Evaluation of do not resuscitate orders (DNR) in a Swiss community hospital

Journal of Medical Ethics 28 (6):364-367 (2002)
Objective: To evaluate the effect of an intervention on the understanding and use of DNR orders by physicians; to assess the impact of understanding the importance of involving competent patients in DNR decisions.Design: Prospective clinical interventional study.Setting: Internal medicine department of the hospital of La Chaux-de-Fonds, Switzerland.Participants: Nine junior physicians in postgraduate training.Intervention: Information on the ethics of DNR and implementation of new DNR orders.Measurements and main results: Accurate understanding, interpretation, and use of DNR orders, especially with respect to the patients’ involvement in the decision were measured. Junior doctors writing DNR orders had an extremely poor understanding of what DNR orders mean. The correct understanding of the definition of a DNR order increased from 31 to 93% after the intervention and the patients’ involvement went from 17% to 48% . Physicians estimated that 75% of their DNR patients were mentally competent at the time of the decision.Conclusion: An intervention aimed at explaining the ethical principles and the definition of DNR orders improves understanding of them, and their implementation, as well as patient participation. Specific efforts are needed to increase the involvement of mentally competent patients in the decision
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1136/jme.28.6.364
 Save to my reading list
Follow the author(s)
My bibliography
Export citation
Find it on Scholar
Edit this record
Mark as duplicate
Revision history Request removal from index
Download options
PhilPapers Archive

Upload a copy of this paper     Check publisher's policy on self-archival     Papers currently archived: 22,631
External links
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library
References found in this work BETA

No references found.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles
D. Vanpee (2004). Scale of Levels of Care Versus DNR Orders. Journal of Medical Ethics 30 (4):351-352.

Monthly downloads

Sorry, there are not enough data points to plot this chart.

Added to index


Total downloads


Recent downloads (6 months)


How can I increase my downloads?

My notes
Sign in to use this feature

Start a new thread
There  are no threads in this forum
Nothing in this forum yet.