Sommer Ingrid, Pedersen Reidar, Høie Anne Gurine Egeland, Nortvedt Per
Seksjon for medisinsk etikk, Institutt for allmenn- og samfunnsmedisin, Det medisinske fakultet Universitetet i Oslo, Postboks 1130 Blindern, 0318 Oslo.
Tidsskr Nor Laegeforen. 2007 May 17;127(10):1368-9.
All somatic hospitals in Norway should have guidelines on do-not-resuscitate orders, according to a directive issued by the Norwegian Board of Health in 2002.
All 31 Norwegian hospital trusts were asked to send in such guidelines. 20 submitted guidelines were assessed, analysed and compared according to 19 questions.
The guidelines have various contents. Key aspects such as indications, definitions, participation in decision-making by patients and relatives, strategies for conflict resolution, competence to consent, and advanced directives are in many guidelines either not commented, or described in an ambiguous manner. There are minor differences between the guidelines developed before and after the legal directive was issued in 2002, but legal provisions have become more heavily emphasized.
National guidelines should be developed to clarify key questions and contribute to more consistent practice concerning do-not-resuscitate orders.
根据挪威卫生委员会2002年发布的一项指令，挪威所有的综合医院都应制定关于不进行心肺复苏指令的指南。
要求挪威所有31家医院信托机构提交此类指南。根据19个问题对提交的20份指南进行了评估、分析和比较。
这些指南内容各异。许多指南对诸如适应症、定义、患者及其亲属参与决策、冲突解决策略、同意能力以及预立医疗指示等关键方面要么未作评论，要么描述得含糊不清。2002年法律指令发布前后制定的指南之间存在细微差异，但对法律规定的强调有所增加。
应制定国家指南，以澄清关键问题，并促使在不进行心肺复苏指令方面的实践更加一致。
