Do-Not-Resuscitate Orders: Islamic viewpoint

Hassan, Chamsi Pasha; Ali, Albar Mohammed

doi:10.31344/ijhhs.v2i1.18

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…Participants also raised a concern about verbalised DNR orders, as reported by Nankudwa and Hassan. [5 , 6] Participants also considered verbal DNR orders as contributing to moral distress which not only interferes with quality patient care but also with communication with relatives. This was confirmed by Vu [19] after conducting an ethical systematic review on DNR orders where the conclusion was that the orders lack clarity, and as yet no proper documentation guidelines exist globally, despite many years of implementation of such orders.…”

Section: Discussionmentioning

confidence: 99%

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Moral distress among critical care nurses when excecuting do-not-resuscitate (DNR) orders in a public critical care unit in Gauteng

Ntseke,

Coetzee,

Heyns

2023

South Afr J Crit Care

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Background. A critical care unit admits on a daily basis patients who are critically ill or injured. The condition of these patients’ may deteriorate to a point where the medical practitioner may prescribe or decide on a ‘do not resuscitate’ (DNR) order which must be executed by a professional nurse, leading to moral distress which may manifest as poor teamwork, depression or absenteeism.Objective. To explore and describe factors contributing to moral distress of critical care nurses executing DNR orders. Design. The explorative descriptive qualitative design was selected to answer the research questions posed.Methods. Critical care nurses of a selected public hospital in Gauteng Province were selected via purposive sampling to participate in the study, and data were collected through semi-structured interviews.Participants. A shift leader assisted with selection of participants who met the eligibility criteria. The mean age of the participants was 36 years; most of them had more than five years’ critical care nursing experience. Twelve critical care nurses were interviewed when data saturation was reached. Thereafter two more interviews were conducted to confirm data saturation. A total of 14 interviews were conducted.Results. Tesch’s eight-step method was utilised for data analysis. The findings were classified under three main themes: moral distress, communication of DNR orders and unavailability of psychological support for nurses.Conclusion. The findings revealed that execution of DNR orders is a contributory factor for moral distress in critical care nurses. National guidelines and/or legal frameworks are required to regulate processes pertaining to the execution of DNR orders. The study further demonstrated the need for unit-based ethical platforms and debriefing sessions for critical care nurses.

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Section: Discussionmentioning

confidence: 99%

“…The authors further raised a concern that DNR orders were delayed to a stage where patient or family participation in the process was almost impossible. An additional finding from a study by Hassan and Ali [6] was that DNR orders are not properly communicated and documented.…”

Section: Introductionmentioning

confidence: 99%

Moral distress among critical care nurses when excecuting do-not-resuscitate (DNR) orders in a public critical care unit in Gauteng

Ntseke,

Coetzee,

Heyns

2023

South Afr J Crit Care

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“…In terminal patients, there is often a request for "do not resuscitate," which needs to be addressed carefully. In Islam, the concept of "do not resuscitate" (DNR) for terminally ill patients is widely accepted by Muslim scholars and communities since the benefits of resuscitation in such cases are few and the harms are considerable [8], [9], [11], [21].…”

Section: Experience Of Dignity Respectmentioning

confidence: 99%

The peaceful end-of-life theory in palliative care for the Muslim community and Indonesian context

Minanton

2023

INJ

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Advances in health technology assist patients with life-threatening illnesses to survive longer, but a longer life does not mean to live better. Patients with life-threatening illnesses experience a variety of physical problems and psychosocial symptoms that affect their quality of life. Palliative care is a type of care that focuses on improving quality of life and alleviating the serious suffering of patients with chronic or terminal illnesses. The peaceful end of life theory developed by Ruland and Moore is one of the theories of care that can be applied. The concept is able to accommodate more holistic management of physical and psychological symptoms in terminal patients in end-of-life care. This theory consists of five main concepts: not being in pain, experience of comfort, experience of dignity respect, being in peace, and closeness to significant others. Applying this theory is not only to provide good care using modern tools but also to focus more on care that prioritizes patient comfort and maximizes family involvement in patient care. So, at the end of life, patients can enhance the quality of life and face death with a sense of peace. A paradigm for peaceful end-of-life care for Muslim communities in Indonesia incorporates Islamic beliefs and the local environment.

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Islam

Mojtahedzadeh,

Qureshi

2023

Understanding End of Life Practices: Perspectives on Communication, Religion and Culture

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Do-Not-Resuscitate Orders: Islamic viewpoint

Cited by 4 publications

References 7 publications

Moral distress among critical care nurses when excecuting do-not-resuscitate (DNR) orders in a public critical care unit in Gauteng

Moral distress among critical care nurses when excecuting do-not-resuscitate (DNR) orders in a public critical care unit in Gauteng

The peaceful end-of-life theory in palliative care for the Muslim community and Indonesian context

Islam

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