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KMID : 1172020130140020041
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Journal of Korean Bioethics Association
2013 Volume.14 No. 2 p.41 ~ p.52
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An Integrative Review of Do-Not-Resuscitate Decisions : focused on Korean Data after 2010
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Lee Yoon-Jung
Lee Hyeong-Suk
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Abstract
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Purpose : This study aims to outline the research that has been conducted regarding DNR(Do-Not-Resuscitate) decisions in Korea and to describe the characteristics of DNR decision making in Korea.
Method : An integrative review was performed to review the research. Two Korean biomedical databases were used to search the literature written in Korean and published in Korean journals from 2010 to 2013. Ten published articles written in Korea were retrieved.
Result : Most of the research was designed to be descriptive studies using questionnaires. In terms of research population, most of the studies used a population of care givers. According to the retrieved articles, characteristics regarding DNR decision making in Korea are as follows. Family members were the significant decision makers, rather than the patients themselves. Major factors influencing DNR decisions in Korea are patients characteristics including severity of illness. There were differences in results of DNR decisions made and attitudes and experiences across the research population.
Conclusion : 1) Health care providers should respect patients during the DNR decision-making process and this has raised awareness. 2) Various qualitative researches have been conducted regarding experiences of family members and health care providers. 3) Nurses are important as mediators that help communication among stakeholders and speak for them. A multidisciplinary approach is needed in this area. 4) Researchers should use various research methods, and expand the populations to find ways that release burdens of decisions and ethical issues of stakeholders.
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KEYWORD
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Do-Not-Resuscitate, Integrative review, Perception of DNR
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