Comprehensive Cancer Center (CCC), King Fahad Medical City (KFMC), Riyadh, Saudi Arabia.
Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan.
Int J Clin Pract. 2021 Aug;75(8):e14331. doi: 10.1111/ijcp.14331. Epub 2021 May 17.
Issues related to life and death are largely influenced by the culture and religious beliefs of a society. This research aimed to survey a sample of oncology nurses in Saudi Arabia about their attitude towards the do not resuscitate order (DNR).
A cross-sectional design was employed. A survey was sent to 190 nurses in the Comprehensive Cancer Center (CCC) in King Fahad Medical City (KFMC). A total of 157 nurses with a diploma or higher degree agreed to participate in the study.
Many nurses showed a neutral attitude regarding DNR to cancer patients and/or their families 2.4 ± 0.4. Moreover, the results of the multiple logistic regression tests revealed that all the listed factors are not associated with the attitude towards DNR orders (P > .05).
It is generally believed that nurses the faith and background of nurses from Muslim countries has a profound influence on their attitude towards DNR. However, this was not the picture that was revealed by the results of this study. In this study, all the nurses made it clear that they wanted to know about the autonomy of patients in respect of DNR orders.
It is necessary to develop programmes that address the DNR order and respect patient autonomy and rights. Moreover, hospital policies that address the issues of DNR order are required for all end-of-life care.
与生死相关的问题在很大程度上受到社会文化和宗教信仰的影响。本研究旨在调查沙特阿拉伯肿瘤护士对不复苏医嘱(DNR)的态度。
采用横断面设计。向法赫德国王医疗城综合癌症中心(CCC)的 190 名护士发送了一份调查。共有 157 名具有文凭或更高学历的护士同意参与这项研究。
许多护士对癌症患者及其家属的 DNR 持中立态度,得分为 2.4±0.4。此外,多元逻辑回归测试的结果表明,列出的所有因素均与 DNR 医嘱的态度无关(P>.05)。
一般认为,护士的信仰和背景对他们对 DNR 的态度有深远的影响。然而,这并不是这项研究结果所反映的情况。在这项研究中,所有护士都明确表示,他们希望了解患者在 DNR 医嘱方面的自主权。
有必要制定计划,解决 DNR 医嘱和尊重患者自主权和权利的问题。此外,还需要制定针对所有临终关怀的 DNR 医嘱问题的医院政策。