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Journal articles on the topic 'Moral and ethical aspects of Do-not-resuscitate orders'

Author: Grafiati

Published: 4 June 2021

Last updated: 28 July 2025

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1

Tariq, Rubab, and Asifa Jamil. "Commentary on the Article: End-of-Life Decisions about Withholding or Withdrawing Therapy: Medical, Ethical, and Religio-Cultural Considerations." Middle East Journal of Applied Science & Technology 07, no. 02 (2024): 129–33. http://dx.doi.org/10.46431/mejast.2024.7213.

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Background: In medical society, there are controversial issues that called withholding and withdrawing life support. Withholding life support is delaying the provision of new or advanced life support therapy without stopping ongoing life support therapy, and withdrawing life support is stopping some or all of the life support therapy given to patients. This decision was not only based on medical aspects but also related to bioethics and medico-legal aspects and presented moral dilemmas for healthcare practitioners. Maria Fidelis C. Manalo's article, "End-of-Life Decisions about Withholding or

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2

Jafari, Hedayat, Sahar Amjadi, Hadis Javadian Kutenai, and Mohammad Hosein Jafari. "Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspective." Journal of Nursing Reports in Clinical Practice 1, no. 1 (2023): 16–22. http://dx.doi.org/10.32598/jnrcp.23.30.

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This systematic review aims to examine the ethical issues of do not resuscitate order (DNR) in cancer patients from a nursing perspective. Keywords were obtained based on Medical Subject Headings with titles related to the topic of the article. The data was obtained by searching English keywords (cardiopulmonary resuscitation, cancer, dilemma, oncology) in the title and abstract of the PubMed, Scopus, and Web of Science databases without time limits to access published foreign studies. Also, to access published Persian studies, Iranian websites, including Scientific Information Database, Magir

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3

Sellman, Derek. "Euphemisms for Euthanasia." Nursing Ethics 2, no. 4 (1995): 315–19. http://dx.doi.org/10.1177/096973309500200406.

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Many patients are subject to 'do not resuscitate' orders or are 'allowed to die'. The predominant moral position within health care seems to be that this is permissible, while voluntary euthanasia is not. This paper attempts to consider the logic of that position. It is not intended as a case for or against voluntary euthanasia; those cases are made elsewhere. Instead, this is an attempt to challenge implicit assumptions. It is the experience of many nurses that issues relating to matters at the end of life are far from being resolved. This paper does not try to offer any practical solutions b

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Romanova, I., N. Laas, and E. Gurova. "Moral Standards in the Organization: the Regulatory Nature and Management of Ethical Behavior of Employees." Management of the Personnel and Intellectual Resources in Russia 10, no. 2 (2021): 23–30. http://dx.doi.org/10.12737/2305-7807-2021-10-2-23-30.

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The article presents the results of a study (questionnaire survey) of managers and ordinary employees of public and private Russian organizations on the problem of the regulatory role of ethical rules for labor / organizational behavior and the management of ethical actions of personnel. The answers of respondents to the questionnaire about the mission of moral standards in the organization and the importance of their observance are analyzed in detail and presented; on the state of compliance with ethical canons in the organization, detailed reasons and forms of their violation; on the preferr

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5

Leiter, Richard E., and James A. Tulsky. "Say No to This: Unilateral Do-Not-Resuscitate Orders for Patients with COVID-19." Journal of Law, Medicine & Ethics 49, no. 4 (2021): 641–43. http://dx.doi.org/10.1017/jme.2021.88.

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AbstractIn this article, we comment on Ciaffa’s article ‘The Ethics of Unilateral Do-Not-Resuscitate Orders for COVID-19 Patients.’ We summarize his argument criticizing futility and utilitarianism as the key ethical justifications for unilateral do-not-resuscitate orders for patients with COVID-19.

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6

Henneman, EA, B. Baird, PE Bellamy, LL Faber, and RK Oye. "Effect of do-not-resuscitate orders on the nursing care of critically ill patients." American Journal of Critical Care 3, no. 6 (1994): 467–72. http://dx.doi.org/10.4037/ajcc1994.3.6.467.

