye Mahdavikian2Nursing and midwifery school, Kermanshah University of medical sciences, Kermanshah, Iran.
Alireza Abdi3Nursing and midwifery school, student research committee, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Fariba Borhani4Nursing, medical ethics and law research center, medical surgical nursing department, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Parvin Taghizadeh5Critical care nursing, Imam Reza hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Behzad Hematpoor6Nursing and midwifery school, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advances with regard to "do not attempt resuscitation order", physicians are still reluctant to implement it. In fact, while the nurses could be of great help in making decision about "do not attempt resuscitation order," they are mostly neglected in this process. The current study was conducted to determine the nurses and physicians' viewpoints about decision making process of "do not attempt resuscitation order".

methodsA descriptive analytical study was carried out with participation of 152 physicians and 152 nurses. The participants were selected through stratified quota sampling from three educational hospitals affiliated with Kermanshah University of Medical Sciences. Data gathering tools were a demographics checklist and a researcher-designed questionnaire with 20 statements for measuring the attitudes of the respondents about the decision-making process and implementation of "do not attempt resuscitation order" of incurable patients.

resultsTotally, 304 respondents (152 nurses and 152 physicians) participated in the study. The nurses' attitude score about the consent of the competent patients to "do not attempt resuscitation" was significantly lower in comparison with the physicians, (

conclusionsGiven the different attitudes of the nurses and the physicians about the decision-making process of "do not attempt resuscitation," it is necessary to codify a medical guideline and clarify the decision making and implementation process. The guideline needs to clearly state physician's, nurse's, patient's, and other medical team members' responsibilities and roles, respectively.

Indexed as

Cardiopulmonary resuscitationNursePhysician

Identifiers

PMID30013772
PMCPMC6046093

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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.