J Korean Crit Care Nurs Search


Journal of Korean Critical Care Nursing 2011;4(1):11-24.
Published online June 30, 2011.

심폐소생술 금지에 대한 간호사의 인식
조정림, 이은남, 변숙진
2동아대학교 간호학과
3동아대학교 의료원 심장중환자실
Nurse's Perception on Do-Not-Resuscitate Orders
Jeong-Lim Jo, Eun-Nam Lee, Sook-Jin Byun
1Department of Nursing, Dong-A University
2Department of Nursing, Dong-A University
3CCU, Dong-A University Medical Center
The purpose of this study was to grasp the subjectivity of the nurses toward DNR (Do not resuscitation) order.
Q methodology was employed to explore the nurses' subjectivity. Q population consisted of 292 statements that were obtained through individual in-depth interviews targeting 30 employees(nurses, doctors, staff members) and literature review. Finally, 30 nurses classified 34 statements using a 9 point scale.
The current survey that probed into the subjectivity of the nurses relative to DNR order abstracted four categories. The first type (restrictive acceptance type) perceived the determinants of DNR as the patient's hopeless state. The second type (evidence-based type) emphasized the decision based on the guideline. The third type (medical personnel-centered type) showed the characteristic that depends passively on the professional judgement. The fourth type (rationalistic type) emphasized rational characteristic that DNR decision needs to be made by considering several situations such as economic and psychological burden of family and the quality of life.
These types of nurse's perception need to be considered in the nurses' continuing educational program in order to confront affirmatively and positively with ethical dilemma.
Key Words: Resuscitation orders, Nurses, Perception
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