Korean Journal of Hospice and Palliative Care  2017;20(1):46-57

doi:10.14475/kjhpc.2017.20.1.46

Changes of Nursing Activities on Patients with DNR Orders.

Ji Yun LEE 1 ; Jae In JANG

Affiliations

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Keywords

Terminal care; Resuscitation orders; Nursing care

Country

Republic of Korea

Language

Korean

Abstract

PURPOSE: The purpose of this study is to identify the changes to nursing activities of nurses on patients with DNR (Do-Not-Resuscitate) order and factors associated to the changes. METHODS: Data were collected using a structured questionnaire for 173 nurses at general hospitals. Logistic regression analysis was performed on the data using SAS 9.4. RESULTS: With 39 nursing activities, an average of 60.4 (34.9%) nurses reported an increase in the activities, 102.4 (59.2%) no change and 10.1 (5.9%) a drop. The activity increase was the greatest in the social area, and the physical area was where the activities decreased the most. The activity increase was associated knowledge competency (9 items), attitudes (2 items), practical competency (4 items) and work load (14 items were). CONCLUSION: To offer systematical care for DNR patients, it is necessary to expand nurses' knowledge through end-of-life education and adjust their workload and provide a support system at the department level.