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http://dx.doi.org/10.14475/kjhpc.2015.18.3.208

Ethical Attitudes according to Education and Clinical Experience of Do-Not-Resuscitate (DNR)  

Kae, Young Ae (Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Lee, Mi Yeon (Department of Biostatistics, Kangbuk Samsung Hospital)
Park, Jin Sook (Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Kim, Hyo Joo (Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Jung, Tae Youn (Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Jang, Bo Young (Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Kim, Yoon Jeong (Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Koo, Dong-Hoe (Division of Hematology/Oncology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine)
Publication Information
Journal of Hospice and Palliative Care / v.18, no.3, 2015 , pp. 208-218 More about this Journal
Abstract
Purpose: Although a Do-Not-Resuscitate (DNR) order is widely in use, it is one of the challenging issues in end-of-life care. This study was conducted to investigate attitudes toward DNR according to education and clinical experience. Methods: Data were collected using a structured questionnaire comprising 30 items in a tertiary hospital in Seoul, Korea. Results: Participants were 238 nurses and 72 physicians. Most participants (99%) agreed to the necessity of DNR for reasons such as dignified death (52%), irreversible medical condition (23%) and patients' autonomy in decision making (19%). Among all, 33% participants had received education about DNR and 87% had DNR experience. According to participants' clinical DNR experience, their attitudes toward DNR significantly differed in terms of the necessity of DNR, timing of the DNR consent and post-DNR treatments including antibiotics. However, when participants were grouped by the level of DNR education, no significant difference was observed except in the timing of the DNR consent. Conclusion: This study suggests that the attitudes toward DNR were more affected by clinical experience of DNR rather than education. Therefore, DNR education programs should involve clinical settings.
Keywords
Resuscitation orders; Education; Attitude; Professional practice;
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Times Cited By KSCI : 6  (Citation Analysis)
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