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Cited by 12Palliative Care and End-of-Life IssuesEthics and Legal Issues in Pediatric HealthcarePalliative and Oncologic Care

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Pediatricians’ Perceptions Toward Do Not Resuscitate: A Survey in Saudi Arabia and Literature Review

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Aljethaily, Abdulrahman, Al-Mutairi, Turki, Al-Harbi, Khalid, Al-Khonezan, Saleh, Aljethaily, Abdallah, Al-Homaidhi, Hossam S·2020·Advances in Medical Education and Practice
DOI 10.2147/amep.s228399PMC PMC6954090
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Abstract

Objective: To explore the pediatricians’ attitudes and perceptions toward do-not-resuscitate (DNR) orders in a specific region of the world not fully explored before. Methods: A cross-sectional study was conducted between March 4 and May 30, 2018. Pediatricians from three public hospitals in the city of Riyadh were asked to respond to a questionnaire consisting of 22 questions designed to meet the objectives of our study. Results: A total of 203 pediatricians (51.2% female) completed the questionnaire, both junior pediatricians (JPs) and senior pediatricians (SPs). A majority (58.9% of JPs and 61.4% of SPs) thought patients have the right to demand intensive care, despite their terminal illness. Half the participants in both groups thought that DNR is a physician’s decision. Only 9.3% of JPs and 12.5% of SPs felt comfortable discussing DNR with patients/families. Medical school was also a source of knowledge on DNR issues, mainly for JPs (40.2% of JPs vs 20.8% of SPs, P =0.005). Half the participants felt that DNR is consistent with Islamic beliefs, while 57.9% of JPs vs 41.7% of SPs felt they are legally protected. Hospital policy was clear to 48.6% of JPs vs 66.7% of SPs, while procedure was clear to 35.5% of JPs vs 49% of SPs. Conclusion: Several factors are present that may hinder DNR implementation, such as doubts concerning being legally protected, doubts concerning consistency with Islamic sharia, unclear policies and procedures, and lack of training and orientation on DNR issues. Policies may need to include patients as decision-makers. Keywords: DNR policies, DNR implementation, “shared decision-making” paradigm, attitude toward DNR

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Cited by

Metadata

Authors
Aljethaily, A., Al-Mutairi, T., Al-Harbi, K., Al-Khonezan, S., Aljethaily, A., & Al-Homaidhi, H. S.
Affiliations
Ministry of Health (SA)
Corresponding author
Al-Homaidhi, Hossam S
Venue
Advances in Medical Education and Practice
Publisher
Informa UK Limited
Published
2020-01
Volume
Volume 11
Pages
1-8
ISSN
1179-7258 (ISSN-L)
DOI
10.2147/amep.s228399
PMC
PMC6954090
OpenAlex
W2996917144
Cited by
12
References
0
Citations by year
2025: 1 · 2024: 3 · 2023: 4 · 2022: 2 · 2021: 2
FWCI
1.50
Type
journal article
Language
en
Open access
Licence
Locations
  • Advances in Medical Education and Practice (publishedVersion, cc-by-nc)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • Dove Medical Press (Taylor and Francis Group) (submittedVersion, cc-by-nc)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Ethics and Legal Issues in Pediatric Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
Keywords
do-not-resuscitate orders, pediatricians' attitudes, physician perceptions, end-of-life decisions, terminal illness, intensive care, Islamic law, legal protection of physicians, shared decision-making, physician training, Saudi Arabia

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