TY  - BOOK
AU  - Johnson, Laura S
AU  - McLawhorn, Melissa M
AU  - Ryan, Andrea B
TI  - Perceptions of care following initiation of do-not-resuscitate orders
SN  - 0883-9441
PY  - 2022///
KW  - *Intensive Care Units
KW  - *Resuscitation Orders
KW  - Communication
KW  - Electric Countershock
KW  - Humans
KW  - MedStar Washington Hospital Center
KW  - Nursing
KW  - Surgery/Burn Services
KW  - Journal Article
N2  - 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)
UR  - https://dx.doi.org/10.1016/j.jcrc.2022.154008
ER  -