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Perkins GD, Griffiths F, Slowther AM, et al. Do-not-attempt-cardiopulmonary-resuscitation decisions: an evidence synthesis. Southampton (UK): NIHR Journals Library; 2016 Apr. (Health Services and Delivery Research, No. 4.11.)

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Do-not-attempt-cardiopulmonary-resuscitation decisions: an evidence synthesis.

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Appendix 6Ethical analysis themes and definitions

Duty of care

Includes acting in a patient’s best interests and protecting patients from harm, either harm from CPR or harm from having the conversation.

Patients’ rights

Includes reference to patients’/families’ expectations of care or participants’ views on whether or not patients have a right to demand treatment.

Patient-centred care

Includes references to holistic care, seeing the patient as a person, treating the whole patient and seeing CPR as just one aspect of the treatment of the patient.

Respect for patient autonomy

Includes reference to what the patient wants and the need to explore the beliefs and values of the patient.

Equity of care

Includes concerns about variability in care and the impact of personal values on clinical decisions.

Role of the family

Includes references to the interests, views, wishes of the family and how much weight they are given or should be given.

Professional integrity and responsibility

Includes taking responsibility for making resuscitation decisions, fear of censure and working within organisational constraints.

Societal values/responsibilities

Includes the influence of societal values on DNACPR decision-making, and the obligations and responsibilities of society and policy-makers.

Copyright © Queen’s Printer and Controller of HMSO 2016. This work was produced by Perkins et al. under the terms of a commissioning contract issued by the Secretary of State for Health. This issue may be freely reproduced for the purposes of private research and study and extracts (or indeed, the full report) may be included in professional journals provided that suitable acknowledgement is made and the reproduction is not associated with any form of advertising. Applications for commercial reproduction should be addressed to: NIHR Journals Library, National Institute for Health Research, Evaluation, Trials and Studies Coordinating Centre, Alpha House, University of Southampton Science Park, Southampton SO16 7NS, UK.

Included under terms of UK Non-commercial Government License.

Bookshelf ID: NBK355490
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