Cardiopulmonary resuscitation decision making in long-term care: a role for the nurse?
Article first published online: 15 FEB 2006
Journal of Advanced Nursing
Volume 19, Issue 1, pages 97–104, January 1994
How to Cite
Dianne Godkin, M. and Toth, E. L. (1994), Cardiopulmonary resuscitation decision making in long-term care: a role for the nurse?. Journal of Advanced Nursing, 19: 97–104. doi: 10.1111/j.1365-2648.1994.tb01057.x
- Issue published online: 15 FEB 2006
- Article first published online: 15 FEB 2006
- Accepted for publication 10 May 1993
- Cited By
In many long-term care settings, cardiopulmonary resuscitation (CPR) is regarded as an available treatment option. However, for the majority of long-term care residents the expected outcome following CPR is poor. This descriptive study explored the CPR decision-making process in two long-term care institutions. This was accomplished through the administration of questionnaires to nursing staff, residents, residents' family members and through completion of a chart review of deceased individuals. This paper primarily addresses the role of nurses in the CPR decision-making process in long-term care. Nurses were rarely explicitly involved in the CPR decision-making process. Knowledge deficits of nurses concerning the CPR policy at the institutions and the expected outcomes of CPR were identified. Also noted were inconsistencies between policy and practice, with CPR being withheld in practice more often than dictated by protocol. Strategies to facilitate the CPR decision-making process in long-term care settings are suggested, and specific roles for nurses in relation to CPR decision making are presented.