{"id":"https://openalex.org/W4387865691","doi":"https://doi.org/10.3233/shti230785","title":"Problems Experienced by Health Care Professionals with Do not Attempt Resuscitation (DNAR) Orders \u2013 A Qualitative Study","display_name":"Problems Experienced by Health Care Professionals with Do not Attempt Resuscitation (DNAR) Orders \u2013 A Qualitative Study","publication_year":2023,"publication_date":"2023-10-20","ids":{"openalex":"https://openalex.org/W4387865691","doi":"https://doi.org/10.3233/shti230785","pmid":"https://pubmed.ncbi.nlm.nih.gov/37869848"},"language":"en","primary_location":{"id":"doi:10.3233/shti230785","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230785","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230785","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230785","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5038130472","display_name":"Hanna Kuusisto","orcid":"https://orcid.org/0000-0002-3697-4961"},"institutions":[{"id":"https://openalex.org/I175532246","display_name":"University of Eastern Finland","ror":"https://ror.org/00cyydd11","country_code":"FI","type":"education","lineage":["https://openalex.org/I175532246"]},{"id":"https://openalex.org/I4210126318","display_name":"Tampere University Hospital","ror":"https://ror.org/02hvt5f17","country_code":"FI","type":"healthcare","lineage":["https://openalex.org/I4210126318"]},{"id":"https://openalex.org/I4210133110","display_name":"Tampere University","ror":null,"country_code":"FI","type":null,"lineage":["https://openalex.org/I4210133110"]}],"countries":["FI"],"is_corresponding":true,"raw_author_name":"Hanna Kuusisto","raw_affiliation_strings":["Tampere University Hospital, Tampere, Finland","University of Eastern Finland, Kuopio, Finland"],"raw_orcid":"https://orcid.org/0000-0002-3697-4961","affiliations":[{"raw_affiliation_string":"Tampere University Hospital, Tampere, Finland","institution_ids":["https://openalex.org/I4210133110","https://openalex.org/I4210126318"]},{"raw_affiliation_string":"University of Eastern Finland, Kuopio, Finland","institution_ids":["https://openalex.org/I175532246"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5054150892","display_name":"Tapani Ker\u00e4nen","orcid":"https://orcid.org/0000-0002-8173-4465"},"institutions":[{"id":"https://openalex.org/I175532246","display_name":"University of Eastern Finland","ror":"https://ror.org/00cyydd11","country_code":"FI","type":"education","lineage":["https://openalex.org/I175532246"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Tapani Ker\u00e4nen","raw_affiliation_strings":["University of Eastern Finland, Kuopio, Finland"],"raw_orcid":"https://orcid.org/0000-0002-8173-4465","affiliations":[{"raw_affiliation_string":"University of Eastern Finland, Kuopio, Finland","institution_ids":["https://openalex.org/I175532246"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5011241066","display_name":"Kaija Saranto","orcid":"https://orcid.org/0000-0002-3195-1955"},"institutions":[{"id":"https://openalex.org/I175532246","display_name":"University of Eastern Finland","ror":"https://ror.org/00cyydd11","country_code":"FI","type":"education","lineage":["https://openalex.org/I175532246"]}],"countries":["FI"],"is_corresponding":false,"raw_author_name":"Kaija Saranto","raw_affiliation_strings":["University of Eastern Finland, Kuopio, Finland"],"raw_orcid":"https://orcid.org/0000-0002-3195-1955","affiliations":[{"raw_affiliation_string":"University of Eastern Finland, Kuopio, Finland","institution_ids":["https://openalex.org/I175532246"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5038130472"],"corresponding_institution_ids":["https://openalex.org/I175532246","https://openalex.org/I4210126318","https://openalex.org/I4210133110"],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.58382808,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"309","issue":null,"first_page":"233","last_page":"237"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10177","display_name":"Palliative Care and End-of-Life Issues","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11678","display_name":"Healthcare Decision-Making and Restraints","score":0.993399977684021,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11388","display_name":"Grief, Bereavement, and Mental Health","score":0.9614999890327454,"subfield":{"id":"https://openalex.org/subfields/3203","display_name":"Clinical Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/health-professionals","display_name":"Health