RESUSCITATION DECISIONS IN RESIDENTS WITH NO DNR ORDER

本研究的目的是为疗养院的复苏决策 没有“不要复苏”（DNR）命令的居民将提供 经验信息的知识和偏好的能力 居民对心肺复苏术，居民之间的一致性偏好， 他们认为是决策者的人，如果他们 变得不称职，与非DNR的CPR相关的疗养院实践 居民，以及工作人员关于复苏非DNR居民的决定。 将获得关于预测变量的子集的信息。 在护理中区分支持或反对复苏的决定 没有DNR命令的家庭居民。 对于居民来说， 预测变量是年龄，性别，教育，宗教信仰， 感知健康、功能状态和对CPR的理解。 为 医疗保健提供者，假定的预测变量是他们的作用， 年龄、性别、教育、宗教信仰、对 心肺复苏术，以及插图中假设居民的四个特征 (sex身体状况、认知状况、人际“诉求”）。 护理之家的特点将作为CPR实践的预测因素 包括规模、所有权、位置、制定有关 复苏，有一个道德委员会，要求CPR认证， 工作人员，拥有与CPR相关的资源。 从分层随机抽样的50个持牌疗养院，随机 将对100名没有DNR命令的合格居民进行抽样采访， 他们指定的决策者也是如此。 250名健康人士的邮件调查 来自50个设施的护理提供者（护理主任，三名 工作人员护士，和医疗主任从每个养老院）将是 进行，以获取有关疗养院实践，提供者 特征，和CPR决定响应四个小插曲。 这些信息将有助于设计更大规模的研究， （a）促进实质性和程序性的发展 无DNR患者复苏的决策标准 订单，以及B）帮助确定消费者和医疗保健的需求 提供者对这些问题的教育。

The purpose of this study of resuscitation decisions for nursing home residents with no "do not resuscitate" (DNR) order is to provide empirical information about the knowledge and preferences of competent residents regarding CPR, the congruence between resident preferences and those of persons they identify as decision makers in the event that they become incompetent, nursing home practices related to CPR for non-DNR residents, and staff decisions about resuscitating non-DNR residents. Information will be obtained about a subset of predictor variables do differentiate between decisions for or against resuscitation in nursing home residents who do not have a DNR order. For residents, the putative predictor variables are age, sex, education, religious affiliation, perceived health, functional status, and understanding of CPR. For health care providers, the putative predictor variables are their role, age, sex, education, religious affiliation, perception of efficacy of CPR, and four characteristics of hypothetical residents in vignettes (sex, physical status, cognitive status, interpersonal "appeal"). Nursing home characteristics to be examined as predictors of CPR practice include size, ownership, location, having a written policy regarding resuscitation, having an ethics committee, requiring CPR certification of staff, having CPR-related resources. From a stratified random sample of 50 licensed nursing homes, a random sample of 100 competent residents with no DNR order will be interviewed, as will their designated decision makers. A mail survey of 250 health care providers from the 50 facilities (the director of nursing, three staff nurses, and the medical director from each nursing home) will be conducted to elicit data regarding nursing home practices, provider characteristics, and CPR decisions in response to four vignettes. Such information will be useful in designing larger scale studies that will: a) contribute to the development of substantive and procedural standards for decisions about resuscitation of residents with no DNR orders, and b) help to determine needs of consumers and health care providers for education about these issues.