@article{65f8b3bdfacf41159cf0b88070a1a582,
title = "Nurses{\textquoteright} 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",
abstract = "Aim: To elucidate influence of a do-not-attempt-resuscitation (DNAR) order on nurses{\textquoteright} 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{\textquoteright} 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{\textquoteright} perceptions of clinical practices for non-cancer older patients with chronic heart failure.",
keywords = "aged, chronic disease, dementia, family relations, nurses, nursing, social conditions",
author = "Asaka Higuchi and Azusa Yoshii and Morihito Takita and Masaharu Tsubokura and Hiroki Fukahori and Rika Igarashi",
note = "Funding Information: This study is supported in part by Minamisoma Municipal General Hospital and the Medical Governance Research Institute. We would like to thank Minako Ishizaki RN, Yuko Suenaga RN, Kimiko Takada RN, Nana Kobayashi RN, Azusa Terasaku RN, Mayumi Fukagawa RN and Mayumi Nagano RN at Minamisoma Municipal General Hospital for advice on nursing care; Kazuhiro Kosugi MD at the National Cancer Center Hospital East for advice on palliative care; Masaki Miyasaka MD at Sendai Kousei Hospital for advice on cardiovascular care; Emi Yokoyama RN at Seisa University Graduate School for advice on nursing care; Mutsuko Ohnishi MD, PhD at Seisa University Graduate School for advice on reference reviewing; Kenzo Takahashi MD, PhD at Teikyo University for advice on public health; Kenji Tsuda MD, PhD and Testsuya Tanimoto MD at Jyoban Hospital of Tokiwa Foundation for advice on study design; and Masahiro Kami MD, PhD at Medical Governance Research Institute for comprehensive general advice. Funding Information: This study is supported in part by Minamisoma Municipal General Hospital and the Medical Governance Research Institute. Publisher Copyright: {\textcopyright} 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd.",
year = "2020",
month = jul,
day = "1",
doi = "10.1002/nop2.495",
language = "English",
volume = "7",
pages = "1179--1186",
journal = "Nursing Open",
issn = "2054-1058",
publisher = "Wiley-Blackwell Publishing Ltd",
number = "4",
}