professionals","score":0.7099341750144958},{"id":"https://openalex.org/keywords/qualitative-research","display_name":"Qualitative research","score":0.6217490434646606},{"id":"https://openalex.org/keywords/resuscitation","display_name":"Resuscitation","score":0.6168143153190613},{"id":"https://openalex.org/keywords/health-care","display_name":"Health care","score":0.46090826392173767},{"id":"https://openalex.org/keywords/medicine","display_name":"Medicine","score":0.4386503994464874},{"id":"https://openalex.org/keywords/nursing","display_name":"Nursing","score":0.35533326864242554},{"id":"https://openalex.org/keywords/family-medicine","display_name":"Family medicine","score":0.32755863666534424},{"id":"https://openalex.org/keywords/psychology","display_name":"Psychology","score":0.32003799080848694},{"id":"https://openalex.org/keywords/emergency-medicine","display_name":"Emergency medicine","score":0.12900283932685852},{"id":"https://openalex.org/keywords/sociology","display_name":"Sociology","score":0.12800025939941406},{"id":"https://openalex.org/keywords/political-science","display_name":"Political science","score":0.10723134875297546},{"id":"https://openalex.org/keywords/social-science","display_name":"Social science","score":0.04949536919593811}],"concepts":[{"id":"https://openalex.org/C3019806175","wikidata":"https://www.wikidata.org/wiki/Q11974939","display_name":"Health professionals","level":3,"score":0.7099341750144958},{"id":"https://openalex.org/C190248442","wikidata":"https://www.wikidata.org/wiki/Q839486","display_name":"Qualitative research","level":2,"score":0.6217490434646606},{"id":"https://openalex.org/C2778165595","wikidata":"https://www.wikidata.org/wiki/Q5491454","display_name":"Resuscitation","level":2,"score":0.6168143153190613},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.46090826392173767},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.4386503994464874},{"id":"https://openalex.org/C159110408","wikidata":"https://www.wikidata.org/wiki/Q121176","display_name":"Nursing","level":1,"score":0.35533326864242554},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.32755863666534424},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.32003799080848694},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.12900283932685852},{"id":"https://openalex.org/C144024400","wikidata":"https://www.wikidata.org/wiki/Q21201","display_name":"Sociology","level":0,"score":0.12800025939941406},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.10723134875297546},{"id":"https://openalex.org/C36289849","wikidata":"https://www.wikidata.org/wiki/Q34749","display_name":"Social science","level":1,"score":0.04949536919593811},{"id":"https://openalex.org/C199539241","wikidata":"https://www.wikidata.org/wiki/Q7748","display_name":"Law","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D006785","descriptor_name":"Hospitals, University","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006785","descriptor_name":"Hospitals, University","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006785","descriptor_name":"Hospitals, University","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D010820","descriptor_name":"Physicians","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011795","descriptor_name":"Surveys and Questionnaires","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016414","descriptor_name":"Resuscitation Orders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D016414","descriptor_name":"Resuscitation Orders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D016414","descriptor_name":"Resuscitation Orders","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D036301","descriptor_name":"Qualitative Research","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.3233/shti230785","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230785","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230785","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},{"id":"pmid:37869848","is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/37869848","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in health technology and informatics","raw_type":null},{"id":"pmh:oai:trepo.tuni.fi:10024/212399","is_oa":true,"landing_page_url":"https://trepo.tuni.fi/handle/10024/212399","pdf_url":null,"source":{"id":"https://openalex.org/S7407055260","display_name":"Trepo - Institutional Repository of Tampere