ReviewInternational journal of emergency medicine2024
Determinants of decision-making for the initiation of resuscitation: a mixed-methods systematic review of barriers and facilitators.
Review in International journal of emergency medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The effectiveness and perceived value of feedback used in cardiac arrest simulation education: a mixed-method systematic review.Scandinavian journal of trauma, resuscitation and emergency medicine · 2025Pooled it
- Team dynamics, environmental safety, and emotional regulation in emergency department resuscitation: a qualitative study.BMC nursing · 2026Article
- 'Should We Start CPR?': How Iranian Nurses Make Resuscitation Decisions in Intensive Care Units?Nursing in critical care · 2026Article
- Accelerating the Adoption of Best Practice Research in Resuscitation Through Implementation Science: Identifying Gaps and Pathways.Journal of clinical medicine · 2026Review
- The Effect of Emergency Department Nurses' Core Self-Evaluations on Their Perceptions of Clinical Decision-Making: A Cross-Sectional Study.Journal of nursing management · 2026Article
- Factors influencing Iranian critical care nurses' initiation of resuscitation decisions: a qualitative study.BMC nursing · 2025Article
- Resuscitation discussion practices: a survey of European geriatricians.European geriatric medicine · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimThis study aimed to comprehensively examine the factors influencing healthcare providers' decision-making for initiation of resuscitation (IOR).
backgroundIn-hospital resuscitation survival hinges on timely and effective interventions. Despite guidelines, decision-making during resuscitation remains challenging, impacted by both clinical and non-clinical factors.
methodsA mixed-methods systematic review (MMSR) was conducted, searching PubMed, Web of Science, Scopus, and Embase in May 2024. Twenty peer-reviewed studies of adult in-hospital resuscitation decision-making (≥ 18 years) were included. Data were extracted and synthesized using the Joanna Briggs Institute (JBI) convergent integrated approach.
resultsA database search yielded 4398 studies, of which 1216 were duplicates. After screening 3182 unique studies, 20 articles (five qualitative, 12 quantitative, three mixed methods) were included. Data synthesis identified three overarching themes: patient, provider, and system factors. These themes encompassed barriers and facilitators to IOR.
conclusionThis review underscores the importance of understanding patient-related, provider-related, and system-related factors influencing IOR. By addressing these factors, healthcare organizations can improve resuscitation practices and outcomes. Future research should focus on enhancing collaboration, communication, and resource availability while considering non-medical factors in decision-making for IOR. RELEVANCE TO CLINICAL PRACTICE: Understanding the multifaceted barriers and facilitators identified in this study can enhance the effectiveness of resuscitation protocols and ultimately improve patient outcomes during critical care situations.
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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.