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Cited by 13Palliative Care and End-of-Life IssuesPalliative and Oncologic CareEthics and bioethics in healthcare

The DOI matches its Crossref record; 16 of the 17 references it cites were found in a registry or an index.

Clinicians’ Attitudes Towards Do-Not-Resuscitate Directives in a Teaching Hospital in Saudi Arabia

Open access
Madadin, Mohammed, Alsaffar, Gada M, AlEssa, Sara M, Khan, Afnan, Badghaish, Dania A, Algarni, Shahad M, Menezes, Ritesh G·2019·Cureus
DOI 10.7759/cureus.6510PMC PMC6937465
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Abstract

The Do-Not-Resuscitate (DNR) directive has provided a major leap in end-of-life care. To demonstrate the factors influencing physicians' DNR decisions in King Fahd University Hospital in the Eastern Province of Saudi Arabia, 42 physicians from the medical and surgical departments of the same center were requested to participate in a cross-sectional survey. Thirty-six questionnaires were completed and returned from a total of 42 distributed among physicians, making a response rate of 85.7%. Certain diagnostic categories increase the likelihood of issuing a DNR order for a patient. Neurological (58.3%) and cardiovascular (41.7%) diseases were the highest response among other diseases in influencing physicians' decisions. In addition, other factors like lack of comorbidities (55.5%), age (52.7%), and previous intensive care unit (ICU) admissions and resuscitation (44.4%) showed an effect on the directive decisions of DNR among investigated physicians. However, weak palliative care in the hospital (11.1%), religious beliefs (5.5%), and gender (2.7%) were the least associated factors affecting physicians' DNR decisions. This study addresses the influencing factors of DNR orders issuance among King Fahd Hospital of the University physicians. Physicians noted that cultural standards and religious beliefs do play a role in their decision-making but had less of an effect as compared to other clinical data such as comorbidities, age, and previous ICU admissions.

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  • Religion was a clear factor in the decision in countries with strong religious majorities.

    “Similarly, religion was a clear factor in the decision in countries with strong religious majorities.17 55 56”

    From Do not attempt cardiopulmonary resuscitation decision-making process: scoping review (2025) · cites this paper as [56]

    The Conclusions say religious beliefs played a role in physicians’ DNR decisions at one Saudi hospital. However, the Abstract identifies religion as one of the least associated factors (5.5%), and this single-center study does not establish the claim across countries with strong religious majorities. The copy provides no page numbers for these passages. (LLM, conf=0.87)

    Experimental — accuracy not yet measured

  • A clear distinction was evident between countries in which there is a culture of patient autonomy and those where the personal rights of the individual are viewed as less important.

    “A clear distinction was evident between countries in which there is a culture of patient autonomy and those where the personal rights of the individual are viewed as less important.”

    From Do not attempt cardiopulmonary resuscitation decision-making process: scoping review (2025) · cites this paper as [56]

    The Discussion (page unavailable) says cultural beliefs and countries of practice affect healthcare workers’ DNR decisions. It does not describe a clear division between countries based on patient autonomy or the importance assigned to individual rights; the study itself surveyed physicians at one Saudi hospital. (LLM, conf=0.76)

    Experimental — accuracy not yet measured

  • Culture and religion are factors that can influence DNACPR decision making.

    “culture and religion are factors that can influence decision making,17 55 56”

    From Do not attempt cardiopulmonary resuscitation decision-making process: scoping review (2025) · cites this paper as [56]

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Metadata

Authors
Madadin, M., Alsaffar, G. M., AlEssa, S. M., Khan, A., Badghaish, D. A., Algarni, S. M., & Menezes, R. G.
Affiliations
Imam Abdulrahman Bin Faisal University (SA)
Corresponding author
Alsaffar, Gada M
ORCID
Venue
Cureus
Publisher
Springer Science and Business Media LLC
Published
2019-12-30
Volume
11
Issue
12
Pages
e6510-e6510
ISSN
2168-8184 (ISSN-L)
DOI
10.7759/cureus.6510
PMC
PMC6937465
OpenAlex
W2998038986
Cited by
13
References
17
Citations by year
2025: 3 · 2024: 2 · 2023: 3 · 2022: 4 · 2021: 1
FWCI
1.15
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Cureus (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • 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 › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
do-not-resuscitate orders, physician attitudes, end-of-life care, clinical decision-making, comorbidities, intensive care unit admission, neurological disorders, cardiovascular disease, palliative care, religious beliefs, cultural standards, Saudi Arabia

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