Cardiopulmonary Resuscitation: Values and Decisions: A Comparison of Health Care Professionals
The authors studied the effect of various patient factors (biomedical, mental status, and psychosocial) on the decision to perform cardiopulmonary resuscitation by internal medicine house staff and registered nurses. Clinical vignettes were utilized to assess the likelihood of initiation of cardiopu...
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| Veröffentlicht in: | Medical care 1985-12, Vol.23 (12), p.1391-1398 |
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| container_issue | 12 |
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| container_title | Medical care |
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| creator | Farber, Neil J. Weiner, Joan L. Boyer, E. Gil Green, Willard P. Diamond, Maureen P. Copare, Irene M. |
| description | The authors studied the effect of various patient factors (biomedical, mental status, and psychosocial) on the decision to perform cardiopulmonary resuscitation by internal medicine house staff and registered nurses. Clinical vignettes were utilized to assess the likelihood of initiation of cardiopulmonary resus-citation (CPR) by the respondents. In most cases, these factors had similar significant effects on decisions to initiate CPR by both physicians and nurses. However, some differences in the likelihood of performing CPR were found between the physician and nurse populations, particularly in the areas of mental status and institutionalization. Dementia, mental retardation, and nursing home status all caused residents to be significantly less likely to initiate CPR than nurses (P < 0.001). This study demonstrates that biomedical, mental status, and psychosocial patient factors have a significant impact on the decision to initiate CPR by both internal medicine residents and nurses. These decisions apparently are rooted in similar criteria, although the basis for the differences between the two groups warrants further study. |
| doi_str_mv | 10.1097/00005650-198512000-00008 |
| format | Article |
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Dementia, mental retardation, and nursing home status all caused residents to be significantly less likely to initiate CPR than nurses (P < 0.001). This study demonstrates that biomedical, mental status, and psychosocial patient factors have a significant impact on the decision to initiate CPR by both internal medicine residents and nurses. These decisions apparently are rooted in similar criteria, although the basis for the differences between the two groups warrants further study.</description><identifier>ISSN: 0025-7079</identifier><identifier>EISSN: 1537-1948</identifier><identifier>DOI: 10.1097/00005650-198512000-00008</identifier><identifier>PMID: 4087953</identifier><language>eng</language><publisher>United States: J. B. Lippincott Co</publisher><subject>Adult ; Age ; Attitude of Health Personnel ; Cardiopulmonary resuscitation ; Dementia ; Drug abuse ; Female ; Humans ; Intellectual disability ; Internal medicine ; Male ; Medical Staff, Hospital - psychology ; Nurses ; Nursing Staff, Hospital - psychology ; Pennsylvania ; Physicians ; Resuscitation - standards ; Social Values ; Suicide ; Violent crimes</subject><ispartof>Medical care, 1985-12, Vol.23 (12), p.1391-1398</ispartof><rights>Copyright 1985 J. B. Lippincott Company</rights><rights>Lippincott-Raven Publishers.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/3764586$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/3764586$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,780,784,803,27924,27925,58017,58250</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/4087953$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Farber, Neil J.</creatorcontrib><creatorcontrib>Weiner, Joan L.</creatorcontrib><creatorcontrib>Boyer, E. Gil</creatorcontrib><creatorcontrib>Green, Willard P.</creatorcontrib><creatorcontrib>Diamond, Maureen P.</creatorcontrib><creatorcontrib>Copare, Irene M.</creatorcontrib><title>Cardiopulmonary Resuscitation: Values and Decisions: A Comparison of Health Care Professionals</title><title>Medical care</title><addtitle>Med Care</addtitle><description>The authors studied the effect of various patient factors (biomedical, mental status, and psychosocial) on the decision to perform cardiopulmonary resuscitation by internal medicine house staff and registered nurses. Clinical vignettes were utilized to assess the likelihood of initiation of cardiopulmonary resus-citation (CPR) by the respondents. In most cases, these factors had similar significant effects on decisions to initiate CPR by both physicians and nurses. However, some differences in the likelihood of performing CPR were found between the physician and nurse populations, particularly in the areas of mental status and institutionalization. Dementia, mental retardation, and nursing home status all caused residents to be significantly less likely to initiate CPR than nurses (P < 0.001). This study demonstrates that biomedical, mental status, and psychosocial patient factors have a significant impact on the decision to initiate CPR by both internal medicine residents and nurses. These decisions apparently are rooted in similar criteria, although the basis for the differences between the two groups warrants further study.