요양병원 간호사의 DNR에 대한 인식과 윤리적 태도
Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR
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Purpose: This study was done to investigate long-term care hospital nurses’ awareness and ethical attitudes toward Do-not-resuscitate (DNR). Methods: Data were collected from 146 nurses who worked in long-term care hospitals for more than six months. Participants worked in G city and J Province, and the data were collected from October to December, 2018. Data analysis was done using descriptive statistics and x2 test with the SPSS/WIN program version 23.0. Results: There were significant differences in participants' awareness of DNR according to age, length of time working as a nurse in a long-term care hospital, position, work pattern, received DNR education, decision maker and the existence of guideline for DNR. There were significant differences in participants' ethical attitudes toward DNR according to the length of time working as a nurse in a long-term care hospital, position, DNR education, place of education, experiences with DNR as one who calls for DNR, and decision maker for DNR. Conclusion: Findings suggest that there is a need to develop guidelines for DNR, and also DNR related education programs for nurses in long-term care hospital. Furthermore, qualitative research using in-depth interviews for nurses in these hospital is needed.
Abstract
Purpose: This study was done to investigate long-term care hospital nurses’ awareness and ethical attitudes toward Do-not-resuscitate (DNR). Methods: Data were collected from 146 nurses who worked in long-term care hospitals for more than six months. Participants worked in G city and J Province, and the data were collected from October to December, 2018. Data analysis was done using descriptive statistics and x2 test with the SPSS/WIN program version 23.0. Results: There were significant differences in participants' awareness of DNR according to age, length of time working as a nurse in a long-term care hospital, position, work pattern, received DNR education, decision maker and the existence of guideline for DNR. There were significant differences in participants' ethical attitudes toward DNR according to the length of time working as a nurse in a long-term care hospital, position, DNR education, place of education, experiences with DNR as one who calls for DNR, and decision maker for DNR. Conclusion: Findings suggest that there is a need to develop guidelines for DNR, and also DNR related education programs for nurses in long-term care hospital. Furthermore, qualitative research using in-depth interviews for nurses in these hospital is needed.
참고문헌 (30)
- Neil McHugh, "Extending life for people with a terminal illness: a moral right and an expensive death? Exploring societal perspectives", BMC Medical Ethics, 16(1), pp.14~ (2015), Springer Science and Business Media LLC[DOI]
- Susan H. Simpson, "A study into the uses and effects of do-not-resuscitate orders in the intensive care units of two teaching hospitals", Intensive and Critical Care Nursing, 10(1), pp.12~22 (1994), Elsevier BV[DOI]
- "Please kill my father" (2019)[URL]
- "The decision on bills for life-sustaining treatment went by one month ago, but there is still a problem" (2018)[URL]
