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심폐소생술 금지와 관련된 병원간호사들의 경험 : Hospital Nurses Experience of Do-Not-Resuscitate in Korea
Cited 3 time in
Web of Science
Cited 7 time in Scopus
- Authors
- Issue Date
- 2008-04-30
- Citation
- Journal of Korean Academy of Nursing, 38, 298-309
- Keywords
- 생명윤리 ; 심폐소생술 지시 ; 질적연구 ; 간호사 ; Bioethics ; Resuscitation Orders ; Qualitative Research ; Nurses
- Abstract
- Purpose: The purpose of the study was to describe the experiences of do-not-resuscitate (DNR) among nurses. Methods:
Data were collected by in-depth interviews with 8 nurses in 8 different hospitals. Conventional qualitative content
analysis was used to analyze the data. Results: Eight major themes emerged from the analysis: DNR decision-making
bypassing the patient, inefficiency in the decision-making process of DNR, negative connotation of DNR, predominance of
verbal DNR over written DNR, doubts and confusion about DNR, least amount of intervention in the decision for DNR change
of focus in the care of the patient after a DNR order, and care burden of patients with DNR. Decision-making of DNR occurred
between physicians and family members, not the patients themselves. Often high medical expenses were involved in choosing
DNR, thus if choosing DNR it was implied the family members and health professionals as well did not try their best to
help the patient. Verbal DNR permission was more popular in clinical settings. Most nurses felt guilty and depressed about
the dying/death of patients with DNR. Conclusion: Clearer guidelines on DNR, which reflect a family-oriented culture, need
to be established to reduce confusion and to promote involvement in the decision-making process of DNR among nurses.
- ISSN
- 2005-3673
- Language
- Korean
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