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Nurses' and doctors' perspectives on slow codes.

Jacinta Kelly1

  • 1School of Nursing and Midwifery, Trinity College Dublin, Republic of Ireland. kellyj13@tcd.ie.

Nursing Ethics
|December 22, 2007
PubMed
Summary
This summary is machine-generated.

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Nurses and doctors in Ireland perform slow codes, intentionally delaying cardiopulmonary resuscitation. While often beneficent, these slow codes are seen as undignified and pointless when intrusive measures are used.

Area of Science:

  • Medical Ethics
  • Nursing Practice
  • Clinical Decision-Making

Background:

  • Slow codes, a practice involving intentionally delayed cardiopulmonary resuscitation (CPR), are utilized in healthcare settings.
  • Understanding healthcare professionals' perspectives on slow codes is crucial for ethical practice and patient care.

Purpose of the Study:

  • To explore nurses' and doctors' views on the practice of slow codes in the Republic of Ireland.
  • To identify the ethical considerations and practical implications of slow codes from the perspective of frontline clinicians.

Main Methods:

  • A qualitative study employing Heideggerian phenomenology.
  • Data collected through unstructured interviews with five healthcare professionals (three nurses, two doctors) in Ireland.
  • Analysis of interview data using Colaizzi's reductive procedure.

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Main Results:

  • Slow codes are practiced in Ireland and are often intended as acts of beneficence.
  • The practice of slow codes was perceived as undignified and pointless when invasive interventions were involved.
  • Healthcare professionals identified a need for clearer guidelines and patient-centered communication tools.

Conclusions:

  • There is a need for open discussion regarding slow codes in Ireland.
  • Development of decision-making aids for cardiopulmonary resuscitation is recommended, including advance directives and communication training.
  • Improved patient and family information on CPR decisions is essential.