Perceptions of care following initiation of do-not-resuscitate orders. 

 -  2022 
<br/><br/> CONCLUSIONS: Surgical staff expressed more concern about care after DNR status than their ICU counterparts. Determining whether care actually changes clinically warrants further investigation. Copyright Published by Elsevier Inc.  MATERIALS AND METHODS: IRB approved survey consisting of 31 validated questions divided into 3 factors (1. palliation, 2. active treatment, and 3. trust/communication). Individual questions were compared using Fisher's exact-tests and factors were compared via t-tests.  PURPOSE: Documenting do-not-resuscitate (DNR) status in the surgical intensive care unit (ICU) can be controversial; some providers believe that DNR orders change care. This survey evaluates current perceptions.  RESULTS: Both surgical and ICU staff believe care decreases after DNR order initiation (43%). More surgical staff report decreased care aggressiveness versus ICU staff (63% vs 25%, p < 0.005 and Factor 2, 25.8 versus 29.8, p < 0.001), and felt that electrical cardioversion outside of the setting of ACLS would not be performed (57% vs 24%, p < 0.005). 
<br/><br/><br/>English 
<br/><br/><label>ISSN: </label>0883-9441 
<br/><br/><label>Standard No.: </label>10.1016/j.jcrc.2022.154008 [doi] S0883-9441(22)00034-X [pii] 
<br/><br/><label>Subjects--Topical Terms: </label><br/>*Intensive Care Units<br/>*Resuscitation Orders<br/>Communication<br/>Electric Countershock<br/>Humans
<br/><br/><label>Subjects--Geographic Terms: </label><br/>MedStar Washington Hospital Center
<br/><br/><label>Index Terms--Occupation: </label><br/>Nursing<br/>Surgery/Burn Services
<br/><br/><label>Index Terms--Function: </label><br/>Journal Article