DNR-PÄÄTÖKSEN EETTISIÄ KYSYMYKSIÄ HYVÄN PALLIATIIVISEN HOITOTYÖN NÄKÖKULMASTA
Nannyondo, Joanita; Sulik, Steven (2024)
2024
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Julkaisun pysyvä osoite on
https://urn.fi/URN:NBN:fi:amk-202501161439
https://urn.fi/URN:NBN:fi:amk-202501161439
Tiivistelmä
ABSTRACT
The purpose of this thesis was to investigate ethical issues that arise from DNR decisions in palliative care. The aim of the thesis was to provide the Southeastern Finland University of Applied Sciences with a view on the ethical issues of DNR decisions in palliative care as a tool for nurse education. Do not resuscitate (DNR) is an order from the responsible physician made on appropriate medical grounds that dictates to not perform resuscitation in case of a cardiac arrest event. The scope of ethics surrounding DNR orders concerns healthcare service providers, patients and their families. A clear understanding is needed from all involved parties for effective implementation of DNR orders.
The thesis was conducted using a descriptive literature review research method. Thematic content analysis was used as the analysis method, which was used to present the results of the work. The thematic analysis resulted in four related themes: the role of the nurse, information and communication, the patient and their family, and DNR and culture. The data included 9 studies in English and Finnish.
The results of the literature review showed that proper education, communication and interpretation are key factors and play a crucial role in proper implementation of DNR orders and therefore limiting possible ethical concerns.
Further research would be useful to explore how healthcare professionals should provide more explanations of DNR decisions to patients' families and how nurses and other healthcare providers can be effectively trained about DNR orders and what they mean for patient care.
The purpose of this thesis was to investigate ethical issues that arise from DNR decisions in palliative care. The aim of the thesis was to provide the Southeastern Finland University of Applied Sciences with a view on the ethical issues of DNR decisions in palliative care as a tool for nurse education. Do not resuscitate (DNR) is an order from the responsible physician made on appropriate medical grounds that dictates to not perform resuscitation in case of a cardiac arrest event. The scope of ethics surrounding DNR orders concerns healthcare service providers, patients and their families. A clear understanding is needed from all involved parties for effective implementation of DNR orders.
The thesis was conducted using a descriptive literature review research method. Thematic content analysis was used as the analysis method, which was used to present the results of the work. The thematic analysis resulted in four related themes: the role of the nurse, information and communication, the patient and their family, and DNR and culture. The data included 9 studies in English and Finnish.
The results of the literature review showed that proper education, communication and interpretation are key factors and play a crucial role in proper implementation of DNR orders and therefore limiting possible ethical concerns.
Further research would be useful to explore how healthcare professionals should provide more explanations of DNR decisions to patients' families and how nurses and other healthcare providers can be effectively trained about DNR orders and what they mean for patient care.