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SHARE Model Communication Course and Do-not-resuscitate Signing

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ClinicalTrials.gov Identifier: NCT03876691
Recruitment Status : Completed
First Posted : March 15, 2019
Last Update Posted : March 15, 2019
Sponsor:
Information provided by (Responsible Party):
Chang Gung Memorial Hospital

Study Description
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Brief Summary:
This study aimed to investigate the effect of attending a SHARE model communication course by emergency physicians on patient notification and signing of do-not-resuscitate (DNR) orders for critical patients in the emergency room.

Condition or disease Intervention/treatment
Trauma Injury Other: Patients Other: Physician

Detailed Description:
An observation form designed based on the SHARE model was completed by two observers who noted the communication process between physicians and patients and family members during patient notification and signing a DNR order. To assess the influence of physicians attending a SHARE model course on the signing of DNR orders, a propensity score-matched population was created to reduce the potential selection bias of patients and family members.
Study Design
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Study Type : Observational
Actual Enrollment : 145 participants
Observational Model: Case-Control
Time Perspective: Prospective
Official Title: The Attendance to SHARE Model Communication Course by Physicians Increases the Signing of Do-not-resuscitate Orders for Critical Patients in the Emergency Room
Actual Study Start Date : May 22, 2017
Actual Primary Completion Date : April 20, 2018
Actual Study Completion Date : May 21, 2018
Groups and Cohorts
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Group/Cohort Intervention/treatment
Do not resuscitate
Patients who are suggested to family about a do-not-resuscitate order treatment by physicians.
 Other: Patients
Patients who are considered as terminally ill and would not benefit from aggressive treatment, who physicians suggest to family about a do-not-resuscitate.

Other: Physician
The current emergency medical department departments within the preparation of the attending physician


Outcome Measures
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Primary Outcome Measures :
  1. Number of participants with DNR singing observation form [ Time Frame: up to 5 months ]
    The content of the observation form was filled by observers during the explanation process


Eligibility Criteria
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Ages Eligible for Study:   20 Years to 100 Years   (Adult, Older Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Sampling Method:   Non-Probability Sample
Study Population
The research subjects consisted of attending physicians, who were willing to inform consent forms, in the emergency department between May 2017 and April 2018.
Criteria

Inclusion Criteria:

  • Patients who are considered as terminally ill and would not benefit from aggressive treatment, who physicians suggest to family about a "Do not resuscitate" order.
  • Patients who was not register with "Do- not- resuscitate" on their health insurance card.

Exclusion Criteria:

  • Trauma patients.
  • Suicide patients.
  • Patients of age less than 20.
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03876691


Locations
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Taiwan
Kaohsiung Chang Gung Memorial Hospital
Kaohsiung, Taiwan, 83301
Sponsors and Collaborators
Chang Gung Memorial Hospital
Investigators
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Study Chair: TSANG-TANG Hsieh, MD Chang Gung Memorial Hospital
More Information
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Responsible Party: Chang Gung Memorial Hospital
ClinicalTrials.gov Identifier: NCT03876691    
Other Study ID Numbers: CMRPG8G0681
First Posted: March 15, 2019    Key Record Dates
Last Update Posted: March 15, 2019
Last Verified: February 2019

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No