The knowledge and
implementation skills of the DNR order amongst physicians in training appear to
be quite variable. Few studies had assessed residents' views on this complex
topic. Our objective was to describe the medical residents’ practices and
perceptions toward DNR order. A 26 question survey was distributed to medical
residents during the academic day activity.
Only 56 residents
completed the questionnaire (75% response rate). 61.40% of the residents
understood the definition of DNR order. 85.96% thought physicians shouldn’t
order diagnostic tests for DNR patients and 92.98% thought physicians shouldn’t
give blood products and antibiotics to DNR patients. 45.61% thought DNR order
would lead to poor care. 36.84% thought physician alone
should decide about the DNR decision. 45.61% answered
that DNR order never discussed with patients. 64.91% answered that consultant
discussed DNR order with patients. 42.11% of residents were involved in the
discussion of DNR order.
66.67% answered
that time to decide about the DNR order on day of admission. 42.11% answered
there was variation between consultants regarding the care of DNR patient.
43.86% answered there was variation in the clinical care before and after DNR
order was placed. 87.72% thought here was a need for formal training in DNR
discussion. 68.42% didn’t know if KFSH and RC had clinical guidelines for DNR
patients care.
No comments:
Post a Comment