</description><subject>Adult</subject><subject>Age</subject><subject>Attitude of Health Personnel</subject><subject>Cardiopulmonary resuscitation</subject><subject>Dementia</subject><subject>Drug abuse</subject><subject>Female</subject><subject>Humans</subject><subject>Intellectual disability</subject><subject>Internal medicine</subject><subject>Male</subject><subject>Medical Staff, Hospital - psychology</subject><subject>Nurses</subject><subject>Nursing Staff, Hospital - psychology</subject><subject>Pennsylvania</subject><subject>Physicians</subject><subject>Resuscitation - standards</subject><subject>Social Values</subject><subject>Suicide</subject><subject>Violent crimes</subject><issn>0025-7079</issn><issn>1537-1948</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1985</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UctOwzAQtBColMIfgOQTt4Af8YtbVZ5SJRACjlhu7KiBJC52IsTf47SlN3xZeXZm1jsGAGJ0gZESlygdxhnKsJIMk3TLBkjugTFmVCQ4l_tgjBBhmUBCHYKjGD8QwoIyMgKjHEmhGB2D95kJtvKrvm58a8IPfHaxj0XVma7y7RV8M3XvIjSthdeuqGIC4xWcwplvViZU0bfQl_DembpbwuTl4FPwpYsD0dTxGByUqbiTbZ2A19ubl9l9Nn-8e5hN51lBCZZZmVuJsS0MlYwsSm5UbrGwiimOieLCEkG4ojlCJRF2WJg5xSSlyMli4QSdgPON7yr4r_TgTjdVLFxdm9b5PmrBmeAqH4hyQyyCjzG4Uq9C1aTFNUZ6iFb_Rat30a4hmaRn2xn9onF2J9xmmfr5pv_t686F-Fn33y7o5Tob_d-PJdnpRvYROx92rlTwnElOfwH5u4xV</recordid><startdate>198512</startdate><enddate>198512</enddate><creator>Farber, Neil J.</creator><creator>Weiner, Joan L.</creator><creator>Boyer, E. 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Gil ; Green, Willard P. ; Diamond, Maureen P. ; Copare, Irene M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3218-f4d811dca3852bf6a94d17d959612967d272693400f27d51205e958330e8cbe73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1985</creationdate><topic>Adult</topic><topic>Age</topic><topic>Attitude of Health Personnel</topic><topic>Cardiopulmonary resuscitation</topic><topic>Dementia</topic><topic>Drug abuse</topic><topic>Female</topic><topic>Humans</topic><topic>Intellectual disability</topic><topic>Internal medicine</topic><topic>Male</topic><topic>Medical Staff, Hospital - psychology</topic><topic>Nurses</topic><topic>Nursing Staff, Hospital - psychology</topic><topic>Pennsylvania</topic><topic>Physicians</topic><topic>Resuscitation - standards</topic><topic>Social Values</topic><topic>Suicide</topic><topic>Violent crimes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Farber, Neil J.</creatorcontrib><creatorcontrib>Weiner, Joan L.</creatorcontrib><creatorcontrib>Boyer, E. Gil</creatorcontrib><creatorcontrib>Green, Willard P.</creatorcontrib><creatorcontrib>Diamond, Maureen P.</creatorcontrib><creatorcontrib>Copare, Irene M.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Medical care</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Farber, Neil J.</au><au>Weiner, Joan L.</au><au>Boyer, E. Gil</au><au>Green, Willard P.</au><au>Diamond, Maureen P.</au><au>Copare, Irene M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Cardiopulmonary Resuscitation: Values and Decisions: A Comparison of Health Care Professionals</atitle><jtitle>Medical care</jtitle><addtitle>Med Care</addtitle><date>1985-12</date><risdate>1985</risdate><volume>23</volume><issue>12</issue><spage>1391</spage><epage>1398</epage><pages>1391-1398</pages><issn>0025-7079</issn><eissn>1537-1948</eissn><abstract>The authors studied the effect of various patient factors (biomedical, mental status, and psychosocial) on the decision to perform cardiopulmonary resuscitation by internal medicine house staff and registered nurses. Clinical vignettes were utilized to assess the likelihood of initiation of cardiopulmonary resus-citation (CPR) by the respondents. In most cases, these factors had similar significant effects on decisions to initiate CPR by both physicians and nurses. However, some differences in the likelihood of performing CPR were found between the physician and nurse populations, particularly in the areas of mental status and institutionalization. Dementia, mental retardation, and nursing home status all caused residents to be significantly less likely to initiate CPR than nurses (P < 0.001). This study demonstrates that biomedical, mental status, and psychosocial patient factors have a significant impact on the decision to initiate CPR by both internal medicine residents and nurses. These decisions apparently are rooted in similar criteria, although the basis for the differences between the two groups warrants further study.</abstract><cop>United States</cop><pub>J. B. Lippincott Co</pub><pmid>4087953</pmid><doi>10.1097/00005650-198512000-00008</doi><tpages>8</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0025-7079 |
| ispartof | Medical care, 1985-12, Vol.23 (12), p.1391-1398 |
| issn | 0025-7079 1537-1948 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; JSTOR Archive Collection A-Z Listing |
| subjects | Adult Age Attitude of Health Personnel Cardiopulmonary resuscitation Dementia Drug abuse Female Humans Intellectual disability Internal medicine Male Medical Staff, Hospital - psychology Nurses Nursing Staff, Hospital - psychology Pennsylvania Physicians Resuscitation - standards Social Values Suicide Violent crimes |
| title | Cardiopulmonary Resuscitation: Values and Decisions: A Comparison of Health Care Professionals |
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