Nurses' Perspectives concerning Do-Not-Resuscitate (DNR) Orders

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概要

• 論文の詳細を見る

• The purpose of this study was to investigate the views of the nursing staff concerning do-not-resuscitate (DNR) orders at the Tokai University Hospital where a controversial incident occurred several years ago. A 'Questionnaire on DNR Orders' was circulated and the anonymous answers were collected two weeks later. The questionnaire was returned by 706 of 780 (90.5%) nurses from every ward/specialty, which revealed that 87% of the nurses felt that DNRs were occasionally necessary, with more than 40% of the nurses answering that they took part in DNR. Further, 36% of the nurses stated that patient consent was indispensable, and 64% thought that the patient's family and physician could decide DNR in the event the patient was physically unable to give consent. Moreover, 66% of the nurses expected the establishment of a DNR order sheet to be formulated as a matter of hospital policy; only 5% of the nurses thought that such an order sheet would not be necessary. Comparing these results with a previous study polling physicians at the Tokai University Hospital, nurses are more likely than physicians to think that patient consent is indispensable, and want the establishment of a standardized DNR order sheet as hospital policy. There is, in fact, a "tacit understanding" between physicians and patients' families in medical practice in Japan. However, DNR is definitely a medical decision. Therefore it should be clearly stated in a standardized format, although such a procedure presently seems unlikely, in view of the Japanese traditional value system.

著者

• TAMURA Yoshiyuki

  Department of Cardiology and Clinical Research, National Hospital Organization Zentsuji Hospital

• KOBAYASHI Ichiro

  Department of Life Science,Tokyo Institute of Technology

• YONEKURA Shuji

  Department of Internal Medicine, School of Medicine, Tokai University

• Tokuda Y

  Department Of Surgery Tokai University School Of Medicine

• SAITO Hiroko

  Department of Pharmacy and Pharmacokinetics, Aichi Medical University School of Medicine

• MIYAMOTO Tsuyoshi

  Department of Obstetrics and Gynecology, School of Medicine, Tokai University

• HOSAKA Takashi

  Department of Phychology, Tohkai University School of Medicine

• Tokuda Yutaka

  Department Of Surgery Tokai University School Of Medicine

• Yonekura Shuji

  Department Of Internal Medicine Tokai University School Of Medicine

• Yonekura Shuji

  Department Of 2nd Internal Medicine Sapporo Medical College

• Kobayashi I

  Department Of Medicine Tokai University Oiso Hospital

• MORI Tomoyuki

  Department of Radiology, School of Medicine, Tokai University

• Hosoya Takashi

  Department Of Psychiatry And Behavioral Science Tokai University School Of Medicine

• Kobayashi Intetsu

  Mitsubishi Kagaku B.c.l.inc.

• Tamura Yoshiyuki

  Department Of Cardiology And Clinical Research National Hospital Organization Zentsuji Hospital

• Yoshiyuki Tamura

  Laboratory Of Nutrition And Food Science Hagoromo University Of International Studies

• Miyamoto Tsuyoshi

  Department Of Obstetrics And Gynecology Tokai University School Of Medicine

• Mori T

  Tokai University Hospital

• Mori Tomoyuki

  Department Of Biomolecular Sciences Saga Medical School

• Hosaka T

  Center For Specialized Clinical Science Tokai University School Of Medisine

• TAMAI Yoshihumi

  Department of Radiation Oncology, Tokai University School of Medicine

• NAGANO Hirotada

  Department of Nursing, Tokai University Hospital, Kanagawa

• INOMATA Chieko

  Department of Nursing, Tokai University Hospital, Kanagawa

• Inomata Chieko

  Department Of Nursing Tokai University Hospital Kanagawa

• Tamai Yoshifumi

  Department Of Radiation Oncology Tokai University School Of Medicine

• Nagano Hirotada

  Department Of Nursing Tokai University Hospital Kanagawa

• Tokuda Yutaka

  Department Of Breast And Endocrine Surgery Tokai University School Of Medicine

• Tamura Y

  Department Of Radiation Oncology Tokai University School Of Medicine

• Saito Hiroko

  Department Of Biological Mechanisms And Functions Graduate School Of Bioagricultural Sciences Nagoya

• Hosaka Takashi

  Department Of Phychology Tohkai University School Of Medicine

• Saito Hiroko

  Department Of Nursing Tokai University School Of Medicine

• Kobayashi Ichiro

  Department Of Life Science Tokyo Institute Of Technology

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