ISSN: 2165-7386

Journal of Palliative Care & Medicine
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  • Research Article   
  • J Palliat Care Med 2018, Vol 8(1): 327
  • DOI: 10.4172/2165-7386.1000327

Knowledge and Attitude of ER and ICU Physicians towards DNR in a Tertiary Care Center in Saudi Arabia: A Survey Study

Alaa Gouda1*, Norah Alrasheed1, Alaa Ali2, Ahmad Allaf2, Najd Almudaiheem3, Youssuf Ali2, Ahmad Alghabban1 and Sami Alsalolami4
1Intensive Care Unit, King Abduaziz Medical City Riyadh, , Riyadh, Saudi Arabia
2College of Medicine, Alfaisal University, Riyadh, Saudi Arabia
3College of Medicine, Princess Nourah bint Abdulrahman University, Riyadh, Saudi Arabia
4Saudi Board of Emergency Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia
*Corresponding Author : Alaa Gouda, Intensive Care Unit, King Abduaziz Medical City Riyadh, Riyadh, Saudi Arabia, Tel: 00966505256185, Email: alaagouda@hotmail.com

Received Date: Dec 23, 2017 / Accepted Date: Jan 02, 2018 / Published Date: Jan 08, 2018

Abstract

Introduction: Only a few studies from Arab Muslim countries address DNR practice. Our institute has a clear DNR policy. The knowledge of the existing policy and the attitude towards DNR of emergency room (ER) and intensive care unit (ICU) physicians were studied through this survey.
Objective: To identify the knowledge of the participants of the local DNR policy and guidelines and to summarize the possible barriers of addressing DNR including religious background.
Method: A questionnaire has been distributed to ER and ICU physicians. The answers to the questions were tabulated and analyzed using frequencies and percentage.
Results: Total of 112 physicians with majority (97.3%) are from a Muslim religion. Among the participants 108 (96.4%) were aware about the existence of DNR policy in our institute. 107 (95.5%) stated that DNR is not against Islamic rules. Only (13.4%) of the physicians have advance directives and (90.2%) answered they will request to be placed as DNR if they have terminal illness. Lack of patients and families understanding (51.8%) and inadequate training (35.7%) were the 2 most important barriers for effective DNR discussion. Patients and Families level of education (58.0%) and cultural factors (52.7%) were the main obstacles in initiating a DNR order. Only (1.8%) of the participants stated that DNR is against their religious belief.
Conclusions: There is a lack of knowledge about DNR policy which make the optimization of DNR process difficult. Most physicians wish DNR for themselves and their patients at end of life but only a few of them have advance directives. The most important barriers for initializing and discussing DNR were lack of patient understanding, level of education, and the culture of patients. Most of the Muslim physicians believe that DNR is not against Islamic rules. We suggest that the DNR concept should be part of any training program.

Keywords: Do-Not-Resuscitate; DNR; CPR; Survey; Physician attitude

Citation: Gouda A, Alrasheed N, Ali A, Allaf A, Almudaiheem N, et al. (2018) Knowledge and Attitude of ER and ICU Physicians towards DNR in a Tertiary Care Center in Saudi Arabia: A Survey Study. J Palliat Care Med 8: 327. Doi: 10.4172/2165-7386.1000327

Copyright: © 2018 Gouda A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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