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KMID : 1025620190220030234
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Korean Journal of Medical Ethics
2019 Volume.22 No. 3 p.234 ~ p.254
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Experiences of Ethical Decision-Making Concerning Do-Not-Resuscitate Orders among Nurses in Intensive Care Units
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Jang Jae-In
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Abstract
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This article reports on a study that was carried out to document and understand the experiences that nurses in intensive care units in South Korea have when dealing with Do-not-resuscitate (DNR) orders. The participants in the study were 13 intensive care units nurses, each of whom has at least four years of relevant experience with ethical decision-making concerning DNR orders. Data analysis was based on the content analysis method used in qualitative research. The study found that the ethical values of nurses concerning the treatment and death of patients with DNR orders are not fixed but rather change according to the patient’s situation. This result indicates that it is necessary to provide clearer guidelines for decisions regarding patient care in the context of DNR orders. In addition, further education or training programs concerning DNR orders should be provided to nurses working in intensive care units in South Korea.
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KEYWORD
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resuscitation orders, ethics, decision-making, nursing
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