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BACKGROUND. The effect of a do-not-resuscitate order on the standard of care of critically ill patients is of concern to practitioners, patients, and their families. Because "do not resuscitate" may be misconstrued to include more than "no cardiopulmonary resuscitation," it may influence the aggressiveness with which some patients are managed. Nurses play a central role in determining standards of care. Hence, confusion on their part as to the meaning of this term can have a significant impact on patient care. OBJECTIVES. To compare nurses' attitudes about standards of care for critically ill

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Pettersson, Mona, Mariann Hedström, and Anna T. Höglund. "Striving for good nursing care." Nursing Ethics 21, no. 8 (2014): 902–15. http://dx.doi.org/10.1177/0969733014533238.

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Background: Within oncology and hematology care, patients are sometimes considered to have such a poor prognosis that they can receive a do not resuscitate order from the physician responsible, stipulating that neither basic nor advanced coronary pulmonary rescue be performed in the event of a cardiac arrest. Studies on do not resuscitate decisions within oncology and hematology units, focusing on the specific role of the nurse in relation to these decisions, are scarce. Objective: The aim of this study was to investigate hematology and oncology nurses’ experiences and perceptions of do not re

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8

Gramma, Iulius Connor, Gema Bacoanu, and Beatrice Gabriela Ioan. "Ethical Aspects of “Do Not Resuscitate” Orders in the Context of the Covid-19 Pandemic." Journal of Intercultural Management and Ethics 4, no. 1 (2021): 61–65. http://dx.doi.org/10.35478/jime.2021.1.08.

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9

Furton, Edward James. "Narrative for Part Five of the Ethical and Religious Directives." National Catholic Bioethics Quarterly 23, no. 2 (2023): 303–14. http://dx.doi.org/10.5840/ncbq202323224.

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Part Five is in considerable need of revision. There have been many developments in medicine and health care that present serious moral challenges to the teachings of the Church. The recommendations below include new emphasis on palliative care and hospice, the right of Catholics to receive the sacraments and visits from the family during illness, further safeguards to protect those in a persistent vegetative state, the immorality of voluntary stopping of eating and drinking (VSED), the permissibility of do not resuscitate (DNR) orders, the limited use of palliative sedation, and the requireme

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10

Kalkman, Shona, Lotty Hooft, Johanne M. Meijerman, Johannes T. A. Knape, and Johannes J. M. van Delden. "Survival after Perioperative Cardiopulmonary Resuscitation." Anesthesiology 124, no. 3 (2016): 723–29. http://dx.doi.org/10.1097/aln.0000000000000873.

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Abstract Automatic suspension of do-not-resuscitate (DNR) orders during general anesthesia does not sufficiently address a patient’s right to self-determination and is a practice still observed among anesthesiologists today. To provide an evidence base for ethical management of DNR orders during anesthesia and surgery, the authors performed a systematic review of the literature to quantify the survival after perioperative cardiopulmonary resuscitation (CPR). Results show that the probability of surviving perioperative CPR ranged from 32.0 to 55.7% when measured within the first 24 h after arre

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11

Çobanoğlu, Nesrin, and Lale Algıer. "A Qualitative Analysis of Ethical Problems Experienced by Physicians and Nurses in Intensive Care Units in Turkey." Nursing Ethics 11, no. 5 (2004): 444–58. http://dx.doi.org/10.1191/0969733004ne723oa.

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In this qualitative study, we aimed to identify and compare the ethical problems perceived by physicians and nurses in intensive care units at Baskent University hospitals in Turkey. A total of 21 physicians and 22 nurses were asked to describe ethical problems that they frequently encounter in their practice. The data were analyzed using an interactive model. The core problem for both physicians and nurses was end-of-life decisions (first level). In this category, physicians were most frequently concerned with euthanasia while nurses were more concerned with do-not-resuscitate orders (second

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Wasserman, D. "ECP05-03 - Treatment of suicidal patients: Legal and ethical aspects." European Psychiatry 26, S2 (2011): 1801. http://dx.doi.org/10.1016/s0924-9338(11)73505-2.

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According to WHO estimates, 1.5 million people worldwide will complete suicide in the year 2020 and approximately 10-20 times this number will attempt suicide. Given that suicide still remains the most serious outcome of mental disease, it is essential that psychiatrists are specifically trained regarding legal and ethical aspects related to the treatment of suicidal psychiatric patients.Clinical decisions guided by evidence based knowledge and ethical judgments according to the principles of beneficence, non-maleficence and autonomy intimately interact when a psychiatrist performs suicide ris

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13

Laskar, Shamima Parvin. "Challenges of Palliative Care." Bangladesh Journal of Bioethics 4, no. 3 (2013): 19–24. http://dx.doi.org/10.3329/bioethics.v4i3.17374.

