Faculty of Nursing, Hacettepe University, Ankara, Turkey.
School of Nursing, Koc University, İstanbul, Turkey.
Omega (Westport). 2022 Nov;86(1):271-283. doi: 10.1177/0030222820969317. Epub 2020 Oct 23.
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.
本研究旨在了解护士对“不复苏”（Do Not Resuscitate，DNR）医嘱的意见。这是一项描述性研究。共有 1250 名护士参与了这项研究。参与者的平均年龄为 34.5±7.7 岁；92.6%为女性；56.4%具有学士学位，28.8%为重症监护、肿瘤或姑息护理护士。大多数参与者（94.3%）认为参与 DNR 决策过程的医疗保健专业人员应具备伦理能力，而对于 DNR 是否应合法化这一说法，他们大多持不确定态度（43%）。超过一半的参与者（60.2%）不同意 DNR 实施会引发伦理困境的观点。参与者对 DNR 决策的意见根据就业年限和值班单位的不同而存在显著差异。研究结果表明，尽管 DNR 医嘱不合法，但大多数护士对其持有积极态度。未来需要进一步研究，以更好地了解患者的家属和决策者对 DNR 医嘱的看法。
