Attitude of Nurses in Intensive Care Units towards Do Not Resuscitate order

Abstract

Introduction : Do Not Resuscitate (DNR) order has been studied ethically, legally, and religiously in different countries after presentation by the American Medical Association (AMA) in 1974. This study was conducted to investigate the attitude of nurses in intensive care units (ICUs) of hospitals of Tabriz University of Medical Sciences, Tabriz, Iran, towards DNR order. Methods: 255 nurses working in ICUs were included in a descriptive-analytical study at Tabriz University of Medical Sciences in 2018. The utilized checklist contained two sections: demographic information and 11 questions with a 5-point Likert scale about the attitude towards the DNR order. The scores relating to each question were collected and analyzed. Results: The average of the total score of the questionnaire was 29.97 8.39. The attitudes of participants were negative in all questions except for the 8th and 11th questions. The total score of the questionnaire was 29.49 8.09 in the group with work experience of 15 years and less and 32.49 9.50 (P = 0.036) in the group with a more than 15 years of work experience; which indicates more positive attitude towards the DNR order in individuals with more work experience. Conclusion: The results showed that in general, the participant nurses did not have positive attitudes concerning the DNR order; however, people with more than 15 years of work experience had more positive attitude towards this order and the investigation of this factor and the causes of its impact on the change of people’s attitude should be carried out in further studies.

Health Care Providers’ Attitudes Toward Do-Not-Resuscitate Order in COVID-19 Patients: An Ethical Dilemma in Iran

“…Our findings also revealed a significant and direct relationship between work experience and attitudes about the DNR order. In contrast to this finding, Naghshbandi et al (2019) found that intensive care unit (ICU) nurses with less than 15 years of work experience had a more positive attitude toward applying the DNR order than other nurses ( Naghshbandi et al, 2019 ). This inconsistency might be due to differences in methods used to measure attitudes toward a DNR order, a full evaluation of all opinions of the health care professionals in our study, and differences in sample size.…”

The Decision Not to Resuscitate Order for Terminally Ill Pediatric Patients and Ethics as a Predictor from Undergraduate Students’ Perspective

“…According to western regulations, if there is no DNR order for a child with terminally ill disease, CPR must commence within 60 seconds, and de brillation within three minutes [3,4]. Provisions of western laws dictate that for a child with terminally ill disease, the DNR decision lies with the responsible physician [5][6][7][8][9]. The physician usually makes his nal decision based on the consultation with nurses and PharmDs [10][11][12][13][14].…”

The Decision not to Resuscitate Order for Children and Related Ethical Issues from Students’ Perspective

“…In 1974, the Medical Association in America suggested that the decision should be recorded in the medical records of the child with terminally ill disease, while medical staff members who care for the child with terminally ill disease be informed [6]. Based on studies, DNR orders for terminally ill children can be ambiguous [7,8], and that there can be inconsistent and varying DNR documentation [7,9,10]. Besides, results indicate that there are often late DNR decisions while caring for child with terminally ill diseases [11][12][13].…”