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. 2024 Nov 19;14(11):e085132. doi: 10.1136/bmjopen-2024-085132

Table 1. Themes.

Theme Content
Preventing harm to patients
  • Saving lives as a guiding principle

  • Conceptualising harm to include severe hypoxic brain damage or an undignified death

Best interests
  • Assessing the patient’s ability to benefit

  • Considering non-clinical factors, such as age and quality of life

  • Considering the patient’s previously expressed wishes

Caring for the patient’s family
  • Communicating clearly with the patient’s family and involving them in decisions

  • Caring for the patient’s family’s emotional well-being

  • Prioritising the patient’s best interests over the family’s wishes

Moral distress
  • Performing resuscitation-related interventions to follow the guidelines, despite feeling it would be futile and/or undignified

  • Asserting the importance of guidelines despite the risk of moral distress