Nurses’ Opinions on Do-Not-Resuscitate Orders

Abstract

The aim of this study was to determine nurses’ opinions on Do Not Resuscitate (DNR) orders. This is a descriptive study. A total of 1250 nurses participated in this study. The mean age of participants was 34.5 ± 7.7 years; 92.6% were women; 56.4% had bachelor’s degrees, and 28.8% were intensive care, oncology, or palliative care nurses. Most participants (94.3%) agreed that healthcare professionals involved in DNR decision-making processes should have ethical competence, while they were mostly undecided (43%) about the statement whether or not DNR should be legal. More than half the participants (60.2%) disagreed with the idea that DNR implementation causes an ethical dilemma. Participants’ opinions on DNR decisions significantly differed according to the number of years of employment and unit of duty. The results showed that most of the nurses had positive attitudes towards DNR orders despite it being illegal. Future studies are needed to better understand family members’ and decision makers’ perceptions of DNR orders for patients.

Turkish Muslim Physicians' and Nurses' Views About the Do Not Resuscitate Order: A Cross-Sectional Two Center Study

“…Similarly, despite thinking that CPR should not be done, physicians and nurses in Turkey feel obliged to apply it at end-of-life care as they do not feel safe. In this study, it was seen that the underlying reasons why physicians and nurses did not feel safe that they fear patient relatives and deficiencies in legal regulations (Gül et al., 2020). In the study conducted by Al Farhan et al.…”

“…Besides, there is no clear-cut legal or ethical guidelines about Do-not-resuscitate orders in Turkey. For this reason, even mentioning the DNR order in clinics can cause ethical and legal dilemmas (Gül et al., 2020; Iyilikci et al., 2004; Kuvaki et al., 2014). However, CPR, which is the most relevant application to the DNR instruction, has been implemented under the code blue procedure since 2008.…”

“…There are no procedures regarding DNR order in all clinics in Turkey, including intensive care units. Few studies have been conducted about the DNR order that does not legally exist in Turkey, and relevant studies have remained limited to the evaluation of the physicians’ or nurses’ views but not investigated the factors influencing these views (Gül et al., 2020; Iyilikci et al., 2004; Kuvaki et al., 2014). This study is the first study to evaluate the views of Turkish physicians and nurses on the DNR order and the influencing factors.…”

Upoštevanje vodila »Ne oživljaj

“…V ugotovitvah je bilo mogoče opaziti naklonjenost izrazu »omogočiti naravno smrt« namesto tradicionalnega izraza »Ne oživljaj.«. Povedne so ugotovitve raziskave, ki je bila izvedena v Turčiji (Gül et al, 2020), pri čemer so rezultati pokazali, da je večina medicinskih sester imela pozitiven odnos do vodila »Ne oživljaj.«. Kelly et al (2014) so z izvedbo mešane raziskave, pri kateri so ugotavljali stališča medicinskih sester o pomenu in razlagi nalogov »Ne oživljaj.«, ugotovili, da so bile med medicinskimi sestrami pogoste različne razlage.…”

Do Not Resuscitate (DNR) Orders from an Islamic Perspective

“…Therefore, clinics may encounter ethical and legal dilemmas when discussing the DNR order. 50 As a result of the legal and ethical difficulties associated with DNR orders, they are still discussed today. 51 DNR orders are one of the contemporary issues in both a medical and Islamic context.…”