Repository logo
 

Do not attempt CPR’ in the community: the experience of ambulance clinicians

Simple item page
cam.issuedOnline2019-05-07
cam.orpheus.counter12
cam.orpheus.successTue Jun 16 10:40:15 BST 2020 - Embargo updated
dc.contributor.authorMoffat, Suzanne
dc.contributor.authorFritz, Zoe
dc.contributor.authorSlowther, Anne-Marie
dc.contributor.authorParry, Matthew
dc.contributor.authorBarclay, SIG
dc.contributor.orcidFritz, Zoe [0000-0001-9403-409X]
dc.contributor.orcidBarclay, Stephen [0000-0002-4505-7743]
dc.date.accessioned2019-01-11T00:30:29Z
dc.date.available2019-01-11T00:30:29Z
dc.date.issued2019-05-02
dc.description.abstractAbstract 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.
dc.identifier.doi10.17863/CAM.35101
dc.identifier.eissn2041-9457
dc.identifier.issn1759-1376
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/287786
dc.language.isoeng
dc.publisherMAG online
dc.publisher.urlhttps://www.magonlinelibrary.com/doi/full/10.12968/jpar.2019.11.5.198
dc.subject4203 Health Services and Systems
dc.subject32 Biomedical and Clinical Sciences
dc.subject3202 Clinical Sciences
dc.subject42 Health Sciences
dc.subjectClinical Research
dc.subject7.3 Management and decision making
dc.subject7 Management of diseases and conditions
dc.subject4 Quality Education
dc.titleDo not attempt CPR’ in the community: the experience of ambulance clinicians
dc.typeArticle
dcterms.dateAccepted2018-05-31
prism.issueIdentifier5
prism.publicationDate2019
prism.publicationNameJournal of Paramedic Practice: the clinical monthly for emergency care professionals
prism.volume11
pubs.funder-project-idNational Institute for Health Research (NIHR) (via Cambridgeshire and Peterborough NHS Foundation Trust (CPFT) (unknown)
rioxxterms.licenseref.startdate2019-05-02
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review
rioxxterms.versionAM
rioxxterms.versionofrecord10.12968/jpar.2019.11.5.198

Files

Original bundle
Now showing 1 - 1 of 1
Thumbnail Image
Name:
Sue Moffat paper accepted version May 2018.pdf
Size:
1012.36 KB
Format:
Adobe Portable Document Format
Description:
Accepted version
Licence
http://www.rioxx.net/licenses/all-rights-reserved
Download
License bundle
Now showing 1 - 1 of 1
No Thumbnail Available
Name:
DepositLicenceAgreement.pdf
Size:
417.78 KB
Format:
Adobe Portable Document Format
Download

Collections

Cambridge University Research Outputs