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KMID : 0948220140180020015
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Keimyung Journal of Nursing Science
2014 Volume.18 No. 2 p.15 ~ p.27
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Awareness and Emotional State of Nurses on Do-Not-Resuscitate for Geriatric Patients
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Lee Myung-Soon
Park Kyung-Min
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Abstract
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Purpose: The purpose of this research was to provide basic information in developing nursing guidelines that support the roles of nurses and their coping skills regarding Do-Not-Resuscitate (DNR). This includes understanding nurses' awareness and emotional state when dealing with DNR for geriatrics patients.
Method: The subjects were 229 nurses who had encountered DNR situations for geriatric patients at 4 hospitals in D city. A survey was used to measure their awareness and emotional status regarding DNR for the geriatric patients.
Results: 51.5% of the nurses received requests for counseling from patients or their respective family members and 28.4% have provided information about DNR. 94.3% of the nurses reported that DNR is necessary and majority of them reiterated that DNR enables the patients to have comfortable and dignified death. 89.1% of nurses perceived the need for DNR guidelines for nurses. Being worried about DNR decision showed the highest score in the emotional status of nurses followed by helplessness, sadness and depression while others felt relieved.
Conclusion: Majority of nurses have provided counselling to patients and their family members despite limitation of knowledge in handling DNR cases. Given the results of this study, it is recommended to develop specific guidelines about the roles of nurses when dealing with DNR. It is also important to assist the nurses in increasing their awareness on coping strategies to facilitate better and effective delivery of nursing care to patients and familie
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KEYWORD
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Awareness , Emotional State , DNR(Do-Not-Resuscitate) , Geriatric Patients
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