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WeeklyNursingArticleNumber4.docx2
Weekly Nursing Article Number Four
The article explored the care of nurses’ understanding and interpretation of do-not-resuscitate (DNR) orders in relation to caring for hospitalized adults with such an order, and examines the meaning of DNR orders. Sometimes in a care setting a DNR order means “do not treat” in this article we pay attention in regards to nursing care. The method as to which the study and design was brought about was a mixed method descriptive study. It involved both an online survey, one to one interview in person or interview about DNR perspective. It was located in a hospital in south western United States. The research team was four nurses, direct care nurses were selected due to the frequency of DNR orders.
The nurses participating were given a question/case study with directions. Each nurse did the question and additional questions were asked when needed to delve deeper into the participants’ experience. Each nurse gave their opinion in the question case and what they would do and why. Nurses gave clear definition of DNR, but they described ambiguity and varying responses when interpreting DNR orders in clinical practice. Also, nurses identified situations in which health care team member did not agree on the clinical implication and responsibilities of a DNR. Family members played an important role in the decision of an DNR. Most of the time, its really that the family member don’t understand where the doctors are going with the treatment and a family meeting is called so they understand that everyone is trying to get the patient as comfortable as possible.
While the definition of DNR might seem straightforward, its interpretation in clinical practice can be complicated. In this study, most of the nurses understood the meaning of DNR. Yet their interpretations often indicated clinical situations in which a DNR order was misaligned with the plan of care or was misinterpreted as replacing it.
REFERENCES
1. Cohn S, et al. Do not attempt cardiopulmonary resuscitation orders in acute medical settings: a qualitative study. QJM 2013;106(2):165–77.
