Knowledge and Attitude towards Do-Not-Resuscitate Order among Nurses of a Tertiary Level Hospital

Asmita Shrestha, S. Shrestha
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Abstract

Introduction: Knowledge regarding and attitude towards end-of-life care can shape the behaviour and actions of a health professional in provision of supportive care for the comfort of the patients as well as their family members. Very little is known about nurses’ knowledge and attitude regarding do-not-resuscitate (DNR) order. Therefore, the purpose of this study was to identify the knowledge of and attitude towards DNR order and relationship between knowledge and attitude towards DNR order among the nurses of a tertiary level hospital.  Methods: Descriptive correlation design was used.  Convenient sampling method was used to select 70 nurses from a tertiary level hospital. Data were collected using pretested self administered structured questionnaire. Data were analysed using SPSS version 20 and analysed using descriptive and inferential statistics. Result: Among 70 respondents, almost all (95.7%) of the respondents had good level of knowledge, 2.9% had fair and 1.4% had poor level of knowledge. Most (80.0%) of the respondents had positive attitude towards DNR order and 20.0% had negative attitude. There was a positive relationship between knowledge of and attitude towards DNR order (r = 0.068) but the relationship was statistically insignificant. Conclusions: Based on the findings, the study concludes that nurses of tertiary level hospital have good knowledge and positive attitude towards DNR order. Likewise, knowledge regarding DNR order is related with the attitude towards DNR order and thus knowledge can be enhanced to improve the attitude towards DNR by regular in-service education.
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某三级医院护士对“不抢救令”的认知与态度
导言:关于临终关怀的知识和态度可以塑造卫生专业人员在提供支持性护理方面的行为和行动,以使患者及其家属感到舒适。护士对不抢救(DNR)命令的知识和态度了解甚少。因此,本研究的目的是确定三级医院护士对急诊顺序的知识和态度,以及知识和态度之间的关系。方法:采用描述性相关设计。采用方便抽样法,选取某三级医院护士70名。数据收集采用预测试的自我管理结构化问卷。数据分析采用SPSS version 20,分析采用描述性统计和推理统计。结果:70名被调查者中,几乎所有(95.7%)的人知识水平良好,2.9%的人知识水平一般,1.4%的人知识水平较差。大多数受访者(80.0%)对DNR订单持肯定态度,20.0%持否定态度。对DNR顺序的认知与态度呈正相关(r = 0.068),但无统计学意义。结论:根据调查结果,三级医院护士对急诊顺序有较好的认识和积极的态度。同样,关于DNR顺序的知识与对DNR顺序的态度有关,因此可以通过定期在职教育来增强知识以改善对DNR的态度。
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12 weeks
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