Abstract
Purpose – The purpose of this paper is to investigate the impact of a “Do Not Attempt Resuscitation” (DNAR) order on subsequent decision making relating to the clinical care of the patient.Design/methodology/approach – The approach taken was a questionnaire based on a hypothetical clinical case, completed by medical and nursing staff of all grades in general medical, surgical, and orthopaedic wards.Findings – There is a reduction in the urgency attached to reviewing a deteriorating patient following institution of a DNAR order. Many doctors and nurses will not perform a range of interventions in the patient with a DNAR order in place. Confusion exists regarding whether an apnoeic, peri‐arrest patient should be ventilated when a DNAR order is in place.Research limitations/implications – This was a single‐centre study, looking at a hypothetical situation. Further studies at more centres, and investigating different designs of DNAR form, would clarify the best format for these to take.Practical implications ...
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