- Title
- Knowledge and confidence of junior medical doctors in discussing and documenting resuscitation plans: a cross-sectional survey
- Creator
- Bryant, Jamie; Waller, Amy; Pickles, Rob; Hullick, Carolyn; Price, Emma; White, Ben; Willmott, Lindy; Bowman, Alison; Knight, Anne; Ryall, Mary-Ann; Sanson-Fisher, Rob
- Relation
- Internal Medicine Journal Vol. 51, Issue 12, p. 2055-2060
- Publisher Link
- http://dx.doi.org/10.1111/imj.14994
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2021
- Description
- Background: A resuscitation plan is a medically authorised order to use or withhold resuscitation interventions. Absence of appropriate resuscitation orders exposes patients to the risk of invasive medical interventions that may be of questionable benefit depending on individual circumstances. Aims: To describe among junior doctors: (i) self-reported confidence discussing and completing resuscitation plans; (ii) knowledge of resuscitation policy including whether resuscitation plans are legally enforceable and key triggers for completion; and (iii) the factors associated with higher knowledge of triggers for completing resuscitation plans. Methods: A cross-sectional survey was conducted at five hospitals. Junior doctors on clinical rotation were approached at scheduled training sessions, before or after ward rounds or at change of rotation orientation days and provided with a pen-and-paper survey. Results: A total of 118 junior doctors participated. Most felt confident discussing (79%; n = 92) and documenting (87%; n = 102) resuscitation plans with patients. However, only 45% (n = 52) of doctors correctly identified that resuscitation plans are legally enforceable medical orders. On average, doctors correctly identified 6.8 (standard deviation = 1.8) out of 10 triggers for completing a resuscitation plan. Doctors aged >30 years were four times more likely to have high knowledge of triggers for completing resuscitation plans (odds ratio 4.28 (95% confidence interval 1.54–11.89); P = 0.0053). Conclusion: Most junior doctors feel confident discussing and documenting resuscitation plans. There is a need to improve knowledge about legal obligations to follow completed resuscitation plans, and about when resuscitation plans should be completed to ensure they are completed with patients who are most at risk.
- Subject
- resuscitation planning; junior medical doctor; cross sectional survey; legal knowledge
- Identifier
- http://hdl.handle.net/1959.13/1449655
- Identifier
- uon:43725
- Identifier
- ISSN:1444-0903
- Rights
- This is the peer reviewed version of the following article: Bryant, Jamie; Waller, Amy; Pickles, Rob; Hullick, Carolyn; Price, Emma; White, Ben; Willmott, Lindy; Bowman, Alison; Knight, Anne; Ryall, Mary-Ann; Sanson-Fisher, Rob. “Knowledge and confidence of junior medical doctors in discussing and documenting resuscitation plans: a cross-sectional survey”. Internal Medicine Journal Vol. 51, Issue 12, p. 2055-2060 (2021), which has been published in final form at http://dx.doi.org/10.1111/imj.14994. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.
- Language
- eng
- Full Text
- Reviewed
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