The worldwide investigating nurses’ attitudes towards do-not-resuscitate order: a review

Abstract

Background The acceptance or practical application of the do-not-resuscitate order is substantially dependent on internal or personal factors; in a way that decision-making about this issue can be specific to each person. Moreover, most nurses feel morally and emotionally stressed and confused during the process decision-making regarding DNR order. Therefore, the purpose of the present study was to evaluate nurses’ attitudes towards DNR order in a systematic review. Methods This critical survey was conducted using a systematic review protocol. To this end, the most relevant articles published in domestic and foreign databases with no time limits until October 2018 were searched. The inclusion and exclusion criteria were articles on DNR order, studies about nurses’ attitudes, descriptive and analytical research papers, as well as those with download links and full texts. The given articles were also assessed in terms of their quality and their main results were extracted. Results Of the total number of 1663 articles searched in the process of systematic review to investigate nurses’ attitudes towards DNR order, 88 articles were included in the full-text review step and finally 10 articles, meeting the inclusion criteria, were found. Assessing the quality of articles included in this review showed that 8 articles, in general, were of good quality and 2 studies were characterized with moderate quality. The main factors associated with nurses’ attitudes towards DNR order were grouped into three categories of (1) nurses’ attitudes towards DNR order, (2) guidelines for DNR order, and (3) decision-making by patients and their families about DNR order. In most of the studies examined, nurses’ attitudes towards DNR order were reported positive. Conclusion It seemed that nurses were willing to get involved in DNR order and each hospital was recommended to develop a written DNR policy directing individuals and avoiding their confusion in this respect.

Perceptions and experiences of community-based healthcare professionals in the state of Qatar having do not attempt resuscitation discussions during the COVID-19 pandemic

“…Interestingly, 30% of nurses had thought about raising the issue of Do Not Attempt Resuscitation with a patient/family in the preceding year and only 2% of nurses reported being unlikely not to act if they considered that a patient warranted a Do Not Attempt Resuscitation discussion ( Table 4 ). This highlights that Do Not Attempt Resuscitation is certainly on the nurses’ radar and, similar to the findings of Raoofi et al ( 29 ) we can say that nursing attitudes towards Do Not Attempt Resuscitation discussions are positive, since they are likely to escalate the issue to the physician if they consider a patient warrants it.…”

Upoštevanje vodila »Ne oživljaj

“…V načelu IV pa kodeks določa, da delovanje izvajalcev zdravstvene nege in oskrbe mora graditi na odločitvah na strani pacienta. Raoofi et al (2021) navajajo, da so medicinske sestre dolžne upoštevati navodilo zdravnika o vodilu »Ne oživljaj.«, ampak da se zaradi tega lahko počutijo moralno in čustveno obremenjeno. Tudi Pettersson et al (2014) omenjajo, da si medicinske sestre prizadevajo za izvajanje optimalne zdravstvene nege, pri čemer upoštevajo temeljna načela spoštovanja integritete in kakovosti življenja kot pomembne vrednote.…”

Analyzing Legal Frameworks in Emergency Care: Insights for Midwifery Education - A Scoping Review

“…To address this issue, it is crucial to establish clear guidelines and regulations that define the scope of midwives' authority in emergency care (Beek et al, 2019). This includes clarifying the specific procedures and interventions that midwives are authorized to perform in emergency situations, such as resuscitation, administering medication, and managing complications (Raoofi et al, 2021).…”