Nurses' Perspectives concerning Do-Not-Resuscitate (DNR) Orders
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- HOSAKA Takashi
- Department of Psychiatry and Behavioral Science, Tokai University School of Medicine
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- NAGANO Hirotada
- Department of Nursing, Tokai University School of Medicine
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- INOMATA Chieko
- Department of Nursing, Tokai University School of Medicine
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- KOBAYASHI Ichiro
- Department of Internal Medicine, Tokai University School of Medicine
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- MIYAMOTO Tsuyoshi
- Department of Obstetrics & Gynecology, Tokai University School of Medicine
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- TAMAI Yoshihumi
- Department of Radiation Oncology, Tokai University School of Medicine
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- TAMURA Yoshiyuki
- Department of Otorhinolaryngology, Tokai University School of Medicine
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- TOKUDA Yutaka
- Department of Surgery, Tokai University School of Medicine
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- YONEKURA Shuji
- Department of Internal Medicine, Tokai University School of Medicine
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- SAITO Hiroko
- Department of Nursing, Tokai University School of Medicine
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- MORI Tomoyuki
- Department of Director, Tokai University Hospital
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抄録
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.
収録刊行物
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- Tokai journal of experimental and clinical medicine
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Tokai journal of experimental and clinical medicine 24 (1), 29-34, 1999-04
東海大学
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詳細情報 詳細情報について
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- CRID
- 1572261551874228480
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- NII論文ID
- 110004700259
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- NII書誌ID
- AA00863975
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- ISSN
- 03850005
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- 本文言語コード
- en
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- データソース種別
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- CiNii Articles