KMID : 1025620120150030355
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Korean Journal of Medical Ethics 2012 Volume.15 No. 3 p.355 ~ p.369
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The Effect of Nurses¡¯s Experiences with DNR Orders on Their Knowledge and Attitudes Concerning the Withdrawal of Life-sustaining Treatment
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Kim Sun-Ja
Kim Hyun-Sook Chae Young Kim Won-Jeong Kang Ji-Sook
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Abstract
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This study was designed to investigate how nurses¡¯ experiences with DNR orders affects their knowledge of, and attitudes toward, the withdrawal of life-sustaining medical treatment. After receiving IRB approval, the 245 nurses who agreed to participate in this study completed a self-report questionnaire. The collected data were analyzed with PASW 18.0, which was used to measure frequency, percentage, mean, standard deviation, t-test, ANOVA and Pearson correlation coefficients. The major findings of this study were as follows. 1) The percentage of participants who had some experience with DNR orders was 35.1%. 2) The knowledge score concerning the withdrawal of life-sustaining treatment for nurses with DNR experience was significantly higher than that for nurses without DNR experience (t=2.319, p=0.021). 3) There was no significant difference in attitudes toward the withdrawal of life-sustaining treatment between the two groups of nurses. However, there were significant differences between the two groups on respect for family¡¯s CPR decisions. 4) Higher knowledge scores were significantly related to lower attitude scores (r=-0.250, p<0.001) for the withdrawal of life-sustaining treatment. Nurses with DNR experience have greater knowledge about the withdrawal of life-sustaining treatment than nurses without such experience. Attitudes toward the withdrawal of life-sustaining treatment between these two groups of nurses differ only partially.
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KEYWORD
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do-not resuscitation, withdrawal of life-sustaining treatment, nurses
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