Hospital Nurses' Experience of Do-Not-Resuscitate in Korea / 간호학회지
Journal of Korean Academy of Nursing
;
: 298-309, 2008.
Artigo
em Coreano
| WPRIM
| ID: wpr-226218
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 theanalysis:
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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Relações Profissional-Família
/
Apoio Social
/
Gravação em Fita
/
Atitude Frente a Morte
/
Família
/
Entrevistas como Assunto
/
Ordens quanto à Conduta (Ética Médica)
/
Cuidados Críticos
/
Tomada de Decisões
/
Coreia (Geográfico)
Tipo de estudo:
Guia de Prática Clínica
/
Estudo prognóstico
/
Pesquisa qualitativa
Limite:
Adulto
/
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of Korean Academy of Nursing
Ano de publicação:
2008
Tipo de documento:
Artigo
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