Barriers and facilitators for cardiopulmonary resuscitation discussions with people with heart failure
2024

Understanding CPR Discussions in Heart Failure Care

Sample size: 23 publication Evidence: moderate

Author Information

Author(s): Barnes-Harris Matilda M. M., Datla Sushma, Abel Alexandra, Clark Andrew L., Johnson Miriam J.

Primary Institution: Wolfson Palliative Care Research Centre, Hull York Medical School, University of Hull, Hull, United Kingdom

Hypothesis

What motivates clinicians and patients to engage in CPR discussions?

Conclusion

Constructive past experiences of important conversations motivate engagement with CPR discussions.

Supporting Evidence

  • Patients with advanced heart failure given detailed information are more likely to opt out of CPR.
  • Clinicians' understanding of CPR outcomes is often poor.
  • Constructive experiences motivate future engagement in CPR discussions.

Takeaway

Talking about CPR is important for people with heart failure, and having good past conversations helps everyone feel more comfortable discussing it.

Methodology

In-depth remote interviews with people with heart failure, their carers, and clinicians.

Potential Biases

Recruitment through social media may have led to selection bias.

Limitations

Sample may be biased towards those with better technology skills and interest in the topic.

Participant Demographics

{"gender_distribution":{"female":13,"male":10},"age_distribution":{"20-29":1,"30-39":5,"40-49":8,"50-59":4,"60+":5},"roles":{"primary_care":3,"junior_doctor":3,"consultant":5,"nurse":7,"carer_family":3,"person_with_heart_failure":4}}

Digital Object Identifier (DOI)

10.1371/journal.pone.0314631

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