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预立医疗指示和不进行心肺复苏医嘱:学校环境中护士的知识水平与实践程度

Advance directives and do not resuscitate orders: nurses' knowledge and the level of practice in school settings.

作者信息

Schultz-Grant L D, Young-Cureton V, Kataoka-Yahiro M

机构信息

Santa Clara County Office, Special Education, San Jose, California, USA.

出版信息

J Sch Nurs. 1998 Apr;14(2):4-10, 12-3.

PMID:9611568
Abstract

A descriptive, correlational study was conducted among school nurses to ascertain their knowledge of Advance Directives (ADs) and Do Not Resuscitate (DNR) orders, current AD and DNR practice in the school setting, and personal AD and DNR attitudes and plans of study respondents. A convenience sample of practicing school nurses was surveyed using an author-designed instrument. Results indicated a need to increase knowledge regarding ethical principles and advance directives. Eleven percent of the respondents reported school district policies in place regarding advance directives/DNR orders. Seventy-eight percent of respondents indicated they have no personal advance directives in place, but 76% would not wish to be resuscitated when facing terminal illness. These results suggest ambiguity regarding issues of death and dying.

摘要

对学校护士开展了一项描述性、相关性研究,以确定他们对预立医疗指示(ADs)和不要复苏(DNR)医嘱的了解情况、学校环境中当前的AD和DNR实践,以及研究受访者个人的AD和DNR态度及计划。使用作者设计的工具对在职学校护士的便利样本进行了调查。结果表明有必要增加关于伦理原则和预立医疗指示的知识。11%的受访者报告所在学区有关于预立医疗指示/DNR医嘱的政策。78%的受访者表示他们没有个人预立医疗指示,但76%的人表示在面临绝症时不希望被复苏。这些结果表明在死亡和临终问题上存在模糊性。

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