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It has been moral duty of physicians to save and prolong patients? life for as long as possible. But the philosophy of treatment regime for terminally ill patients had been changed. To save and prolong human life if it is meaningful has got added value. Many criticizes the modern way of death. Palliative sedation, euthanasia as a good death model is criticized for medicalization of management of death. Currently, end of life issues are one of the top 10 health care ethics challenges facing the public. There is a new ethical challenge that human life can be ended by a doctor, passively or activ

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14

Lizza, John P. "Why DCD Donors Are Dead." Journal of Medicine and Philosophy: A Forum for Bioethics and Philosophy of Medicine 45, no. 1 (2019): 42–60. http://dx.doi.org/10.1093/jmp/jhz030.

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Abstract Critics of organ donation after circulatory death (DCD) argue that, even if donors are past the point of autoresuscitation, they have not satisfied the “irreversibility” requirement in the circulatory and respiratory criteria for determining death, since their circulation and respiration could be artificially restored. Thus, removing their vital organs violates the “dead-donor” rule. I defend DCD donation against this criticism. I argue that practical medical-ethical considerations, including respect for do-not-resuscitate orders, support interpreting “irreversibility” to mean permane

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15

Alrajeh, Hanan Khalil, Faisal Dubayyan Alshammari, Mansour Menwi Alenazi, Hamad Qutaysh Alanazi, Mohammed Ahmed Alghamdi, and SaifAlislam Abdulmajeed Alafghani. "The Role of Caregivers in Ethical Decision-Making for Palliative Care." JOURNAL OF HEALTHCARE SCIENCES 04, no. 12 (2024): 945–50. https://doi.org/10.52533/johs.2024.41239.

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Caregivers play a pivotal role in the ethical decision-making process for patients receiving palliative care, particularly when patients can no longer articulate their preferences. This process is complex, influenced by emotional, cultural, and religious factors, especially in Muslim societies, where life is regarded as sacred and medical decisions must align with ethical and spiritual principles. Challenges arise in interpreting patient autonomy, balancing quality of life against aggressive treatments, and addressing caregiver emotions. Decisions such as Do Not Resuscitate (DNR) orders or wit

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16

Marsch, Fanny, Claudia D. Spies, Roland C. E. Francis, and Jan A. Graw. "Standardized High-Quality Processes for End-of-Life-Decision Making in the Intensive Care Unit Remain Robust during an Unprecedented New Pandemic—A Single-Center Experience." International Journal of Environmental Research and Public Health 19, no. 22 (2022): 15015. http://dx.doi.org/10.3390/ijerph192215015.

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Due to the global COVID-19 pandemic, a concomitant increase in awareness for end-of-life decisions (EOLDs) and advance care planning has been noted. Whether the dynamic pandemic situation impacted EOLD-processes on the intensive care unit (ICU) and patient-sided advance care planning in Germany is unknown. This is a retrospective analysis of all deceased patients of surgical ICUs of a university medical center from March 2020 to July 2021. All included ICUs had established standardized protocols and documentation for EOLD-related aspects of ICU therapy. The frequency of EOLDs and advance direc

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17

Harbadyn, Andrii. "AGAINST THE BANALITY OF EVIL: THE CATEGORICAL IMPERATIVE AS DUTY." Visnyk of the Lviv University. Philosophical Sciences Series 31, no. 1 (2024). https://doi.org/10.30970/vps.2024.31.09.

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The article explores the fundamental concept of Immanuel Kant’s categorical imperative in the context of its impact on political theory, moral self-determination, and the problem of the relationship between good and evil. Particular attention is paid to the question «What ought I to do?» from «The Critique of Practical Reason», which Kant examines through the lens of freedom, morality and will. Practical action in Kantian philosophy is interpreted not only as an active deed but also as negation or abstention from action, reflecting a profound inner moral choice. The problem of the a priori nat

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18

Ntseke, S., I. Coetzee, and T. Heyns. "Moral distress among critical care nurses when excecuting do-not-resuscitate (DNR) orders in a public critical care unit in Gauteng." Southern African Journal of Critical Care, July 28, 2023, 49–53. http://dx.doi.org/10.7196/sajcc.2023.v39i2.511.

