From: Nurses and physicians’ viewpoints about decision making of do not attempt resuscitation (DNAR)
Questionnaire of attitudes about DNAR order | Mean | Median | SD | t | Probability | |
---|---|---|---|---|---|---|
1. Obtaining the competent patient’s consent for DNAR order is essential | nurse | 3.28 | 4 | 1.197 | 3.788 | *P < 0.001 |
physician | 3.77 | 4 | 1.070 | |||
2. Obtaining consent of the competent patient’s family is essential for DNAR order. | Nurse | 3.53 | 4 | 1.156 | −1.340 | P = 0.181 |
Physician | 3.70 | 4 | 1.067 | |||
3. Obtaining consent of incompetent patient’s family is essential for DNAR order. | Nurse | 3.05 | 4 | 1.141 | −1.032 | P = 0.303 |
Physician | 3.18 | 3 | 1.193 | |||
4. If a competent patient’s family prefers not to inform its patient about DNAR order, the request must be respected. | Nurse | 3.06 | 3 | 1.111 | 2.476 | *P = 0.014 |
Physician | 2.74 | 4 | 1.113 | |||
5. If a competent patient desires that his/her family shall not be informed about DNAR order, his/her request must be respected. | Nurse | 3.45 | 4 | 1.078 | 0.532 | P = 0.595 |
Physician | 3.38 | 4 | 1.079 | |||
6. The DNAR status of patients must be determined before hospitalization. | Nurse | 3.37 | 3 | 1.155 | 0.495 | P = 0.621 |
Physician | 3.30 | 3 | 1.162 | |||
7. Preferences of the patient about DNAR order must be taken in advance for the patients who may lose their competence. | Nurse | 3.32 | 4 | 1.040 | −0.328 | P = 0.743 |
Physician | 3.36 | 4 | 1.058 | |||
8. The CPR of patient is immoral if the patient’s family has not given the consent for DNAR order. | Nurse | 3.56 | 4 | 1.096 | −1.387 | P = 0.166 |
Physician | 3.73 | 4 | 1.026 | |||
9. Obtaining the patient/family’s consent for DNAR order is the physician’s responsibility. | Nurse | 3.82 | 2 | 1.036 | 3.710 | *P < 0.001 |
Physician | 3.37 | 3 | 1.095 | |||
10. Obtaining the patient/family’s consent for DNAR order is the nurse’s responsibility. | Nurse | 2.37 | 4 | 1.021 | −3.825 | *P < 0.001 |
Physician | 2.83 | 4 | 1.106 | |||
11. Obtaining the patient/family’s consent for DNAR order is joint responsibility of the physician and nurse. | Nurse | 3.38 | 3 | 1.150 | −1.457 | P = 0.146 |
Physician | 3.56 | 3 | 0.968 | |||
12. Upon the patient/family’s consent about DNAR order, the physician must not attempt CPR even if he is not sure about futility of CPR. | nurse | 3.01 | 4 | 1.171 | 1.211 | P = 0.227 |
physician | 2.83 | 4 | 1.289 | |||
13. The nurse should follow the physician’s order for doing CPR even if it is against the patient/family’s desire. | Nurse | 3.49 | 4 | 1.185 | 0.240 | P = 0.810 |
Physician | 3.46 | 4 | 1.201 | |||
14. The nurses shall follow the DNAR order even if they do not agree with order. | nurse | 3.26 | 3 | 1.096 | 3.80 | *P < 0.001 |
physician | 3.73 | 4 | 1.042 | |||
15. The nurse can recommend DNAR order. | Nurse | 2.89 | 3 | 1.174 | 0.292 | P = 0.770 |
Physician | 2.85 | 3 | 1.181 | |||
16. The attending physician shall make decision about DNAR order. | Nurse | 3.24 | 3 | 1.151 | 3.151 | P = .621 |
Physician | 3.54 | 3 | 1.168 | |||
17. DNAR order should be taken by the physician after consulting ethics committee of the hospital. | Nurse | 3.57 | 4 | 1.033 | 0.577 | P = 0.564 |
Physician | 3.64 | 3 | 0.953 | |||
18. DNAR order must be taken by the physician after consulting with the nurse. | Nurse | 3.31 | 3 | 1.006 | 2.122 | *P = 0.035 |
Physician | 3.08 | 3 | 0.939 | |||
19. Making decision about DNAR order by the attending physician must be after consulting with other physicians. | Nurse | 3.74 | 3 | 0.952 | 0.947 | P = 0.344 |
Physician | 3.84 | 3 | 0.862 | |||
20. Making decision on DNAR order must be done by ethics committee of the hospital. | Nurse | 2.83 | 3 | 1.150 | 0.937 | P = 0.350 |
Physician | 2.71 | 4 | 1.052 |