Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision
Abstract Background As the “do not resuscitate” (DNR) discussion involves communication, this study explored (1) the effects of a title that included “allow natural death”, and of information contents and outcomes of the decision; and (2) the information needs and consideration of the DNR decision,...
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| Format: | Article |
| Language: | English |
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BMC
2018-10-01
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| Series: | BMC Palliative Care |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12904-018-0367-4 |
| _version_ | 1818326744862556160 |
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| author | Sheng-Yu Fan Ying-Wei Wang I-Mei Lin |
| author_facet | Sheng-Yu Fan Ying-Wei Wang I-Mei Lin |
| author_sort | Sheng-Yu Fan |
| collection | DOAJ |
| description | Abstract Background As the “do not resuscitate” (DNR) discussion involves communication, this study explored (1) the effects of a title that included “allow natural death”, and of information contents and outcomes of the decision; and (2) the information needs and consideration of the DNR decision, and benefits and barriers of the DNR discussion. Methods Healthy adults (n = 524) were presented with a scenario with different titles, information contents, and outcomes, and they rated the probability of a DNR decision. A questionnaire including information needs, consideration of the decision, and benefits and barriers of DNR discussion was also used. Results There was a significantly higher probability of signing the DNR order when the title included “allow natural death” (t = − 4.51, p < 0.001), when comprehensive information was provided (F = 60.64, p < 0.001), and when there were worse outcomes (F = 292.16, p < 0.001). Common information needs included remaining life period and the prognosis. Common barriers were the families’ worries and uncertainty about future physical changes. Conclusion The title, information contents, and outcomes may influence the DNR decisions. Health-care providers should address the concept of natural death, provide comprehensive information, and help patients and families to overcome the barriers. |
| first_indexed | 2024-12-13T12:05:15Z |
| format | Article |
| id | doaj.art-c82e45feb72e461da654636058e81276 |
| institution | Directory Open Access Journal |
| issn | 1472-684X |
| language | English |
| last_indexed | 2024-12-13T12:05:15Z |
| publishDate | 2018-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Palliative Care |
| spelling | doaj.art-c82e45feb72e461da654636058e812762022-12-21T23:46:58ZengBMCBMC Palliative Care1472-684X2018-10-011711710.1186/s12904-018-0367-4Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decisionSheng-Yu Fan0Ying-Wei Wang1I-Mei Lin2Institute of Gerontology, College of Medicine, National Cheng Kung UniversityDepartment of Family Medicine, Buddhist Tzu Chi General HospitalDepartment of Psychology, College of Humanities and Social Sciences, Kaohsiung Medical UniversityAbstract Background As the “do not resuscitate” (DNR) discussion involves communication, this study explored (1) the effects of a title that included “allow natural death”, and of information contents and outcomes of the decision; and (2) the information needs and consideration of the DNR decision, and benefits and barriers of the DNR discussion. Methods Healthy adults (n = 524) were presented with a scenario with different titles, information contents, and outcomes, and they rated the probability of a DNR decision. A questionnaire including information needs, consideration of the decision, and benefits and barriers of DNR discussion was also used. Results There was a significantly higher probability of signing the DNR order when the title included “allow natural death” (t = − 4.51, p < 0.001), when comprehensive information was provided (F = 60.64, p < 0.001), and when there were worse outcomes (F = 292.16, p < 0.001). Common information needs included remaining life period and the prognosis. Common barriers were the families’ worries and uncertainty about future physical changes. Conclusion The title, information contents, and outcomes may influence the DNR decisions. Health-care providers should address the concept of natural death, provide comprehensive information, and help patients and families to overcome the barriers.http://link.springer.com/article/10.1186/s12904-018-0367-4Allow natural deathBarriersCardiopulmonary resuscitationDo not resuscitateInformation needs |
| spellingShingle | Sheng-Yu Fan Ying-Wei Wang I-Mei Lin Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision BMC Palliative Care Allow natural death Barriers Cardiopulmonary resuscitation Do not resuscitate Information needs |
| title | Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision |
| title_full | Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision |
| title_fullStr | Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision |
| title_full_unstemmed | Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision |
| title_short | Allow natural death versus do-not-resuscitate: titles, information contents, outcomes, and the considerations related to do-not-resuscitate decision |
| title_sort | allow natural death versus do not resuscitate titles information contents outcomes and the considerations related to do not resuscitate decision |
| topic | Allow natural death Barriers Cardiopulmonary resuscitation Do not resuscitate Information needs |
| url | http://link.springer.com/article/10.1186/s12904-018-0367-4 |
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