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PubMed · 1621536

Do-not-resuscitate discussions: a qualitative analysis.

W Ventres·M Nichter·R Reed·R Frankel
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Abstract

The literature to date on Do-Not-Resuscitate (DNR) decision-making is based upon data derived from structured questionnaires, hypothetical scenarios, descriptive epidemiology, or simulated discussions. Lacking in the literature has been a critical examination of the health care professional-patient-family relationship and its impact on decision-making regarding resuscitation. The purpose of this study is to identify and describe organizational and communication factors that affect the process and outcome of DNR discussions and decision-making. Individual and focus-group interviews were conducted with sixteen key informants professionally knowledgeable about resuscitative issues. Thematic analysis of these interviews revealed that a variety of cultural and professional values, as well as previous personal experiences, influenced the assumptions that providers made when engaging in DNR decision-making. Specific recommendations are made to help family physicians identify communication strategies that foster understanding and lead to participatory decisions about resuscitation among patients and families.

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Attitude of Health PersonnelCommunicationDecision MakingEthics, MedicalFamilyHumansPhysician-Patient RelationsQualitative ResearchResearchResuscitation OrdersDeath and EuthanasiaEmpirical ApproachProfessional Patient RelationshipUniversity of Arizona College of MedicineJournal ArticleResearch Support, Non-U.S. Gov't

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W Ventres, M Nichter, R Reed, R Frankel. 1992. Do-not-resuscitate discussions: a qualitative analysis.. https://pubmed.ncbi.nlm.nih.gov/1621536/

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