Factors Associated with the Awareness of Natural Death Act and Attitudes towards Do Not Resuscitation of the Nurses in Nursing Homes

• Main Authors: Yun-Ching Cho, 卓運晴
• Other Authors: 謝淑惠
• Format: Others
• Language: zh-TW
• Published: 2013
• Online Access: http://ndltd.ncl.edu.tw/handle/87835181641139687463

碩士 === 中國醫藥大學 === 醫務管理學系碩士班 === 101 === Objectives：Most of the service subjects in nursing homes (NHs) are the groups of terminal patients and disabled elder citizens whose good death should be emphasized. In clinical care, nurses are the first-line personnel for the residents that they play the important role in the good death of such residents in NHs. This study aims to explore factors associated with the awareness of Natural Death Act and attitudes towards Do Not Resuscitation (DNR) of the nursing home nurses. Methods：This study is a cross-sectional survey; structured questionnaires were utilized for this study. With convenient sampling, the nurses in NHs, which are registered to the Department of Health and assessed as Grade A faculties, in northern, central, southern Taiwan are selected as the research subjects. Totally, 400 questionnaires were dispatched. The number of valid questionnaires was 301 and the returned rate was 75.3%. In addition to descriptive analysis and bivariate analysis, multiple regression was also applied for data analysis. Result：Among the respondents, 53.8% nurses said NHs had promoted the policy of DNR, and 72.1% have attended related educational courses. As nurses’ Natural Death Act knowledge, the mean rate of correct answered items was 60.4%, the mean average score was 13.3 (total score=22). The mean score of nurses’ agreement with DNR was 3.4 (total score=4), showing nurse’s positive attitudes to DNR in general. According to the consequences of multiple regression analysis, 5 main factors influence on nurses’s cognition are:“Position”,“Length of practice”, “NH type”,“did or did not attend DNR related training courses”,“NH have or have not promoted the DNR policy”(p=0.026；p=0.010；p<0.001；p<0.001；p=0.028). The major factors that impact on nurses’ attitudes towards DNR are“NH type”and “NH have or have not promoted the DNR policy”(p=0.041；p=0.017). Conclusions：Over all, the factors impact on nurses’ cognition of Natural Death Act are“Position”,“Length of practice”, “Hospital-Based NHs”,“DNR education courses”,“DNR policy”; and the direct factors impact on nurses’ attitudes towards DNR are “Hospital-Based NHs”and“DNR policy”. The research outcomes may be the reference for nursing practice, nursing administration, and nursing education; and used by the managers of nursing homes to design the in-service education. Also, it could be used for the further development of relative policies related to long-term care and DNR in the future.