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Background. A critical care unit admits on a daily basis patients who are critically ill or injured. The condition of these patients’ may deteriorate to a point where the medical practitioner may prescribe or decide on a ‘do not resuscitate’ (DNR) order which must be executed by a professional nurse, leading to moral distress which may manifest as poor teamwork, depression or absenteeism.Objective. To explore and describe factors contributing to moral distress of critical care nurses executing DNR orders. Design. The explorative descriptive qualitative design was selected to answer the researc

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19

Daeschler, Margaret G., Ralph J. Verdino, and James N. Kirkpatrick. "Abstract 9923: The Ethics of Unilateral ICD and CRT-D Deactivation: Patient Perspectives." Circulation 130, suppl_2 (2014). http://dx.doi.org/10.1161/circ.130.suppl_2.9923.

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Background: Decisions about deactivation of implantable cardioverter defibrillators (ICDs) are complicated. Unilateral Do-Not-Resuscitate (DNR) orders (against patient/family wishes) have been ethically justified in cases of medical futility. Unilateral deactivation of ICDs may be seen as a logical extension of a unilateral DNR order. Methods: 60 respondents who had an ICD or cardiac resynchronization therapy ICD (CRT-D) were interviewed at a quaternary medical center outpatient electrophysiology practice. Survey questions addressed the inclusion of ICD deactivation in advanced directives, whe

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20

Milling, Louise, Lars Grassmé Binderup, Caroline Schaffalitzky de Muckadell, et al. "Documentation of ethically relevant information in out-of-hospital resuscitation is rare: a Danish nationwide observational study of 16,495 out-of-hospital cardiac arrests." BMC Medical Ethics 22, no. 1 (2021). http://dx.doi.org/10.1186/s12910-021-00654-y.

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Abstract Background Decision-making in out-of-hospital cardiac arrest should ideally include clinical and ethical factors. Little is known about the extent of ethical considerations and their influence on prehospital resuscitation. We aimed to determine the transparency in medical records regarding decision-making in prehospital resuscitation with a specific focus on ethically relevant information and consideration in resuscitation providers’ documentation. Methods This was a Danish nationwide retrospective observational study of out-of-hospital cardiac arrests from 2016 through 2018. After an

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Perkins, Jonathan, Mark Hamilton, Charlotte Canniff, et al. "Resuscitation during the pandemic: Optional obligation? or supererogation?" Clinical Ethics, July 30, 2020, 147775092094668. http://dx.doi.org/10.1177/1477750920946684.

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This paper is a response to a recent BMJ Blog: ‘The duty to treat: where do the limits lie?’ Members of the Surrey Heartlands Integrated Care Service Clinical Ethics Group (CEG) reflected on arguments in the Blog in relation to resuscitation during the COVID-19 pandemic. Clinicians have had to contend with ever-changing and conflicting guidance from the Resuscitation Council UK and Public Health England regarding personal protective equipment (PPE) requirements in resuscitation situations. St John Ambulance had different guidance for first responders. The situation regarding resuscitation led

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22

Quan, Alexander. "Addressing Shortcomings in Contingency Standards of Care." Voices in Bioethics 8 (September 17, 2022). http://dx.doi.org/10.52214/vib.v8i.9991.

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Photo by Adhy Savala on Unsplash ABSTRACT During a crisis, when healthcare capacity becomes overwhelmed and cannot meet regular standards of patient care, crisis standards of care are invoked to distribute scarce hospital space, staff, and supplies. When transitioning between conventional standards of care and crisis standards, hospitals may have to manage resources under scarcity constraints in an intermediate phase defined as the contingency phase. While much attention has been paid to the ethics of crisis standard of care protocols, contingency measures were more widely implemented, though

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Cocker, Emma. "From Passivity to Potentiality: The Communitas of Stillness." M/C Journal 12, no. 1 (2009). http://dx.doi.org/10.5204/mcj.119.

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Drawing on my recent experience of working in collaboration with the artist-led project, Open City, I want to explore the potential of an active and resistant - rather than passive and acquiescent – form of stillness that can be activated strategically within a performance-based practice. The article examines how stillness and other forms of non-productive or non-teleological activity might contribute towards the production of a radically dissenting – yet affirmative – model of contemporary subjectivity. It will investigate how the performance of stillness within an artistic practice could off

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