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KMID : 0367020190310050540
Journal of Korean Academic of Adult Nursing
2019 Volume.31 No. 5 p.540 ~ p.551
Lived Experience of Primary Decision - Makers Regarding Do-Not-Resuscitate Instruction: Using Parse¡¯s Method
Lee Eun-Young

Shin Sung-Rae
Abstract
Purpose: The purpose of this study was to identify the significance and structure of the painful experience of primary decision-makers regarding the Do-Not-Resuscitate (DNR) instruction.

Methods: This study was a qualitative research based on Parse¡¯s qualitative research method. Participants were 7 family members who were primary decision-makers for regarding DNR instruction for the family member from July 28, to October 6, 2018.

Results: The core concepts of the difficulties of the participants were Distress emerging from the pitiful condition of the patient, guilt, sadness and regret, Seeking comfort for loved ones, Uncertainty of DNR decision, Planning the resumption of daily life and decision about own DNR. The painful experience of participants can be defined as the process of empowering the patient through verbal communication with them, by valuing them, and by enabling them to overcome their limitations.

Conclusion: The result of this study is expected to contribute to a deep understanding of primary DNR decision-makers¡¯ suffering and developing guidelines for nursing care for health care professionals and primary DNR decision-makers who provide end-of-life care to the patients.
KEYWORD
Family, Pain, Qualitative research, Resuscitation
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