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Cited by 11Palliative Care and End-of-Life IssuesPalliative and Oncologic CareFamily and Patient Care in Intensive Care Units

The DOI matches its Crossref record; 23 of the 23 references it cites were found in a registry or an index.

Managing Do Not Attempt Cardiopulmonary Resuscitation conversations in the community

Hadley, Jennifer M·2020·British Journal of Community Nursing
DOI 10.12968/bjcn.2020.25.2.58
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Abstract

Clear, sensitive and timely communication with palliative and end-of-life (EoL) patients and their families is important. Do Not Attempt Cardiopulmonary Resuscitation (DNACPR) conversations can help patients accept their impending death and achieve a more dignified death. This research explored the experiences and communication strategies of clinical nurse specialists (CNSs) in palliative care when managing DNACPR conversations in the community. Six semi-structured interviews were conducted with community palliative care CNSs, and the results were summarised using autoethnography. Delays in EoL discussions mean that some community palliative care CNSs are having DNACPR conversations at their first meeting with patients. Balancing being clear and sensitive is challenging, especially when patients and families have previously been informed inappropriately or insensitively about DNACPR decisions. DNACPR discussions should be initiated by exploring patient understanding and preferences while emphasising care continuation and a more dignified death.

Overview

Integrity signals

Registry

Crossref · 10.12968/bjcn.2020.25.2.58

Cites

23 of 23 references verified0 citation errors · 0 not checkable

Statistics

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Verification

Claims the paper makes

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Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Getting to know the patient and developing a rapport are crucial factors in feeling confident to have the DNACPR conversation.

    “Getting to know the patient and developing a rapport are crucial factors in feeling confident to have the DNACPR conversation.49”

    From Do not attempt cardiopulmonary resuscitation decision-making process: scoping review (2025) · cites this paper as [49]

  • Practice was influenced by observation of other health professionals communicating DNACPR decisions with patients.

    “Practice was influenced by observation of other health professionals communicating DNACPR decisions with patients.49”

    From Do not attempt cardiopulmonary resuscitation decision-making process: scoping review (2025) · cites this paper as [49]

  • Factors affecting DNACPR conversations included patient acceptance, how well a rapport had been established and finding a time when there were less interruptions.

    “Factors affecting DNACPR conversations included patient acceptance, how well a rapport had been established and finding a time when there were less interruptions.49”

    From Do not attempt cardiopulmonary resuscitation decision-making process: scoping review (2025) · cites this paper as [49]

Citations

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Research works printed but not linked: 1

  1. Pollock K, 2015, Health Serv Delivery Res, 3

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Metadata

Authors
Hadley, J. M.
Affiliations
Walsall Healthcare NHS Trust (GB)
Corresponding author
Hadley, Jennifer M
Venue
British Journal of Community Nursing
Publisher
Mark Allen Group
Published
2020-02-02
Volume
25
Issue
2
Pages
58-64
ISSN
  • 1462-4753 (ISSN-L)
  • 2052-2215
DOI
10.12968/bjcn.2020.25.2.58
OpenAlex
W3005946566
Cited by
11
References
23
Citations by year
2026: 2 · 2025: 2 · 2024: 4 · 2022: 1 · 2020: 2
FWCI
0.56
Type
journal article
Language
en
Open access
closed
Locations
  • British Journal of Community Nursing (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Critical Care and Intensive Care Medicine › Family and Patient Care in Intensive Care Units
Keywords
DNACPR, end-of-life care, palliative care, clinical nurse specialists, community-based palliative care, communication strategies, family communication, patient preferences, death and dying, dignity of death
MeSH terms
Communication, Decision Making, Family, Humans, Nurse Clinicians, Nurse-Patient Relations, Palliative Care, Patients, Terminal Care, Resuscitation Orders, Cardiopulmonary Resuscitation, Advance Care Planning, Patient Preference

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