Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Hospital Nurses' Experience of Do-Not-Resuscitate in Korea

심폐소생술 금지와 관련된 병원간호사들의 경험

  • Yi, Myung-Sun (College of Nursing, Seoul National University) ;
  • Oh, Sang-Eun (College of Nursing, Chonnam National University) ;
  • Choi, Eun-Ok (Department of Nursing & Research Institute of Geriatric Health, Inje University) ;
  • Kwon, In-Gak (Department of Clinical Nursing Science, Samsung Medical Center) ;
  • Kwon, Sung-Bok (Department of Nursing, Dongshin University) ;
  • Choi, Kyung-Mi (Department of Nursing, Kyungin Women's College) ;
  • Kang, Young-Ah (Department of Hematology, Asan Medical Center) ;
  • Ok, Jeong-Hui (Department of Nursing, Asan Medical Center)
  • 이명선 (서울대학교 간호대학.간호과학연구소) ;
  • 오상은 (전남대학교 간호대학.간호과학연구소) ;
  • 최은옥 (인제대학교 간호학과.노인건강전략개발연구소) ;
  • 권인각 (성균관대학교 의과대학.삼성서울병원 임상간호학교실) ;
  • 권성복 (동신대학교 간호학과) ;
  • 조경미 (경인여자대학 간호과) ;
  • 강영아 (서울아산병원 혈액종양병동) ;
  • 옥정휘 (서울아산병원 간호부)
  • Published : 2008.04.30
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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.

Keywords

References

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