중환자실간호사의 DNR과 관련된 윤리문제의 인식 및 태도조사
ICU Nurses’ Awareness and Attitudes to the Ethical Dilemma Associated with DNR
0
조회
0
다운로드
18
인용
0
참고문헌
키워드
초록
Abstract
Purpose: The study was done to identify the awareness and attitudes of ICU nurses to ethical dilemma associated with DNR of ICU nurses. Method: The sample consisted of 159 nurses in six general hospitals. A structured questionnaire was used and all data were collected between May 6 and May 31, 2005. Descriptive statistics and -test were used to analyze the data. Results: Most of the participants(98.7%) responded that DNR was necessary. The major reason for the necessity of DNR was the impossibility of recovery(45.9%). The decision to have a DNR order was most frequently made by patient and family members. Most of the participants(94.9%) responded that a guidebook for DNR in hospitals is necessary. There were significant differences in participants' awareness of DNR according to education level, marital status, the number of beds in the hospital, and clinical experience. There were also significant differences in participants' attitudes to DNR according to education level, religion, marital status, department, and education experience. Conclusion: The findings suggest that a guidebook for DNR needs to be developed and needs to include legal, ethical and cultural aspects. Decision-making on DNR can be easily solve through the establishment of ethical committees including nurses.
참고문헌 (27)
- 강현임, "심폐소생술금지(DNR)에 대한 간호사와 의사의 인식과 경험" (2003)
- 고윤석, "임종환자의 연명치료 중단에 관한 대한의학회 의료윤리지침" (2002)
- 공병혜, "생명윤리의학과 간호", 5(1), pp.79~88 (2001)
- 김상희, "암환자의 DNR 의사결정에 관한 연구" (1998)
- 김상희, "암환자의 DNR 의사결정에 관한 연구", 13(1), pp.127~141 (2004)
- 김주희, "임상간호사의 윤리적 딜레마에 관한 태도조사", 25(3), pp.42~48 (1995)
- 노유자, "호스피스와 죽음" (1995), 서울 : 현문사
- 손명세, "치료중단의 윤리문제와 법적장치", 4(7), pp.707~711 (1998)
- 엄영란, "말기환자 간호와 관련된 윤리문제" (1996), 한국 카톨릭 간호협회 보수교육자료
- 오미성, "간호전문직과 윤리", 22(2), pp.1~32 (1998)
- 이미희, "심폐소생술 금지(DNR)에 대한 노인들의 태도와 우울 및 자아존중감과의 관계" (2006)
- 이순행, "임상간호사의 DNR과 관련된 문제에 대한 태도조사", 4(1), pp.147~162 (1998)
- 장문준, "DNR이 결정된 환자에 대한 고찰", 9(2), pp.271~276 (1998)
- 장상옥, "중환자실 DNR 환자 가족의 경험과 DNR 결정 후 간호 및 치료의 변화" (2002)
- 최윤선, "말기환자 관점에 대한 의사들의 태도", 3, pp.25~32 (1998)
- 한성숙, "간호사들이 임상에서 경험하는 윤리적 딜레마의 실상과 의사결정에 관한 연구" (1992)
- 한성숙, "DNR에 대한 간호사의 인식 및 태도조사", 7(3), pp.403~412 (2001)
- 허대석, "무의미한 치료의 중단", 44(9), pp.956~962 (2001)
- Alexandrov, V, "Agreement on disease-specific criteria for Do-not-resuscitate orders in acute stroke", 27(2), pp.232~237 (1996)
- Byrd, "Progress in cardiovascular nursing", do-(t-resuscitate orders), pp.45~46 (1994)
- & Eaton, "Flow chart for the interpretation of Do-not-resuscitate orders status The Journal of Family Practice", pp.141~143 (1992)
- Han, S. S, "Nursing ethics" (1999), Seoul: Korea Nurse Association Pub
- Ivy, S. S, "Ethical considerations in resuscitation decision: A nursing ethics perspectives", 10(4), pp.47~58 (1996)
- Lee, "Survey on the experience and the attitude of training residents about DNR orders in tertiary teaching hospitals", pp.322~329 (1994)
- Sherman, D. A, "A critical care perception of appropriate care of the patient with orders not to resuscitate", 24(4), pp.321~329 (1995)
- Stuart, J, "Beyond DNR: Fine-tuning end-of-life decision making", 45, pp.615~616 (1995)
- Um,Y.R, "Ethical problems experienced by nurses in the care of terminally ill patients" (1994), Unpublished Doctoral Thesis Seoul National University