University","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"conference"}],"best_oa_location":{"id":"doi:10.3233/shti230785","is_oa":true,"landing_page_url":"http://dx.doi.org/10.3233/shti230785","pdf_url":"https://ebooks.iospress.nl/pdf/doi/10.3233/SHTI230785","source":{"id":"https://openalex.org/S4210179765","display_name":"Studies in health technology and informatics","issn_l":"0926-9630","issn":["0926-9630","1879-8365"],"is_oa":false,"is_in_doaj":false,"is_core":true,"host_organization":"https://openalex.org/P4310318577","host_organization_name":"IOS Press","host_organization_lineage":["https://openalex.org/P4310318577"],"host_organization_lineage_names":["IOS Press"],"type":"book series"},"license":"cc-by-nc","license_id":"https://openalex.org/licenses/cc-by-nc","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Studies in Health Technology and Informatics","raw_type":"book-chapter"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, Justice and strong institutions","score":0.75}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4387865691.pdf","grobid_xml":"https://content.openalex.org/works/W4387865691.grobid-xml"},"referenced_works_count":17,"referenced_works":["https://openalex.org/W2021963170","https://openalex.org/W2035987436","https://openalex.org/W2052154057","https://openalex.org/W2065507812","https://openalex.org/W2089383499","https://openalex.org/W2126022193","https://openalex.org/W2156428251","https://openalex.org/W2163082387","https://openalex.org/W2331705907","https://openalex.org/W2404673548","https://openalex.org/W2766495491","https://openalex.org/W2946857827","https://openalex.org/W3024399837","https://openalex.org/W3042390659","https://openalex.org/W3150161817","https://openalex.org/W4225485813","https://openalex.org/W4353020729"],"related_works":["https://openalex.org/W2365513417","https://openalex.org/W2087737319","https://openalex.org/W2368125093","https://openalex.org/W1993975100","https://openalex.org/W2379999974","https://openalex.org/W2885805061","https://openalex.org/W2086754639","https://openalex.org/W2488733733","https://openalex.org/W2413869441","https://openalex.org/W2417785652"],"abstract_inverted_index":{"A":[0,48],"'Do":[1],"Not":[2],"Attempt":[3],"Resuscitation'":[4],"(DNAR)":[5],"order":[6,46,89,129],"is":[7],"one":[8],"of":[9,41,80,100,162],"the":[10,18,39,69,98,101,107],"most":[11],"important":[12],"yet":[13],"difficult":[14],"medical":[15],"decisions.":[16],"Despite":[17],"recent":[19],"European":[20],"guidelines,":[21],"health":[22],"care":[23],"professionals":[24],"(HCPs)":[25],"in":[26,30,68,164],"general":[27],"perceive":[28],"challenges":[29],"making":[31,131,167],"a":[32,51,77],"DNAR":[33,45,88,128,165,186],"order.":[34],"We":[35],"aimed":[36],"to":[37,44,50,62,127,180],"evaluate":[38],"types":[40],"problems":[42,125],"related":[43,126],"making.":[47],"link":[49],"web-based":[52],"multiple-choice":[53],"questionnaire":[54,84],"including":[55],"open-ended":[56,102],"questions":[57],"was":[58],"sent":[59],"by":[60],"e-mail":[61],"all":[63],"physicians":[64],"and":[65,93,150,183],"nurses":[66],"working":[67],"Tampere":[70],"University":[71],"Hospital":[72],"special":[73],"responsibility":[74],"area":[75,79],"covering":[76],"catchment":[78],"900,000":[81],"Finns.":[82],"The":[83],"covered":[85],"issues":[86],"on":[87,106,168],"making,":[90],"its":[91],"meaning":[92],"documentation.":[94],"Here":[95],"we":[96],"report":[97],"analysis":[99],"questions,":[103],"examined":[104],"based":[105],"Ottawa":[108],"Decision":[109],"Support":[110],"Framework":[111],"with":[112,144],"expanded":[113],"individual":[114],"decisional":[115],"needs":[116],"categories.":[117],"Qualitative":[118],"data":[119],"describing":[120],"respondents'":[121],"opinions":[122],"(N=648)":[123],"regarding":[124],"decision":[130,166],"were":[132,153],"analysed":[133],"using":[134],"Atlas.ti":[135],"23.12":[136],"software.":[137],"In":[138],"total,":[139],"599":[140],"statements":[141],"(phrases)":[142],"dealing":[143],"inadequate":[145],"advice,":[146],"information,":[147],"emotional":[148],"support,":[149],"instrumental":[151],"help":[152],"identified.":[154],"Our":[155],"results":[156],"show":[157],"that":[158],"HCPs":[159],"experience":[160],"lack":[161],"support":[163,173],"multiple":[169],"levels.":[170],"Digital":[171],"decision-making":[172],"integrated":[174],"into":[175],"electronic":[176],"patient":[177],"records":[178],"(EPR)":[179],"assure":[181],"timely":[182],"clearly":[184],"visible":[185],"orders":[187],"could":[188],"be":[189],"beneficial.":[190]},"counts_by_year":[],"updated_date":"2025-12-25T23:11:45.687758","created_date":"2025-10-10T00:00:00"}
