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이윤복 ( Lee Yun-Bok ) - 마산삼성병원
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Abstract
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Purpose: Since the development of modern CPR in the 1960’s, many lives have been saved. However, much
controversy has developed over the use of aggressive CPR in patients that, although are resuscitated, will have poor
QOL and CPR-associated burdens. This study was aimed to investigate the nurses’ and doctors’ perceptions, experiences, and ethical attitudes on DNR (Do Not Resuscitate).
Methods: Data were collected using survey questionnaires. The sample was consisted of 165 nurses and doctors in one general hospital. The data were collected from September 11th to September 30th, 2006.
Results: Regarding nurses’ and doctors’ perceptions on DNR, 93.8% of doctors and 97.4% of nurses agreed on the necessity of DNR, and if the patient was to enter a vegetative state after resuscitation, then they both showed similar opinions. In a comparison between nurses’ and doctors’ ethics on DNR, when there is a change in the condition of a patient who declared DNR, nurses and doctors agreed most that families should request nurses to notify doctors in the cases of patients whose states’ deteriorate rapidly. Nurses and doctors disagreed most concerning the use of every available method to resuscitate patients who have little hope of survival. In general, there was significant difference in the ethical attitudes on DNR depending on the occupation, work experience, and age of the
subjects.
Conclusion: This study attempted to investigate and compare the attitudes on DNR between nurses and doctors,
and decrease the ethical conflict between medical staffs regarding DNR. This study opens a venue for developing a mutually agreed DNR guidelines for medical professionals and standardizing DNR practices in the field.
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KeyWords
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심폐소생술금지, 인식, 경험, 윤리적 태도
DNR, Perception, Experiences, Ethical attitude
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원문 및 링크아웃 정보
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등재저널 정보
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