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Hospital Nurses' Experience of Do-Not-Resuscitate in Korea
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Myungsun Yi, Sang Eun Oh, Eun Ok Choi, In Gak Kwon, Sungbok Kwon, Kyung-mi Cho, Youngah Kang, Jeonghui Ok
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Journal of Korean Academy of Nursing 2008;38(2):298-309. Published online April 30, 2008
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DOI: https://doi.org/10.4040/jkan.2008.38.2.298
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Abstract
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Purpose
The purpose of the study was to describe the experiences of do-not-resuscitate (DNR) among nurses.
Methods
Data were collected by in-depth interviews with 8 nurses in 8 different hospitals. Conventional qualitative content analysis was used to analyze the data.
Results
Eight major themes emerged from the analysis: DNR decision-making bypassing the patient, inefficiency in the decision-making process of DNR, negative connotation of DNR, predominance of verbal DNR over written DNR, doubts and confusion about DNR, least amount of intervention in the decision for DNR change of focus in the care of the patient after a DNR order, and care burden of patients with DNR. Decision-making of DNR occurred between physicians and family members, not the patients themselves. Often high medical expenses were involved in choosing DNR, thus if choosing DNR it was implied the family members and health professionals as well did not try their best to help the patient. Verbal DNR permission was more popular in clinical settings. Most nurses felt guilty and depressed about the dying/death of patients with DNR.
Conclusion
Clearer guidelines on DNR, which reflect a family-oriented culture, need to be established to reduce confusion and to promote involvement in the decision-making process of DNR among nurses.
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Citations
Citations to this article as recorded by 
- Reliability and Validity of an Instrument Assessing Advance Directives for Nurse
Hojung Cheon, Eunha Kim The Korean Journal of Hospice and Palliative Care.2019; 22(3): 134. 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 - 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 - Attitude, Role Perception and Nursing Stress on Life Sustaining Treatment among Intensive Care Unit Nurses
Su Jeong Lee, Hye Young Kim Korean Journal of Adult Nursing.2017; 29(2): 131. 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 - Changes of Nursing Activities on Patients with DNR Orders
Ji Yun Lee, Jae In Jang The Korean Journal of Hospice and Palliative Care.2017; 20(1): 46. CrossRef - Experience of Life-sustaining Treatment in Patient Care among Intensive Care Unit Nurses: Phenomenological Approach
Su Jeong Lee, Hye Young Kim Journal of Korean Academy of Fundamentals of Nursing.2016; 23(2): 172. CrossRef - Comparison of attitudes towards death and perceptions of do‐not‐resuscitate orders between older Korean adults residing in a facility and at home
Soon Young Park, Ok Sun Kim, Nam Hyun Cha, Sohyune R Sok International Journal of Nursing Practice.2015; 21(5): 660. CrossRef - Application of Animation Mobile Electronic Informed Consent in Inpatient of Long-term Care Hospital: Focused on DNR Informed Consent
Ji-Kyeong Park, Ji-On Kim Journal of Digital Convergence.2015; 13(11): 187. CrossRef - Ethical Attitudes, Perceptions of DNR and Advance Directives of General Population
Kyung Ja Kang, Se Jin Ju Journal of Korean Academy of Psychiatric and Mental Health Nursing.2014; 23(2): 113. CrossRef - Nurses' Experiences of Do-Not-Resuscitate (DNR) by the Narrative Inquiry
Mi Kyung Woo, Miyoung Kim Korean Journal of Adult Nursing.2013; 25(3): 322. CrossRef - Nurses’ Emotional Responses and Ethical Attitudes towards Elderly Patients’ DNR Decision
Junghee Mun, Sumi Kim The Korean Journal of Hospice and Palliative Care.2013; 16(4): 216. CrossRef - Comparing the Preference for Terminal Care in Nurses and Patients
Dong Soon Kim, AeYoung So, Kyung-Sook Lee, Jung Sook Choi Journal of muscle and joint health.2013; 20(3): 214. CrossRef - Family factors affecting on withdrawal of life‐sustaining treatment in Korea
Kae‐Hwa Jo, Gyeong‐Ju An, Kyung Su Han International Journal of Nursing Practice.2012; 18(6): 552. CrossRef - Development of Implementation Strategies for u-Health Services Based on the Healthcare Professionals' Experiences
Jeongeun Kim, Sukwha Kim, Heechan Kim, Kyungwhan Kim, Sukchul Yang, Yoonju Shin Telemedicine and e-Health.2011; 17(2): 80. CrossRef
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Expertise in ICU Nursing: A Qualitative Approach
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Myung Sun Yi, Eun Ok Lee, Myoung Ae Choi, Keum Soon Kim, Mooon Hee Ko, Min Jeong Kim, Hyun Sook Kim, Jung Tae Son, Mi Ran Eom, Sang Eun Oh, Kyung Sook Lee, Eun Hee Jang, Gyeol Ja Cho, Jeong Sook Choe
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Journal of Korean Academy of Nursing 2000;30(5):1230-1242. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.2000.30.5.1230
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Abstract
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The purpose of this research was to uncover the expertise of ICU nursing in Korea, and to describe
nurses' practice based on the degree of skill acquisition. A total of 18 ICU nurses participated in the
study. The data was collected through individual in-depth interviews and it was managed using the
NUDIST 4.0 software program.
