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Related Experiment Videos

Nurses' perspectives concerning do-not-resuscitate (DNR) orders.

T Hosaka1, H Nagano, C Inomata

  • 1Department of: Psychiatry and Behaviroal Science, Tokai University School of Medicine, Kanagawa, Japan. hosaka@is.icc.u-tokai.ac.jp

The Tokai Journal of Experimental and Clinical Medicine
|October 26, 1999
PubMed
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Nurses at Tokai University Hospital believe do-not-resuscitate (DNR) orders are necessary and support standardized DNR policies. They emphasize patient consent, differing from physician views and Japanese traditional practices.

Area of Science:

  • Medical Ethics
  • Nursing Practice
  • Healthcare Policy

Background:

  • A controversial incident prompted an investigation into do-not-resuscitate (DNR) orders at Tokai University Hospital.
  • Understanding nursing staff perspectives on DNR orders is crucial for improving end-of-life care communication and policy.

Purpose of the Study:

  • To investigate nursing staff views on do-not-resuscitate (DNR) orders.
  • To compare nurses' opinions on DNR orders with those of physicians at the same institution.
  • To explore the necessity, consent, and policy implications of DNR orders from a nursing perspective.

Main Methods:

  • Anonymous 'Questionnaire on DNR Orders' distributed to nursing staff.
  • High response rate of 90.5% (706 out of 780 nurses) across all wards and specialties.
Keywords:
Death and EuthanasiaEmpirical Approach

Related Experiment Videos

  • Data collected and analyzed to identify trends in nursing staff opinions.

    • Main Results:

    • 87% of nurses found do-not-resuscitate (DNR) orders occasionally necessary.
    • Over 40% of nurses reported participating in DNR discussions or decisions.
    • 36% deemed patient consent indispensable; 64% believed family/physician could decide if patient unable to consent.
    • 66% of nurses desired a standardized DNR order sheet as hospital policy.
    • Nurses were more likely than physicians to prioritize patient consent and standardized DNR policies.

    Conclusions:

    • Nurses strongly support the necessity of do-not-resuscitate (DNR) orders and advocate for standardized hospital policies.
    • A significant gap exists between nursing staff and physician views regarding patient consent in DNR decisions.
    • Implementing standardized DNR procedures may challenge traditional Japanese value systems but is supported by nursing staff.