Nurses’ perceptions of medical procedures and nursing practices for older patients with non-cancer long-term illness and do-not-attempt-resuscitation orders: A vignette study

Asaka Higuchi, Azusa Yoshii, Morihito Takita, Masaharu Tsubokura, Hiroki Fukahori, Rika Igarashi

Research output: Contribution to journalArticle

Abstract

Aim: To elucidate influence of a do-not-attempt-resuscitation (DNAR) order on nurses’ perceptions of the medical procedures and nursing practices for non-cancer older patients. Design: A vignette-based questionnaire study. Methods: A questionnaire survey asking nurses their perceptions of clinical practices for the following three vignettes was performed in a community hospital in Japan (N = 120): the control vignettes with an older patient with repeated heart failure who was living alone and the other two with either an absence of relatives or a diagnosis of dementia. We also prepared additions to each vignette describing a DNAR order. Results: Nurses’ perception on cardiopulmonary resuscitation, defibrillation, blood tests and intravenous nutrition showed statistically significant and minimally important declines after the DNAR order compared with before for all three vignettes (p <.001). DNAR orders can influence nurses’ perceptions of clinical practices for non-cancer older patients with chronic heart failure.

Original languageEnglish
Pages (from-to)1179-1186
Number of pages8
JournalNursing Open
Volume7
Issue number4
DOIs
Publication statusPublished - 2020 Jul 1

Keywords

  • aged
  • chronic disease
  • dementia
  • family relations
  • nurses
  • nursing
  • social conditions

ASJC Scopus subject areas

  • Nursing(all)

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