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Related Experiment Videos

Preferences for cardiopulmonary resuscitation

A L Puopolo1, M J Kennard, L Mallatratt

  • 1Department of Medicine, Beth Israel Hospital, Boston, MA 02215, USA.

Image--The Journal of Nursing Scholarship
|January 1, 1997
PubMed
Summary

Nurse-patient discussions about cardiopulmonary resuscitation (CPR) preferences were infrequent among seriously ill adults. Nurses

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Area of Science:

  • Medical Communication
  • Patient Care
  • End-of-Life Care

Background:

  • Effective communication regarding end-of-life care preferences is crucial for seriously ill patients.
  • Cardiopulmonary resuscitation (CPR) is a common intervention with significant implications for patient outcomes and quality of life.

Purpose of the Study:

  • To investigate the frequency and correlates of nurse-patient communication about CPR preferences.
  • To assess nurses' understanding of patients' CPR preferences.

Main Methods:

  • Prospective cohort study involving seriously ill hospitalized adults and their nurses.
  • Data collected through patient/surrogate interviews, nurse interviews, and chart reviews.
  • Logistic regression analysis to identify factors associated with communication and understanding.

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Main Results:

  • Only 13% of nurses reported discussing CPR preferences with patients.
  • Nurses' understanding of patient CPR preferences was 74%, similar to physicians and surrogates.
  • Discussions were more likely when nurses perceived patients did not want CPR, or with patients having metastatic cancer or in ICUs.

Conclusions:

  • Nurse-patient discussions about CPR preferences are infrequent in seriously ill hospitalized adults.
  • Improving nurse-patient communication and understanding of end-of-life preferences requires targeted educational interventions.
  • Enhancing communication can lead to better alignment of care with patient values.