기본간호학회지 (Journal of Korean Academy of Fundamentals of Nursing)

  • 제18권3호
  • /
  • Pages.411-420
  • /
  • 2011
  • /
  • 1225-9012(pISSN)
  • /
  • 2287-1802(eISSN)
기본간호학회 (Korean Academy of Fundamentals of Nursing)
권호 표지

심폐소생술 금지에 대한 응급의료종사자간 인식과 윤리적 태도의 차이

Differences in Awareness and Ethical Attitudes about Do-Not-Resuscitate among Emergency Departments' Team

  • 박학영 (부산백병원) ;
  • 성미혜 (인제대학교 간호학과 건강과학연구소)
  • 투고 : 2010.08.03
  • 심사 : 2010.11.20
  • 발행 : 2011.08.31
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Purpose: The aim of this study was to exam differences in awareness and ethical attitudes associated with Do-Not- Resuscitate (DNR) among emergency department's team. Method: The participants in this study were 402 emergency department's team working in the 41 hospitals. The data was collected by using "awareness measuring tool" by Kang (2003) and "ethical attitudes measuring tool" by Ko (2004) from May 1 to September 15, 2009. Collected data were analyzed by descriptive statistics, t-test, Pearson correlation coefficient using SPSS WIN 14.0 program. Results: 74.4% of subjects was responded that they had never been educated about DNR, but 73.9% of subjects was responded that they had experienced DNR in the emergency room. The majority of subjects responded that the patients and their families should make a decision about the DNR. There was a difference in an appropriate time for explanation of DNR among emergency department's team. There was a difference in ethical attitudes associated with Do-Not- Resuscitate among emergency department's team. Conclusion: For a professional and systematic approach to the problem, DNR guideline sufficient to elicit a social consensus is needed.

키워드

참고문헌

  1. Alexandrov A. V., Pullicino P. M., Meslin E. M., & Norris J. W. (1996). Agreement on disease-specific criteria for Do-not-resuscitate orders in acute stroke. Stroke, 27, 232-237. https://doi.org/10.1161/01.STR.27.2.232
  2. Han, S. S., Jung, S. A., Moon, M. S., Han, M. H., & Ko, K. H. (2001). Nurses' understanding and attitude on DNR. Journal of Korean Aacademy of Nursing Administration, 7, 403-414.
  3. Huh, D. S. (2006). Present and future of cancer treatment in Korea. Cancer Symposium, 2, 29-34.
  4. Jeon, M. H. (2008). Nurse's awareness on the DNR orders for the elderly. Unpublished master's thesis, Hanyang University, Seoul.
  5. Jung, H. S. (2010). Criminal study on the physician's duty to give medical treatment continuously and the patient's right to die. Unpublished doctoral dissertation, Korea University, Seoul.
  6. Jang, M. J., Yoon, S. Y., Oh, J. H., Yoon, C. J., Jung, S. P., & Lee, H. S. (1996). A retrospective review of the Do-Not-Resuscitate patients. Journal of the Korean Society of Emergency Medicine, 9, 271-276.
  7. Jung, S. H. (2007). The ethical attitude related to DNR and the views on nursing profession among nurses. Unpublished master's thesis, Kwandong University, Gangneung.
  8. Kang, H. Y. (2003). Awareness and experience of nurses and physicians on DNR. Unpublished master's thesis, Hallym University, Chuncheon.
  9. Kim, S. H. (1999). Do-Not Resuscitate (DNR) decision making in terminal patients. Nursing Inquery, 8, 80-90.
  10. Kim, Y. S., Hwang, S. O., Lee, B. S., Ahn, M. U., Lim, K. S., & Kang, S. J. (1993). 'Do-not- resuscitate' decisions in the emergency department. Journal of the Korean Society of Emergency Medicine, 4, 108-115.
  11. Cho, H. S., & Kim, J. Y (1990). Do not resuscitate order in general hospital. The Korean Journal of Critical Care Medicine, 5, 5-11.
  12. Ko, H. J. (2004). A study on ethical attitude of nurses about do-not-resuscitate (DNR) and change in nursing activities after DNR decision. Unpublished master's thesis, Chosun University, Gwangju.
  13. Korean Medical Association (2009). Guidance for discontinuance of terminal care. Retrieved October 13, 2009, from http://www.kma.org/contents/board/mboard.asp?exec=view&strBoardID=report&intSeq=3849
  14. Lee, S. H., Kim, J. S., Hwang, M. J., Hwang, B. D., & Park, Y. J. (1998). Ethical dilemma associated with DNR : The Attitude of Clinical Nurse. Journal of Clinical Nursing Research, 4(1), 147-162.
  15. Lee, S. W., & Hong, Y. S. (2000). Cardiac arrest in emergency department. Journal of the Korean Society of Emergency Medicine, 11, 176-189.
  16. Lee, Y. B. (2007). Nurse' and doctors' perceptions, experiences, and ethical attitudes on DNR. Journal of Korean Clinical Nursing Research, 13(2), 73-85.
  17. Ministry of Health & Welfare (2008.12). Law for emergency medicine. Retrieved October 25, 2009, from http://law.go.kr
  18. Ministry of Health & Welfare (2009.03). 2008 registered medical center 78,461, 2.2% increase. Retrieved March 2, 2009, from http://stat.mw.go.kr
  19. Ministry of Health & Welfare (2010.03). Law for emergency medicine. Retrieved August 30, 2010, from http://law.go.kr
  20. Ryu, H. J. (2004). Zum sog. "Borame-fall" mit dem revisionsurteil. Law Research, 45(1), 151-180.
  21. Sung, M. H., Park, J. H., Jung, K. E., & Han, H. R. (2007). ICU nurses' awareness and attitudes to the ethical dilemma associated with DNR. Journal of Korean Clinical Nursing Research, 13(3), 109-122.
  22. Woo, J. M. (2005). Ethics to euthanasia and terminal care. Theology & Philosophy, 7, 111-143.
  23. Yang, J. H., Lee, Y. J., Ha, S. Y., & Hong, J. A. (2008). Awareness and experience of nurses and physicians on DNR. Bulletin of Inje, 20(1), 647-662.