Ethical Dilemma Do Not Resuscitate (DNR) in Nursing Practice
Dublin Core
Title
Ethical Dilemma Do Not Resuscitate (DNR) in Nursing Practice
Subject
do not resuscitate, ethical dilemma, nursing
Description
Introduction: DNR (Do Not Resuscitate) is a condition where the patient
experiences cardiac arrest but chooses not to undergo resuscitation.
However, the legal consequences of DNR actions, which may either allow
or completely prohibit these actions, can vary in different countries.
Nurses frequently encounter ethical dilemmas resulting from DNR
situations. This literature review explored nurses' ethical dilemmas
regarding DNR and strategies to overcome them.
Methods: This literature review examined previous research findings
published in articles. Article searches were conducted using PubMed,
ScienceDirect, and Google Scholar, employing keywords such as "DNR,"
"Nursing Ethics," and "Ethical dilemma," as well as combinations thereof
like "DNR in a nursing ethical dilemma." Fifteen articles meeting the
inclusion criteria were selected.
Results: Making DNR decisions for patients significantly impacted the
continuity of patient care in hospitals. These decisions were influenced by
religion/beliefs, life expectancy, limited resources, and past experiences.
Nurses stressed the importance of discussing DNR situations openly.
Moreover, nurses were crucial in addressing misunderstandings
surrounding patient care with DNR orders through practice, education,
advocacy, policy implementation, and research.
Conclusion: Nurses require adequate training and education in end-of-life
ethics and DNR decision-making to prevent detrimental actions and ensure
patients' peaceful, dignified terminal care.
experiences cardiac arrest but chooses not to undergo resuscitation.
However, the legal consequences of DNR actions, which may either allow
or completely prohibit these actions, can vary in different countries.
Nurses frequently encounter ethical dilemmas resulting from DNR
situations. This literature review explored nurses' ethical dilemmas
regarding DNR and strategies to overcome them.
Methods: This literature review examined previous research findings
published in articles. Article searches were conducted using PubMed,
ScienceDirect, and Google Scholar, employing keywords such as "DNR,"
"Nursing Ethics," and "Ethical dilemma," as well as combinations thereof
like "DNR in a nursing ethical dilemma." Fifteen articles meeting the
inclusion criteria were selected.
Results: Making DNR decisions for patients significantly impacted the
continuity of patient care in hospitals. These decisions were influenced by
religion/beliefs, life expectancy, limited resources, and past experiences.
Nurses stressed the importance of discussing DNR situations openly.
Moreover, nurses were crucial in addressing misunderstandings
surrounding patient care with DNR orders through practice, education,
advocacy, policy implementation, and research.
Conclusion: Nurses require adequate training and education in end-of-life
ethics and DNR decision-making to prevent detrimental actions and ensure
patients' peaceful, dignified terminal care.
Creator
Ni Putu Aries Susanti1*
, Ketut Citra Paramitasari1, Kadek Andika Dwi Putra1, Putu
Cintariasih1, Ni Wayan Suryani1, & Ida Ayu Putri Wulandari1
, Ketut Citra Paramitasari1, Kadek Andika Dwi Putra1, Putu
Cintariasih1, Ni Wayan Suryani1, & Ida Ayu Putri Wulandari1
Source
https://doi.org/10.37363/bnr.2024.52351
Date
23 April 2024
Contributor
peri irawan
Format
pdf
Language
english
Type
text
Files
Collection
Citation
Ni Putu Aries Susanti1*
, Ketut Citra Paramitasari1, Kadek Andika Dwi Putra1, Putu
Cintariasih1, Ni Wayan Suryani1, & Ida Ayu Putri Wulandari1, “Ethical Dilemma Do Not Resuscitate (DNR) in Nursing Practice,” Repository Horizon University Indonesia, accessed April 11, 2026, https://repository.horizon.ac.id/items/show/11735.