- Lee MS, "Awareness and emotional state of nurses on do-not-resuscitate for geriatric patients", Keimyung Journal of Nursing Science, 18(2), pp.15~27 (2014)
- Keh Kiong Ong, "The trajectory of experience of critical care nurses in providing end-of-life care: A qualitative descriptive study", Journal of Clinical Nursing, 27(1-2), pp.257~268 (2018), Wiley[DOI]
- 김원순, "노인요양병원 간호사의 임종간호수행과 죽음불안 및 자아존중감이 임종간호스트레스에 미치는 영향", Journal of Hospice and Palliative Care, 19(2), pp.154~162 (2016), 한국호스피스완화의료학회[DOI]
- Verónica Tíscar-González, "Nursing knowledge of and attitude in cardiopulmonary arrest: cross-sectional survey analysis", PeerJ, 7, pp.e6410~ (2019), PeerJ[DOI]
- 양진희, "노인요양병원 간호사의 죽음 인식, 영적 안녕과 임종간호 스트레스의 관계 연구", 한국산학기술학회논문지, 17(6), pp.510~520 (2016), 한국산학기술학회[DOI]
- 진영란, "요양병원 환자분류군별 전반적 건강수준 및 육체적 수발부담 차이", 보건의료산업학회지, 12(1), pp.81~93 (2018), 보건의료산업학회[DOI]
- "Health insurance review & assessment service explain issues on cut of costs of hospitalization in long-term care hospitals for cancer patients" (2019)[URL]
- Debbie Hiestand, "Perioperative Do‐Not‐Resuscitate Suspension: The Patient's Perspective", AORN Journal, 109(3), pp.326~334 (2019), Wiley[DOI]
- 이미정, "노인병원 환자 죽음에 대한 간호사의 경험", Journal of Korean Academy of Nursing, 45(4), pp.513~522 (2015), 한국간호과학회
- 유은영, "중환자실 간호사들의 DNR에 대한 윤리적 태도", 한국산학기술학회논문지, 16(4), pp.2691~2703 (2015), 한국산학기술학회[DOI]
- 문정희, "노인환자 심폐소생술금지 결정에 대한 간호사의 윤리적 태도와 정서상태", Journal of Hospice and Palliative Care, 16(4), pp.216~222 (2013), 한국호스피스완화의료학회
- Han SS, "Nurses'understanding and attitude on DNR", Journal of Korean Academy of Nursing Administration, 7(3), pp.403~414 (2001)
- Kang HI, "Awareness and experience of nurses and physicians on DNR", Journal of Korean Academy of Nursing Administration, 9(3), pp.447~458 (2003)
- Lee SH, "Ethical dilemma associated with DNR : the attitude of clinical nurse", Clinical Nursing Research, 4(1), pp.147~162 (1998)
- 성미혜, "중환자실간호사의 DNR과 관련된 윤리문제의 인식 및 태도조사", 임상간호연구, 13(3), pp.109~122 (2007), 병원간호사회
- 이정은, "응급구조사의 DNR에 대한 인식과 윤리적 태도", 한국응급구조학회지, 18(2), pp.95~108 (2014), 사단법인 한국응급구조학회
- 김희진, "요양병원 간호사의 간호 스트레스 경험: 현상학적 접근", 성인간호학회지, 28(5), pp.572~584 (2016), 한국성인간호학회[DOI]
- 우미경, "내러티브 탐구를 통한 심폐소생술금지 (DNR) 환자 간호경험", 성인간호학회지, 25(3), pp.322~331 (2013), 한국성인간호학회
- 이선라, "Do Not Resuscitate (DNR)와 Advance Directives (AD)에 대한 환자 보호자와 의료인의 인식", Journal of Hospice and Palliative Care, 17(2), pp.66~74 (2014), 한국호스피스완화의료학회[DOI]
- 이지윤, "DNR 결정 환자에 대한 간호사의 간호활동 변화", Journal of Hospice and Palliative Care, 20(1), pp.46~57 (2017), 한국호스피스완화의료학회[DOI]
- Mona Pettersson, "Ethical competence in DNR decisions –a qualitative study of Swedish physicians and nurses working in hematology and oncology care", BMC Medical Ethics, 19(1), pp.63~ (2018), Springer Science and Business Media LLC[DOI]
- Gregory E. Holt, "Nonstandard do-not-resuscitate orders", Current Opinion in Anaesthesiology, 32(2), pp.179~183 (2019), Ovid Technologies (Wolters Kluwer Health)[DOI]
- 박학영, "심폐소생술 금지에 대한 응급의료종사자간 인식과 윤리적 태도의 차이", 기본간호학회지, 18(3), pp.411~420 (2011), 기본간호학회
- 계영애, "심폐소생술금지 교육 및 임상 경험에 따른 윤리적 태도", Journal of Hospice and Palliative Care, 18(3), pp.208~218 (2015), 한국호스피스완화의료학회[DOI]
- 박정하, "드라마와 영화를 활용한 DNR 교육 프로그램", 학습자중심교과교육연구, 17(24), pp.559~573 (2017), 학습자중심교과교육학회[DOI]
- 김원정, "중환자실 간호사와 보호자의 연명치료중단에 대한 인식", 한국의료윤리학회지, 18(4), pp.424~441 (2015), 한국의료윤리학회[DOI]