Do not attempt CPR’ in the community: the experience of ambulance clinicians
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Publication Date
2019-05-02Journal Title
Journal of Paramedic Practice: the clinical monthly for emergency care professionals
ISSN
1759-1376
Publisher
MAG online
Volume
11
Issue
5
Type
Article
This Version
AM
Metadata
Show full item recordCitation
Moffat, S., Fritz, Z., Slowther, A., Parry, M., & Barclay, S. (2019). Do not attempt CPR’ in the community: the experience of ambulance clinicians. Journal of Paramedic Practice: the clinical monthly for emergency care professionals, 11 (5) https://doi.org/10.12968/jpar.2019.11.5.198
Abstract
Abstract
Background. Ambulance clinicians must make time-critical decisions concerning treatment and resuscitation. Little is known concerning the impact of the presence (or absence) of Do-Not- Attempt-Cardiopulmonary-Resuscitation (DNACPR) decisions in the community.
Aims. To investigate ambulance clinician’s experiences of DNACPR documentation and views concerning potential future changes.
Methods. Multi-methods study comprising semi-structured face-to-face interviews (n=10) and on-line questionnaire (n=123).
Findings. Ambulance clinicians report a statistically significant increase in numbers of community DNACPR forms. Most state they have not had formal DNACPR education and experience difficulties making clinical judgements in patients at the end of life, reporting inappropriate cardiopulmonary resuscitation (CPR) attempts and poor communication among stakeholders.
Conclusion. Assessment of patients near the end of life with (and especially without) a DNACPR is challenging for ambulance clinicians. There is a need for 1. education about resuscitation recommendations to be integrated into training and 2. a national approach to decisions and their documentation.
Sponsorship
National Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) (unknown)
Identifiers
External DOI: https://doi.org/10.12968/jpar.2019.11.5.198
This record's URL: https://www.repository.cam.ac.uk/handle/1810/287786
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