PURPOSE
This study was conducted to understand the meaning of the DNR experiences of nurses.
METHODS
The data were collected through in-depth interviews, observation, and field records with five nurses from November 2009 to February 2011. The data were analyzed using narrative inquiry methodology.
RESULTS
Three fundamental themes were derived from data analysis as following: 'faithfulness to care for comfort,' 'helping for peaceful farewells between the patient and the family,' 'reflecting one's lives with a collision of feeling toward the death.' CONCLUSION: The results indicate that nurses take a role of an advocate in caring for DNR patients and being concerned about their families' conflict and anguish. In addition, this study indicates the importance of education on living will, advanced directives and preparation for the death tailored to the public including healthcare professionals.

Citations

• Burnout and Related Factors of Nurses Caring for DNR Patients in Intensive Care Units, South Korea
  Sohyune Sok, Hyebeen Sim, Bokhee Han, Se Joung Park
  International Journal of Environmental Research and Public Health.2020; 17(23): 8899.     CrossRef
• Long-term Care Hospital Nurses' Awareness and Ethical Attitudes toward DNR
  Kye Ha Kim, Sun Jin Jeong
  Journal of Korean Gerontological Nursing.2019; 21(2): 61.     CrossRef
• Lived Experience of Primary Decision - Makers Regarding Do-Not-Resuscitate Instruction: Using Parse's Method
  Eun Young Lee, Sung Rae Shin
  Korean Journal of Adult Nursing.2019; 31(5): 540.     CrossRef
• Effects on Turnover Intention due to Terminal Care Stress of Nurses Working in Long-term Care Hospitals
  Shin-young Ha, Jun-Ah Song
  Journal of Korean Gerontological Nursing.2018; 20(3): 217.     CrossRef
• Withdrawal of Life-Sustaining Treatment from Children: Experiences of Nurses Caring for the Children
  So Yeon Park, Hyeon Ok Ju, Ga Eon Lee
  Child Health Nursing Research.2017; 23(3): 364.     CrossRef
• Attitudes and Type Analysis of Cardiopulmonary Resuscitation among Hospital Nurses in Emergency Room and Intensive Care Units
  Eun-Ho Ha, Kyoung-Soon Hyun
  Korean Journal of Adult Nursing.2017; 29(5): 484.     CrossRef
• Intensive Care Nurses’ Experiences of Death of Patients with DNR Orders
  Ji Yun Lee, Yong Mi Lee, Jae In Jang
  The Korean Journal of Hospice and Palliative Care.2017; 20(2): 122.     CrossRef
• Predictors of Agreement With Writing Advance Directives Among Older Korean Adults
  Jaewon Park, Jun-Ah Song
  Journal of Transcultural Nursing.2016; 27(6): 574.     CrossRef
• Factors Influencing Performance of End-of-life Care by ICU Nurses
  Mun Jung Ko, So-Hyun Moon
  Journal of Korean Academy of Psychiatric and Mental Health Nursing.2016; 25(4): 327.     CrossRef

PURPOSE
The purpose of this study was to identify characteristics of patients who were recipients of decision-making DNR, to describe the situations of DNR, and to analyze the APACHE III and MOF scores. METHOD: Data collection was conducted through reviews of medical records of 51 patients and through interviews with families of patients who were decision-makers for DNR at C university K Hospital located in Seoul from April to September 2002. RESULTS: The men's APACHE III and MOF scores were higher than the women's and the non cancer patients were higher than cancer patients. Some 80.4% of DNR orders was by communication, while 11.8% of consents were written. Each of APACHE III and MOF scores of patients in the intensive care unit was higher than the patients in general ward at both points of admission and decision-making of DNR. APACHE III and MOF scores positively correlated statistically with each other. CONCLUSIONS: The findings of this study suggest that APACHE III and MOF scores be useful for decision-making of DNR as a tool measuring severity.