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Critical care nurses' perceptions of DNR status
J Thibault-Prevost1, L A Jensen, M Hodgins
1Faculty of Nursing, University of Alberta, Edmonton, Canada.
Summary
Nurses find do-not-resuscitate (DNR) orders ambiguous in critical care. Improving documentation and communication about DNR decisions is crucial for patient-centered care.
Area of Science:
- Nursing
- Critical Care Medicine
- Bioethics
Background:
- Do-not-resuscitate (DNR) orders are critical in end-of-life care within intensive settings.
- Understanding healthcare professionals' perspectives is vital for improving DNR practices.
Purpose of the Study:
- To explore critical care nurses' perceptions of do-not-resuscitate (DNR) decision-making.
- To identify challenges and potential improvements in DNR processes.
Main Methods:
- A survey was administered to 405 critical care nurses in Alberta, Canada.
- The survey assessed nurses' knowledge, attitudes, and practices regarding DNR status.
- Descriptive analyses were performed on the collected data.
Main Results:
- The term "do-not-resuscitate" (DNR) was perceived as ambiguous by nurses.
- The underlying rationale for DNR orders was often unclear in clinical practice.
- While nurses supported shared decision-making, physicians were predominantly seen as the decision-makers.
Conclusions:
- Enhancing the documentation of comprehensive patient treatment plans is recommended.
- Increasing awareness of the rationale behind DNR designations can improve care.
- These strategies aim to align critical care with patient goals.
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