One hospital's experience with a "Do not resuscitate" policy

Area of Science:

• Medical Ethics
• Hospital Administration
• Patient Care

Background:

• Implementation of a "Do Not Resuscitate" (DNR) policy at McMaster University Medical Centre in 1979.
• The policy aimed to standardize decisions regarding resuscitation attempts.
• It sought to ensure patient or family involvement in treatment decisions and provide legal protection.

Purpose of the Study:

• To evaluate the effectiveness and perception of the "Do Not Resuscitate" policy.
• To assess the impact of the policy on patient care and physician practice.
• To identify areas for improvement in policy implementation and communication.

Main Methods:

• A questionnaire survey was distributed to a sample of the hospital's professional staff.
• The survey achieved an 87% response rate.
• Data collected focused on staff perceptions of the DNR policy's objectives and benefits.

Main Results:

• The majority of respondents perceived the DNR policy as beneficial for both patients and physicians.
• A need for enhanced communication strategies regarding the policy and its objectives was identified.
• The policy was generally viewed positively despite communication challenges.

Conclusions:

• The "Do Not Resuscitate" policy was considered effective and beneficial in the hospital setting.
• Further efforts are recommended to improve staff awareness and understanding of the policy.
• The study highlights the importance of clear communication in implementing ethical medical policies.