Does resuscitation status affect decision making in a deteriorating patient? Results from a randomised vignette study.

ABSTRACT:

Aims and objectives

The aim of this paper is to determine the influence of do not attempt cardiopulmonary resuscitation (DNACPR) orders and the Universal Form of Treatment Options ('UFTO': an alternative approach that contextualizes the resuscitation decision within an overall treatment plan) on nurses' decision making about a deteriorating patient.

Methods

An online survey with a developing case scenario across three timeframes was used on 231 nurses from 10 National Health Service Trusts. Nurses were randomised into three groups: DNACPR, the UFTO and no-form. Statements were pooled into four subcategories: Increasing Monitoring, Escalating Concern, Initiating Treatments and Comfort Measures.

Results

Reported decisions were different across the three groups. Nurses i

SUBMITTER: Moffat S 

PROVIDER: S-EPMC5111586 | biostudies-literature | 2016 Dec

REPOSITORIES: biostudies-literature