The study was intended to identify the nurses ext~rienuus, understanding, and attitudes on DNR. Also, the study ~~~ acs to provide the data base fur a standard of DNR decision-mail:ing and practice. The sample consisted of 347. nurses in eight general hospitals. The data were collectcxl hctwc~en 1lugust 1 and August 31, `?000. The data were anail}~zc~l using descriptive statistics and r ~-test.
The rusult of the study were as follow´s
1. Rcg~u-ding D\R related cst~erience, 7-1.6 t~rcenC of the participants e~~x~rienccd DMZ situations. Eleven ~x~rcent of the ircrticipants rc.~eivtd DNR education. U:~R was merit frt~~uentl>~ ~i~1..~.´o) rc~aucstcd by fau~tih~ nmmhc-s and relatives of patients. "hhe decision malting on DNR was most freY~ucntly (76.~"~~>) macic h~~ agrc~ment lxtwctin family members ~uul mcdicail stacff. Thu DNR ardor was r~~ordcd al 3L9 ~xrrunt un charts. Problems after DNR order wore negligence in treatment and nursing care 130.6`,´) and guilty feelings due to not doing the best X22.1:´b1. CPR lcardiopulmonar~ resuscitation) was performed about 49.H {krcunt of D~T~ cases.
2. Regarding understanding and attitude on DI~R, most of the pau~ticipants 193.1~~) thought DAR was necessar>~. "hhe major reasons for the necessity of DIvR were impossible recovery (41.4´.´~~) and death with dignity (41.1%). The decision-malting on DIvR was most frecauently made by patient and family members (47.8i~) and followed by agreement between family members and medical staff (25.6`,´0), and patients themselves (16.43b). Most of the participants thought that medical staff must explain DtiR to critical and end-of-life patients and their fatr~ily members. Forty four percent of the participants thought that the most appropriate time for DIvR explanation was when patients with critical disease were admitted to hospitals. Most of the participants (~.~´;´~) thought a guide book for DNR is necessuy to be made in hospitals.
3. There were significant cGfferences in thu participants´ understanding end attitudes on D´vTZ according to religion, carer, tduculion and ez~x;icnce c~i DMZ. Of tae participants these who i~.~c~~~ ~ religions and ccluration ex~x Hence on D\R thccught that there would he more DNR ra~uests after D\I~ is c~~plaunu~d to patients ,nd fanuly mem}xrs ~ p O:>> In addition, there .vas higher understanding un thu n~~ussit~~ of DNTI in those tvho have more caUC~r The findings of the stud~~ suggrs~ that ,c guide bcx>I: for DNR nc~d to be made with inciccsi~m of Iugail, cthirail, and cultural astx~ s. ~Vso, thurc nc~tils tc~ bu more education on D\Ti in medical critics to health care p;r~;essionals and to provide more information on DAR to the generail public.
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