{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T15:43:07Z","timestamp":1747150987363,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T00:00:00Z","timestamp":1586736000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To elucidate influence of a do\u2010not\u2010attempt\u2010resuscitation (DNAR) order on nurses\u2019 perceptions of the medical procedures and nursing practices for non\u2010cancer older patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A vignette\u2010based questionnaire study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A questionnaire survey asking nurses their perceptions of clinical practices for the following three vignettes was performed in a community hospital in Japan (<jats:italic>N\u00a0=\u00a0<\/jats:italic>120): the control vignettes with an older patient with repeated heart failure who was living alone and the other two with either an absence of relatives or a diagnosis of dementia. We also prepared additions to each vignette describing a DNAR order.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Nurses\u2019 perception on cardiopulmonary resuscitation, defibrillation, blood tests and intravenous nutrition showed statistically significant and minimally important declines after the DNAR order compared with before for all three vignettes (<jats:italic>p<\/jats:italic>\u00a0&lt;\u00a0.001). DNAR orders can influence nurses\u2019 perceptions of clinical practices for non\u2010cancer older patients with chronic heart failure.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nop2.495","type":"journal-article","created":{"date-parts":[[2020,4,13]],"date-time":"2020-04-13T09:49:46Z","timestamp":1586771386000},"page":"1179-1186","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Nurses\u2019 perceptions of medical procedures and nursing practices for older patients with non\u2010cancer long\u2010term illness and do\u2010not\u2010attempt\u2010resuscitation orders: A vignette study"],"prefix":"10.1002","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5106-2610","authenticated-orcid":false,"given":"Asaka","family":"Higuchi","sequence":"first","affiliation":[{"name":"Department of Home Care Nursing in Nursing Graduate School of Health Care Sciences Tokyo Medical and Dental University Tokyo Japan"},{"name":"Medical Governance Research Institute Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Azusa","family":"Yoshii","sequence":"additional","affiliation":[{"name":"Department of nursing Minamisoma Municipal General Hospital Minamisoma Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Morihito","family":"Takita","sequence":"additional","affiliation":[{"name":"Medical Governance Research Institute Tokyo Japan"},{"name":"Department of Internal Medicine Jyoban Hospital of Tokiwa Foundation Iwaki Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaharu","family":"Tsubokura","sequence":"additional","affiliation":[{"name":"Department of Public Health School of Medicine Fukushima Medical University Fukushima Japan"},{"name":"Research Center for Community Health Minamisoma Municipal General Hospital Minamisoma Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroki","family":"Fukahori","sequence":"additional","affiliation":[{"name":"Faculty of Nursing and Medical Care Keio University Kanagawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rika","family":"Igarashi","sequence":"additional","affiliation":[{"name":"Department of nursing Minamisoma Municipal General Hospital Minamisoma 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