Medical residents commonly discuss resuscitation decisions with hospitalized patients.
Previous studies suggest that the quality of these discussions is poor.
To learn about residents'experience with donot-resuscitate (DNR) discussions and their attitudes toward them.
Medical house officers on the wards of three teaching hospitals were eligible to participate.
A subset had previously audiotaped actual DNR discussions as part of a study that described the quality of discussions.
In a self-administered questionnaire, house officers rated their performance conducting a recent DNR discussion, stated their attitudes, and described their experience learning to talk to patients about these issues.
One hundred one (88%) of 115 residents responded to the survey.
Eighty-six (90%) of 96 stated they had done a good job with the discussion and 78 (77%) of 101 reported feeling comfortable discussing the topic with patients.
Ninety-four (94%) of 100 residents said they discuss code status with all seriously ill patients and while on the medical wards they conduct a median of one DNR discussion per week.
On average, they had observed four discussions conducted by more senior clinicians.
One third of the residents had never been observed talking to patients about DNR decisions and 71% had been observed two or fewer times.
These findings help explain the observations about the quality of DNR discussions. (...)
Mots-clés Pascal : Interne(étudiant), Médecine, Formation professionnelle, Relation médecin malade, Réanimation cardiocirculatoire, Stade terminal, Décision, Information biomédicale, Californie, Etats Unis, Amérique du Nord, Amérique, Homme
Mots-clés Pascal anglais : Resident(student), Medicine, Occupational training, Physician patient relation, Intensive cardiocirculatory care, Terminal stage, Decision, Biomedical information, California, United States, North America, America, Human
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0334014
Code Inist : 002B30A09. Création : 10/04/1997.