The data was analyzed using interpretive phenomenology suggested by Benner. Four properties of
expertise of ICU nursing were identified. These are 1) concern and love toward patients; 2) knowledge; 3)
skill, and 4) abilities in interpersonal relationships. And the characterisitcs of four levels of skill
acquisition, that is advanced beginner, competent, proficient, and expert, were described with exemplars.
The results of this study might help nurse researchers clarify and elaborate on the concept of expertise
in ICU nursing, and enable them to understand how the process of skill acquisition occurs in the ICU
setting. They might also help nurse managers establish educational goals for ICU nursing for student or
novice nurses.
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Citations
Citations to this article as recorded by 
- Experience of Clinical Adaptation among Nurses in Intensive Care Unit
Jin Young Hong, Sue Kyung Sohn Journal of Korean Critical Care Nursing.2024; 17(1): 1. CrossRef - Hermeneutic Phenomenological Study on Caring Experiences of Mental Health Nurses for the Mentally Ill Patients
Seong Ui Kim, Seong Sook Kong Journal of Korean Academy of psychiatric and Mental Health Nursing.2021; 30(3): 293. CrossRef
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130
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The Lives of Daughters-in-Law Who Care for Parents with Dementia
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Hyun Sook Kang, Keum Ja Go, Won Ock Kim, Eun Sim Kim, Soon Yong Khim, Hyun Li Kim, Soon Ok Shin, Sang Eun Oh, Jeong Sook Won, Chun Yu Li, Min Jung, Nam Hee Choe
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Journal of Korean Academy of Nursing 1999;29(6):1233-1243. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.1999.29.6.1233
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Abstract
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This study was done to investigate the lives of the daughters- in- law caring for parents with dementia and participate in their lives through having quality time with them. Data were collected by depth interviews and interpreted through the hermeneutic circle as follows. These daughters-in-law have conflict between social custom and subjective self. They had ambivalence toward their demented partents-in- law and were fighting a battle between rationality and emotions in their mind. These daughters-in law and mothers-in- law did not get along and the parents' dementia aggravated the relationships. They were alienated from their family by the parents with dementia. The indifference of their family especially their husbands, made these subjects live in misery. They cared for the demented mother-in-law with hatred. Even though they had this yoke, there daughters- in-law were not able to throw off the shackles of convention.
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Citations
Citations to this article as recorded by 
- The relationship between dementia caregivers and quality of life in South Korean populations
Sujin Lee, Jae Ho Chung Medicine.2024; 103(25): e38605. CrossRef - Association between Living with Patients with Dementia and Family Caregivers’ Depressive Symptoms—Living with Dementia Patients and Family Caregivers’ Depressive Symptoms
Minah Park, Fatima Nari, Soo Hyun Kang, Sung-In Jang, Eun-Cheol Park International Journal of Environmental Research and Public Health.2021; 18(8): 4372. CrossRef - The Experience of Adult Korean Children Caring for Parents Institutionalized with Dementia
Suhye Kwon, Young-Sook Tae Journal of Korean Academy of Nursing.2014; 44(1): 41. CrossRef - Overcoming Experiences of Family Members Caring for Elderly Patients with Dementia at Home
Mi Ra Sung, Myungsun Yi, Dong Young Lee, Hye Young Jang Journal of Korean Academy of Nursing.2013; 43(3): 389. CrossRef - The Relationship among Perceived Entrapment, Depression and Subjective Well-being of Women as Family Caregivers Caring for Dementia Elderly
Suk-Hee Cheon Korean Journal of Women Health Nursing.2011; 17(3): 285. CrossRef - Family Caregiver Burden by Relationship to Care Recipient with Dementia in Korea
Gwi-Ryung Son Hong, Hyojeong Kim Geriatric Nursing.2008; 29(4): 267. CrossRef - Daughters‐in‐law in Korean caregiving families
Jin‐Sun Kim Journal of Advanced Nursing.2001; 36(3): 399. CrossRef
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107
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Study on the Effects of the Supportive Nursing Intervention Program for Body Image and Self Esteem of the Child with Cancer
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Sang Eun Oh
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Journal of Korean Academy of Nursing 1999;29(3):679-687. Published online March 29, 2017
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DOI: https://doi.org/10.4040/jkan.1999.29.3.679
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Abstract
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The increased potential for the lifespan of a child with cancer is largely due to advance in drug treatment, radiation treatment, and surgical techniques. In this generation cancer has become associated with chronic illness. Therefore supportive nursing intervention for children with cancer is needed to promote normal growth and development. This study was designed to develop and test the supportive nursing intervention program for promoting body image and self-esteem of children with cancer. The supportive nursing intervention program involved emotional, physical, informational, and social support. The subjects were 41 children with cancer(20 in intervention group, 21 in control group) in K city. Measurements were taken concerning body image and self-esteem from both groups during pre and post test. The data were analyzed using Cronvach's alpha, x2-test, paired t-test and t-test. The results were as follows: The intervention group had a more positive body image as measured by the Body Cathexis Scale(t=2.436, p=.020) and a more self esteem as measured by the Cpopersmith self-inventory (t=2.768, p=.009) than the control group at post test. According to this study, the supportive nursing intervention program was effective for promoting the body image and self-esteem of children with cancer. Repeated research is needed to develop a refined supportive nursing intervention program for children with chronic illness.
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