Evidence map›Paper›PMID 34488819›Full record

SynthesisPhilosophy, ethics, and humanities in medicine : PEHM2021

The worldwide investigating nurses' attitudes towards do-not-resuscitate order: a review.

Neda Raoofi, Samira Raoofi, Rostam Jalali, Alireza Abdi, Nader Salari

Abstract readSystematic Review
In one paragraph

Synthesis in Philosophy, ethics, and humanities in medicine : PEHM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

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

  1. Pooled it
  2. Article
  3. Article
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

5 authors.

Neda RaoofiDepartment Nursing, Nursing and Midwifery Faculty, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Samira RaoofiHealth Care Management, Iran University of Medical Sciences, Tehran, Iran.
Rostam JalaliDepartment Nursing, Nursing and Midwifery Faculty, Kermanshah University of Medical Sciences, Kermanshah, Iran. ks_jalali@yahoo.com.ORCID 0000-0003-1781-9939
Alireza AbdiFaculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Nader SalariFaculty of Nursing and Midwifery, Kermanshah University of Medical Sciences, Kermanshah, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe acceptance or practical application of the do-not-resuscitate order is substantially dependent on internal or personal factors; in a way that decision-making about this issue can be specific to each person. Moreover, most nurses feel morally and emotionally stressed and confused during the process decision-making regarding DNR order. Therefore, the purpose of the present study was to evaluate nurses' attitudes towards DNR order in a systematic review.

methodsThis critical survey was conducted using a systematic review protocol. To this end, the most relevant articles published in domestic and foreign databases with no time limits until October 2018 were searched. The inclusion and exclusion criteria were articles on DNR order, studies about nurses' attitudes, descriptive and analytical research papers, as well as those with download links and full texts. The given articles were also assessed in terms of their quality and their main results were extracted.

resultsOf the total number of 1663 articles searched in the process of systematic review to investigate nurses' attitudes towards DNR order, 88 articles were included in the full-text review step and finally 10 articles, meeting the inclusion criteria, were found. Assessing the quality of articles included in this review showed that 8 articles, in general, were of good quality and 2 studies were characterized with moderate quality. The main factors associated with nurses' attitudes towards DNR order were grouped into three categories of (1) nurses' attitudes towards DNR order, (2) guidelines for DNR order, and (3) decision-making by patients and their families about DNR order. In most of the studies examined, nurses' attitudes towards DNR order were reported positive.

conclusionIt seemed that nurses were willing to get involved in DNR order and each hospital was recommended to develop a written DNR policy directing individuals and avoiding their confusion in this respect.

Indexed as

NursesNursing Staff, HospitalAttitude of Health PersonnelHealth Knowledge, Attitudes, PracticeHumansResuscitation OrdersAttitudesDNR OrderDo-Not-Resuscitate OrderIranNursesSystematic Review

Identifiers

PMID34488819
PMCPMC8422718

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

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.