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Do-not-resuscitate discussions: a qualitative analysis.

W Ventres1, M Nichter, R Reed

  • 1Department of Family and Community Medicine, University of Arizona, Tucson.

Family Practice Research Journal
|June 1, 1992
PubMed
Summary
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This study explores factors influencing Do-Not-Resuscitate (DNR) discussions. It highlights how provider values and experiences impact patient-family decision-making, offering strategies for better communication.

Area of Science:

  • Medical Ethics
  • Health Communication
  • Family Medicine

Background:

  • Existing literature on Do-Not-Resuscitate (DNR) decision-making relies on questionnaires, hypothetical scenarios, and simulated discussions.
  • There is a gap in critically examining the health care professional-patient-family relationship's impact on resuscitation decisions.

Purpose of the Study:

  • To identify and describe organizational and communication factors influencing DNR discussions and decision-making processes.
  • To provide recommendations for family physicians to improve communication strategies in resuscitation discussions.

Main Methods:

  • Conducted individual and focus-group interviews with sixteen key informants knowledgeable about resuscitative issues.
  • Employed thematic analysis to interpret interview data.
Keywords:
Death and EuthanasiaEmpirical ApproachProfessional Patient RelationshipUniversity of Arizona College of Medicine

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Main Results:

  • Cultural and professional values, along with personal experiences, significantly influence healthcare providers' assumptions during DNR decision-making.
  • Communication and organizational factors play a crucial role in the process and outcomes of DNR discussions.

Conclusions:

  • Understanding provider values and experiences is key to improving DNR decision-making.
  • Implementing effective communication strategies can foster patient and family understanding and lead to participatory decisions regarding resuscitation.