Knowledge, Attitudes, and Practices Toward Do-Not-Resuscitate Orders Among Physicians at Sheikh Khalifa Medical City, Abu Dhabi

Abstract

Do-Not-Resuscitate (DNR) or Allowing Natural Death (AND) orders are utilized in various situations around the world, and they are now considered standard medical practice. There are many misconceptions about what a DNR order is and how it works. This study aims to assess DNR knowledge, attitude, and practice of doctors working in Sheikh Khalifa Medical City, Abu Dhabi.

A cross-sectional, questionnaire-based study including physicians, residents, and interns practicing at Shaikh Khalifa Medical City (SKMC) was conducted using stratified random sampling. A self-administered, previously used, later modified, and content validated questionnaire containing questions about knowledge, attitude, and practices were employed. The statistical analysis was performed using SPSS version 21.

The study analyzed data from 237 participants, revealing that 51.89% of physicians possess good knowledge about DNR. A majority are aware of the UAE DNR law and hospital policies, with more than half knowing specifics such as how many physicians are required to complete a DNR order and the validity period of the order during hospital admission. Despite this good knowledge, 59.9% of physicians held a neutral attitude toward DNR, 21.5% had a positive attitude, and 18.6% reported a negative attitude. Only about one-quarter of the physicians had practiced DNR, either inside or outside the medical city, and many expressed discomfort discussing DNR with patients or their families.

Despite good knowledge of DNR among physicians, they find it difficult to discuss and practice. The study provides important baseline information that can increase awareness and inform future education and policy initiatives.