A cross-sectional study among healthcare and non-healthcare students in slovenia and croatia about do-not resuscitate decision-making

Author:

PUC Jure1,Obadić Petra2,Erčulj Vanja3,Borovečki Ana4,Grosek Štefan567

Affiliation:

1. University of Ljubljana, Faculty of Medicine , Vrazov trg 2, 1000 Ljubljana , Slovenia

2. University of Zagreb, School of Medicine , Šalata ulica 2, 10000 Zagreb , Croatia

3. Rho Sigma Research & Statistics , Topniška ulica 45, 1000 Ljubljana , Slovenia

4. School of Publich Health Andrija Štamparja, School of Medicine , Šalata ulica 2, 10000 Zagreb , Croatia

5. University Medical Centre Ljubljana, Division of Obstetrics and Gynecology Department of Perinatology, Neonatal Intensive Care Unit , Šlajmerjeva ulica 3, 1000 Ljubljana , Slovenia

6. Divison of Surgical Services, Department of Pediatric surgery and Intensive Therapy, Pediatric Intensive Care Unit , Bohoričeva ulica 20, 1000 Ljubljana , Slovenia

7. University of Ljubljana, Faculty of Medicine, Department of Pediatrics , Vrazov trg 2, 1000 Ljubljana , Slovenia

Abstract

Abstract Objective To survey university students on their views concerning the respect for autonomy of patients and the best interest of patients in relation to the withholding of resuscitation. Methods A cross-sectional survey among university students of medicine, nursing, philosophy, law and theology of the first and the final study years at the University of Ljubljana and the University of Zagreb was conducted during the academic year of 2016/2017. A questionnaire constructed by Janiver et al. presenting clinical case vignettes was used. Results The survey response rates for students in Ljubljana and Zagreb were 45.4% (512 students) and 37.9% (812 students), respectively. The results of our research show statistically significant differences in do-not resuscitate decisions in different cases between medical and non-medical students in both countries. Male and religious students in both countries have lower odds of respecting relatives’ wishes for the withholding of resuscitation (odds ratio 0.49–0.54; 95% confidence interval). All students agreed that they would first resuscitate children if they had to prioritize among patients. Conclusions Our study clearly shows that gender, religious beliefs, and type of study are important factors associated with the decisions pertaining to the respect for autonomy, patient’s best interest, and initiation or withholding of resuscitation.

Publisher

Walter de Gruyter GmbH

Subject

Public Health, Environmental and Occupational Health

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