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KMID : 1004620070130030109
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Clinical Nursing Research
2007 Volume.13 No. 3 p.109 ~ p.122
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Sung Mi-Hae
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Abstract
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Purpose: The study was done to identify the awareness and attitudes of ICU nurses to ethical dilemma associated with DNR of ICU nurses.
Method: The sample consisted of 159 nurses in six general hospitals. A structured questionnaire
was used and all data were collected between May 6 and May 31, 2005. Descriptive statistics and x^2-test were used to
analyze the data.
Results: Most of the participants(98.7%) responded that DNR was necessary. The major reason for the necessity of DNR was the impossibility of recovery(45.9%). The decision to have a DNR order was most frequently made by patient and family members. Most of the participants(94.9%) responded that a guidebook for DNR in hospitals is necessary. There were significant differences in participants’ awareness of DNR according to education level, marital status, the number of beds in the hospital, and clinical experience. There were also significant differences in participants’ attitudes to DNR according to education level, religion, marital status, department, and education experience.
Conclusion: The findings suggest that a guidebook for DNR needs to be developed and needs to include legal, ethical and cultural aspects. Decision-making on DNR can be easily solve through the establishment of ethical committees including nurses.
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KEYWORD
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DNR(Do-Not-Resuscitate), Ethical dilemma, Awareness, Attitude
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