Ethical Attitudes according to Education and Clinical Experience of Do-Not-Resuscitate (DNR).
10.14475/kjhpc.2015.18.3.208
- Author:
Young Ae KAE
1
;
Mi Yeon LEE
;
Jin Sook PARK
;
Hyo Joo KIM
;
Tae Youn JUNG
;
Bo Young JANG
;
Yoon Jeong KIM
;
Dong Hoe KOO
Author Information
1. Department of Nursing, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Resuscitation orders;
Education;
Attitude;
Professional practice
- MeSH:
Anti-Bacterial Agents;
Decision Making;
Education*;
Korea;
Professional Practice;
Resuscitation Orders;
Seoul;
Tertiary Care Centers
- From:Korean Journal of Hospice and Palliative Care
2015;18(3):208-218
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Although a Do-Not-Resuscitate (DNR) order is widely in use, it is one of the challenging issues in end-of-life care. This study was conducted to investigate attitudes toward DNR according to education and clinical experience. METHODS: Data were collected using a structured questionnaire comprising 30 items in a tertiary hospital in Seoul, Korea. RESULTS: Participants were 238 nurses and 72 physicians. Most participants (99%) agreed to the necessity of DNR for reasons such as dignified death (52%), irreversible medical condition (23%) and patients' autonomy in decision making (19%). Among all, 33% participants had received education about DNR and 87% had DNR experience. According to participants' clinical DNR experience, their attitudes toward DNR significantly differed in terms of the necessity of DNR, timing of the DNR consent and post-DNR treatments including antibiotics. However, when participants were grouped by the level of DNR education, no significant difference was observed except in the timing of the DNR consent. CONCLUSION: This study suggests that the attitudes toward DNR were more affected by clinical experience of DNR rather than education. Therefore, DNR education programs should involve clinical settings.
