DNP Scholarly Projects

Abstract

Background: Autopsy rates have declined since the 1970s despite the procedure's benefit to families and medical science. Two well-documented reasons for the declining autopsy rate are physicians’ lack of knowledge about autopsies and lack of confidence in offering them. Objective: The primary aim of this study was to evaluate the impact of a brief educational video on physicians' comfort level, confidence, and knowledge regarding autopsy discussions. The objective was to address the declining autopsy rates by enhancing physicians' confidence and comfort level in offering autopsies to families. In addition, this study aimed to investigate physicians’ practices of consenting for an autopsy and the common barriers they encountered. Sample: The sample consisted of 37 physicians practicing in Davidson County who cared for adults, children, or both. Method: An online survey was sent to 300 physicians who work in Davidson County, resulting in a sample of 37 participants. The Wilcoxon signed-rank test was used to evaluate the pre- and post-video survey responses. Free-text comments were assessed with qualitative content analysis. Results: The survey revealed a significant increase in participant comfort levels (p < .001) and knowledge (p = .002) from pre-survey to post-survey. However, there was no statistically significant change in confidence levels (p = 1). The most frequently reported barrier was the emotional distress of families when discussing autopsies. Conclusion: Effective communication about autopsies requires physicians to engage in sensitive and empathetic conversations with families, enabling families to make informed decisions. To facilitate this, physicians should feel comfortable and confident explaining the procedure. Additionally, the availability of educational materials, support staff, and clear communication on the cost of the procedure are essential elements for allowing families to make an informed decision.

Date

Spring 4-21-2024

First Advisor

Dr. Laura Gray, PhD, MSN

Second Advisor

Dr. R. David Phillippi, PhD

Department

Nursing, School of

College

Health Sciences & Nursing, Gordon E. Inman College of

Document Type

Scholarly Project

Degree

Doctorate of Nursing Practice (DNP)

Degree Level

Doctoral

Degree Grantor

Belmont University

Keywords

Autopsy, Post-mortem examination, Consent, End-of-life care, Physician Experience

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