4.2 Article

Nurses' Opinions on Do-Not-Resuscitate Orders

Journal

OMEGA-JOURNAL OF DEATH AND DYING
Volume 86, Issue 1, Pages 271-283

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/0030222820969317

Keywords

decision-making; Do-Not-Resuscitate orders; end of life; nurses

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This study aimed to investigate nurses' opinions on Do Not Resuscitate (DNR) orders. The majority of participants agreed that healthcare professionals involved in DNR decision-making should have ethical competence, while they were undecided about the legality of DNR. Most nurses had positive attitudes towards DNR orders, but further research is needed to understand the perspectives of patients' family members and decision makers.
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.

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