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[Concept analysis of DNR (do-not-resuscitate)]
Hyoung Sook Park1, Mi Jee Koo, Young Hee Kim
1College of Nursing, Pusan National University, Busan, Korea.
Taehan Kanho Hakhoe Chi
|November 9, 2006
Summary
Do Not Resuscitate (DNR) orders are clarified, distinguishing them from euthanasia. This involves patient autonomy and acceptance of death, with nurses supporting families through the process.
Area of Science:
- Medical Ethics
- End-of-Life Care Research
Context:
- The concept of Do Not Resuscitate (DNR) orders requires clarification to differentiate it from euthanasia.
- Understanding the antecedents and consequences of DNR decisions is crucial in palliative care.
Purpose:
- To analyze and clarify the concept of Do Not Resuscitate (DNR) orders.
- To distinguish DNR from euthanasia through rigorous concept analysis.
Summary:
- Definable attributes of DNR include comfort care, cessation of further treatment, and withholding cardiopulmonary resuscitation (CPR).
- Antecedents encompass patient/family autonomy, perceptions of treatment futility, and the right to die with dignity.
- DNR decisions, rooted in these antecedents, lead to patient and family acceptance of death, necessitating documented processes and hospice care activation.
Impact:
- Provides a clearer framework for understanding and implementing DNR orders.
- Highlights the importance of patient autonomy and dignity in end-of-life decision-making.
- Emphasizes the role of healthcare professionals, particularly nurses, as advocates and supporters during the DNR process.
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