Public Attitude towards Implementing DNAR and a Stance on Pediatric DNAR in Poland—A Prospective Survey Study

Author:

Timler Dariusz1ORCID,Kempa Joanna2,Kozłowski Remigiusz3ORCID,Stolarek Robert1,Timler Wojciech4ORCID

Affiliation:

1. Emergency Medicine and Disaster Medicine Department, Medical University of Lodz, 90-419 Lodz, Poland

2. Individual Course of Study in Plastic, Reconstructive and Aesthetic Surgery Clinic, Institute of Surgery, Medical University of Lodz, 90-419 Lodz, Poland

3. Department of Management and Logistics in Healthcare, Medical University of Lodz, 90-419 Lodz, Poland

4. Department of Family Medicine, Medical University of Lodz, 90-419 Lodz, Poland

Abstract

Background: Do not attempt resuscitation (DNAR) is a document signed by a patient, which states that they do not want to be resuscitated. In Poland, DNAR is not regulated by law. We aimed to assess people’s perceptions on DNAR and pediatric DNAR in Poland. Methods: An anonymous survey was distributed via the snowball sampling method in different voivodeships in Poland in the years 2014–2018. The survey consisted of questions regarding knowledge and attitudes towards DNAR and pediatric DNAR. Results: A total of 1049 responses were collected. Moreover, 82% support introducing DNAR in Poland, but 78% believe that this is not a pressing issue. In a general question, 46% of respondents believe that DNAR should be obtainable only for adults. However, in a specific question, this number drops to 17%, with people agreeing for pediatric DNAR if it contains a boundary—23% agree if both parents agree to the solution and 45% if both parents and the child’s doctor agree to it. Conclusions: Even though someone supports DNAR, it does not mean that they support pediatric DNAR. People outside the medical community are more likely to be against DNAR. Giving a boundary in using pediatric DNAR may lead to the ease of its implementation in a legislative manner.

Publisher

MDPI AG

Reference19 articles.

1. Changes over time in the use of do not resuscitate orders and the outcomes of patients receiving them;Wenger;Med. Care,1997

2. Young, R. (2019, May 07). Voluntary Euthanasia. In The Stanford Encyclopedia of Philosophy; 2024th ed.; Edward, N., Zalta, Nodelman, U. Eds. Available online: https://plato.stanford.edu/archives/spr2024/entries/euthanasia-voluntary/.

3. DNAR Guidelines from ICMR: Meeting a felt need;Mani;Indian J. Med. Ethics,2020

4. Palliative sedation: Autonomy, suffering, and euthanasia;Colburn;Curr. Opin. Support. Palliat. Care,2023

5. American Medical Association, and New York Academy of Medicine (1848). Code of Medical Ethics, H. Ludwig & Company.

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