Clinical trial NCT05883228: Anesthesiologist Perspectives/Opinions/Ethics on Intraoperative/Intraprocedural Code Status and Intraoperative/Intraprocedural Code Status Management Plans
Official title: Anesthesiologist Perspectives/Opinions/Ethics on Intraoperative/Intraprocedural Code Status and Intraoperative/Intraprocedural Code Status Management Plans
Study type: OBSERVATIONAL
Overall status: WITHDRAWN
Conditions: Physician's Role
Opinions
Keywords: DNR (Do Not Resuscitate)
DNAR (Do Not Attempt Resuscitation)
Intraoperative
Intraprocedural
Ethics
Anesthesiologist
Resuscitation
Lead sponsor: University of Texas Southwestern Medical Center
Sponsor class: OTHER
First posted: 2023-05-31
Enrollment: 0
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: ASA Active Member Anesthesiologists in the United States of America

Brief summary: This survey aims to understand anesthesiologists' opinions on intraoperative/intraprocedural code status management (like for example, Do Not Resuscitate (DNR)) in various patient scenarios. Your valuable input will help us better understand current practices and preferences in the field.

The understanding of the perspectives of ASA (American Society of Anesthesiologists) member staff anesthesiologists and staff anesthesiologists in general on this matter is of critical importance in the field of anesthesiology as the intraoperative/intraprocedural patient population continues to collectively get older and sicker in the future.

Goal/Aims: The goal of this survey is to ascertain the perspectives of all active ASA member staff anesthesiologists and staff anesthesiologists in general on the matters of intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans

Detailed description: Title: Anesthesiologist Perspectives on Intraoperative/Intraprocedural Code Status and Intraoperative/Intraprocedural Code Status Management Plans Introduction: This survey aims to understand anesthesiologists' opinions on intraoperative/intraprocedural code status management in various patient scenarios. Your valuable input will help us better understand current practices and preferences in the field.

Goal/Aims: The goal of this survey is to ascertain the perspectives of all active ASA members on the matters of intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.

Sample Size/Scope: All Active ASA member staff anesthesiologists and staff anesthesiologists in general in the United States of America

Face/Construct Validity:

Are the components of the measure (e.g., questions) relevant to what's being measured? Yes, the questions and structure of the questions are relevant for the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.

Does the measurement method seem useful for measuring the variable? Yes, the questions and structure of the questions are useful for the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.

Is the measure seemingly appropriate for capturing the variable? Yes, the questions and structure of the questions are appropriate for capturing the intended purpose of ascertaining the respondent's perspectives on intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans.

All questions and question structures are consistent and thematically similar to previous studies/research cited.

Kerry Tanner, Chapter 6 - Survey designs, Editor(s): Kirsty Williamson, Graeme Johanson, Research Methods (Second Edition), Chandos Publishing, 2018, Pages 159-192, ISBN 9780081022207, https://doi.org/10.1016/B978-0-08-102220-7.00006-6.

Geyer ED, Miller R, Kim SS, Tobias JD, Nafiu OO, Tumin D. Quality and Impact of Survey Research Among Anesthesiologists: A Systematic Review. Adv Med Educ Pract. 2020 Aug 25;11:587-599. doi: 10.2147/AMEP.S259908. PMID: 32904509; PMCID: PMC7456338.

Sousa VEC, Dunn Lopez K. Towards Usable E-Health. A Systematic Review of Usability Questionnaires. Appl Clin Inform. 2017 May 10;8(2):470-490. doi: 10.4338/ACI-2016-10-R-0170. PMID: 28487932; PMCID: PMC6241759.

Kash BA, Cheon O, Halzack NM, Miller TR. Measuring Team Effectiveness in the Health Care Setting: An Inventory of Survey Tools. Health Serv Insights. 2018 Aug 24;11:1178632918796230. doi: 10.1177/1178632918796230. PMID: 30158825; PMCID: PMC6109848.

Patient Safety/Quality of Care: The results of this survey will be utilized to inform and empower the greater understanding and implementation of practices regarding intraoperative/intraprocedural code status and intraoperative/intraprocedural code status management plans for future policy matters in the field of anesthesiology.

Priority: The understanding of the perspectives of ASA member staff anesthesiologists and staff anesthesiologists in general on this matter is of critical importance in the field of anesthesiology as the intraoperative/intraprocedural patient population continues to collectively get older and sicker in the future.

Eligibility criteria: Inclusion Criteria:

* Active Member of ASA
* Anesthesiologist
* Clinical Practice in United States of America

Exclusion Criteria:

* Participant refusal
* Inability to access survey instrument

Primary outcomes:
measure: Aggregate Responses to Questions on Survey of ASA Members and Anesthesiologists
timeFrame: One year
Secondary outcomes:
Other outcomes:
Locations:
city: Dallas
country: United States
facility: University of Texas Southwestern Medical Center
state: Texas
Study officials:
affiliation: University of Texas
name: Joseph Hendrix, MD
role: PRINCIPAL_INVESTIGATOR
References:
citation: Clemency MV, Thompson NJ. "Do not resuscitate" (DNR) orders and the anesthesiologist: a survey. Anesth Analg. 1993 Feb;76(2):394-401.
citation: Gu X, Eshkevari L, Powell T, Titus AJ, O'Guin C. Certified Registered Nurse Anesthetists' Management of the Perioperative Do-Not-Resuscitate Order: Evaluating Trends in Required Reconsideration. AANA J. 2021 Dec;89(6):491-499.
citation: Burkle CM, Swetz KM, Armstrong MH, Keegan MT. Patient and doctor attitudes and beliefs concerning perioperative do not resuscitate orders: anesthesiologists' growing compliance with patient autonomy and self determination guidelines. BMC Anesthesiol. 2013 Jan 15;13:2. doi: 10.1186/1471-2253-13-2.
citation: Hiestand D, Beaman M. Perioperative Do-Not-Resuscitate Suspension: The Patient's Perspective. AORN J. 2019 Mar;109(3):326-334. doi: 10.1002/aorn.12612.
citation: Baumann M, Killebrew S, Zimnicki K, Balint K. Do-Not-Resuscitate Orders in the Perioperative Environment: A Multidisciplinary Quality Improvement Project. AORN J. 2017 Jul;106(1):20-30. doi: 10.1016/j.aorn.2017.05.002.
citation: Kim C, Keneally R. The Do Not Resuscitate (DNR) order in the perioperative setting: practical considerations. Curr Opin Anaesthesiol. 2021 Apr 1;34(2):141-144. doi: 10.1097/ACO.0000000000000974.
citation: Baldor DJ, Smyrnios NA, Faris K, Guilarte-Walker Y, Celik U, Torres U. A Controlled Study in CPR-Survival in Propensity Score Matched Full-Code and Do-Not-Resuscitate ICU Patients. J Intensive Care Med. 2022 Oct;37(10):1363-1369. doi: 10.1177/08850666221114052. Epub 2022 Jul 11.