2.50
Hdl Handle:
http://hdl.handle.net/10755/160953
Type:
Presentation
Title:
Understanding and application of a DNR status
Abstract:
Understanding and application of a DNR status
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Garcia, Kyle, BSN
P.I. Institution Name:Sherman Health
Title:Case Management
Contact Address:775 Wing Street, Elgin, IL, 60123, USA
Contact Telephone:847-888-0044
Co-Authors:K.A. Garcia, , Sherman Health, Elgin, IL; K. Newton, , Sherman Health, Elgin, IL; J. Bazan, , Sherman Health, Elgin, IL; L. Highley, , Sherman Health, Elgin, IL;
The purpose of this study was to determine the interpretation of do not resuscitate (DNR) orders by the physician and nursing staffs at a Midwestern hospital system. In this institution DNR orders address whether the code team initiates advanced life support in the event of a cardiac or respiratory arrest. The research team evaluated DNR reports and hypothesized that the most significant source of confusion in adhering to DNR orders is a misinterpretation of what DNR status actually means. Expanding DNR status to support decision-making in times of cardiopulmonary distress (rather than arrest) or in the quality or quantity of care provided to patients is contrary to established clinical guidelines. The outcome of lack of understanding of DNR status may have consequences for the patient. The study was designed to determine the interpretation of DNR orders through use of theoretical and application questions using a psychometrically sound instrument developed for the study. IRB approval obtained, psychometrics was evaluated, and a pilot study was conducted. Subjects are volunteer participants from the medical and nursing staffs of over 300 possible respondents. The questionnaire has 21 items, 17 of which use Likert-like, multiple choice (MC) or dichotomous scales. There are 3 multiple-MC questions on specific case interventions and one open-ended question for comments. The questionnaire was placed on a password-protected intranet within the healthcare system. Time was given for their completion. In addition, physicians were accessed through monthly medical meetings for input. Data collection is underway. Descriptive statistics will be tabulated and displayed on tables. Tests for normality of distribution will be completed to ensure adherence to statistical assumptions. Inferential statistics will be calculated for the differences on key questions between healthcare workers. It is anticipated that the information gained will promote communication within the medical and nursing staffs regarding understanding and implementation of DNR orders. An educational program and changes in policy are expected to result from this study, with a resultant positive impact on patient care.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUnderstanding and application of a DNR statusen_GB
dc.identifier.urihttp://hdl.handle.net/10755/160953-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Understanding and application of a DNR status</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Garcia, Kyle, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Sherman Health</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Case Management</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">775 Wing Street, Elgin, IL, 60123, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">847-888-0044</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kyle.garcia@shermanhospital.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">K.A. Garcia, , Sherman Health, Elgin, IL; K. Newton, , Sherman Health, Elgin, IL; J. Bazan, , Sherman Health, Elgin, IL; L. Highley, , Sherman Health, Elgin, IL;</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study was to determine the interpretation of do not resuscitate (DNR) orders by the physician and nursing staffs at a Midwestern hospital system. In this institution DNR orders address whether the code team initiates advanced life support in the event of a cardiac or respiratory arrest. The research team evaluated DNR reports and hypothesized that the most significant source of confusion in adhering to DNR orders is a misinterpretation of what DNR status actually means. Expanding DNR status to support decision-making in times of cardiopulmonary distress (rather than arrest) or in the quality or quantity of care provided to patients is contrary to established clinical guidelines. The outcome of lack of understanding of DNR status may have consequences for the patient. The study was designed to determine the interpretation of DNR orders through use of theoretical and application questions using a psychometrically sound instrument developed for the study. IRB approval obtained, psychometrics was evaluated, and a pilot study was conducted. Subjects are volunteer participants from the medical and nursing staffs of over 300 possible respondents. The questionnaire has 21 items, 17 of which use Likert-like, multiple choice (MC) or dichotomous scales. There are 3 multiple-MC questions on specific case interventions and one open-ended question for comments. The questionnaire was placed on a password-protected intranet within the healthcare system. Time was given for their completion. In addition, physicians were accessed through monthly medical meetings for input. Data collection is underway. Descriptive statistics will be tabulated and displayed on tables. Tests for normality of distribution will be completed to ensure adherence to statistical assumptions. Inferential statistics will be calculated for the differences on key questions between healthcare workers. It is anticipated that the information gained will promote communication within the medical and nursing staffs regarding understanding and implementation of DNR orders. An educational program and changes in policy are expected to result from this study, with a resultant positive impact on patient care.</td></tr></table>en_GB
dc.date.available2011-10-26T23:13:28Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:13:28Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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