The Perceptions and Predicaments of Medical Futility in Cardiopulmonary Resuscitation among the Emergency and Critical Care Nurses

• Main Authors: Ya-Hui Hung, 洪雅惠
• Other Authors: Fu-In Tang
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/07136840750769901312

碩士 === 國立陽明大學 === 臨床暨社區護理研究所 === 102 === The purpose of this study was to investigate the experience, predicament and related factors of medical futility in cardiopulmonary resuscitation among the nurses in critical care units. The study adopted a cross-sectional study design with mixed methods of a clinical survey at a medical center hospital in northern Taiwan. The instrument was a self-made questionnaire including items on nurse’s basic data as well as experiences and predicaments in caring CPR medical futility for data collection. In this study, a total of 260 questionnaires were distributed, and 248 effective questionnaires returned. The medical futility perception revealed that those nurses who were different in the level of education, job level and no effect CPR experiences. Predicaments in medical futility were related to ever DNR or palliative education programs. The nurses’ experiences in medical futility were well correlated to their predicaments about such care. Although the education for palliative care is inadequate which have correlations to predicaments in medical futility. If nurses have the shortage of end-of-life (EOL) care knowledge, their attitudes about caring will also be lack of self-confidence. Nurses will difficult to discuss the issues related to EOL care with patients and their families. Furthermore, the goal of this study is to create a meaningful and useful learning from the process surrounding CPR medical futility. It is anticipated that could provide medical staffs via education program and policy guidance to improve the knowledge and attitudes of EOL care.