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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
이명선; 오상은; 최은옥; 권인각; 권성복; 조경미; 강영아; 옥정휘
Issue Date
2008-04-30
Publisher
한국간호과학회 = Korean Society of Nursing Science
Citation
Journal of Korean Academy of Nursing, 38, 298-309
Keywords
생명윤리심폐소생술 지시질적연구간호사BioethicsResuscitation OrdersQualitative ResearchNurses
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
URI
https://hdl.handle.net/10371/9408
DOI
https://doi.org/10.4040/jkan.2008.38.2.298
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College of Nursing (간호대학)Dept. of Nursing (간호학과)Journal Papers (저널논문_간호학과)
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