Nurses’ Attitudes Towards Developing a Do Not Resuscitate Policy in Japan

Konishi, E.
May 1998
Nursing Ethics;May98, Vol. 5 Issue 3, p218
Academic Journal
Two questionnaire surveys are reported describing the attitudes of 127 Japanese nurses towards developing a do not resuscitate (DNR) policy. The background information features the Japanese health care situations: a lack of policies for end-of-life care decisions; frequent life-prolonging treatments initiated without the patient’s knowledge or consent; ethical dilemmas confronting nurses in relation to such treatments; and the public‘s growing concern over end-of-life care. A hypothetical DNR policy was used in which a health professional asked patients about their decision regarding DNR. The respondents supported this model DNR policy as an ideal. However, they noted that this policy was at variance with Japanese culture. Recommendations for Japanese nurses emerged from the data. In order to make an impact on end-of-life decision making, nurses should take culturally appropriate actions: (1) teach patients about their rights; and (2) work with physicians to provide patients with accurate information about their condition.


Related Articles

  • Iranian Nurses and Do Not Resuscitate Orders: Knowledge, Skills, and Behaviors Must Be Addressed. Walsh, Kieran // Indian Journal of Palliative Care;Sep-Dec2014, Vol. 20 Issue 3, p246 

    A letter to the editor is presented in response to the article "The Attitude of Iranian Nurses About Do Not Resuscitate Orders" by S. Mogadasian, F. Abdollahzadeh, A. Rahmini et al., which appeared in a previous issue of the journal.

  • Do not attempt resuscitation decisions: the nursing role. Jepson, Jacqueline // British Journal of Nursing;9/25/2003, Vol. 12 Issue 17, p1038 

    This exploratory study examines the roles of hospital and practice nurses with regard to do not attempt resuscitation (DNAR) decisions. The British Medical Association (BMA) and the Royal College of Nursing (RCN) have published joint DNAR guidelines. One NHS trust responded by developing a local...

  • Not for Resuscitation: two decades of challenge for nursing ethics and practice. Schultz, L. // Nursing Ethics;May97, Vol. 4 Issue 3, p227 

    Since the 1970s, the designation of some patients as ‘not for resuscitation’ (NFR) has become standard practice in many health care facilities. Considerable disquiet has subsequently arisen about the way these decisions are implemented in practice. Nurses, in particular, often find...

  • In the care of a nurse. Godfrey, Nelda S.; Kuehne, Dale S. // Hastings Center Report;Sep/Oct97, Vol. 27 Issue 5, p23 

    Presents a case study explaining the job responsibilities of nurses for patients who express do-not-resuscitate orders. Description of a case where a nurse deliberately denied medication to a terminally-ill patient in response to the patient's previous orders; Justification for the action;...

  • American Nurses Association.  // Issues in Law & Medicine;Winter93, Vol. 9 Issue 3, p299 

    Reprints the American Nurses Association's (ANA) `Position Statement on Nursing Care and Do-Not-Resuscitate Decisions.' Ethical dilemmas concerning confusing or conflicting do-not-resuscitate (DNR) orders; ANA's recommendations concerning DNR decisions.

  • Do not resuscitate order: attitude of nursing students of Tabriz and Kurdistan Universities of Medical Sciences. Moghadasian, Sima; Abdollahzadeh, Farahnaz; Rahmani, Azad; Paknejad, Farmisk; Heidarzadeh, Hamid // Iranian Journal of Microbiology;Mar2014, Vol. 6 Issue 1, p45 

    Do not resuscitate order (DNR) is one of the most challenging issues in end of life care. The attitude of health care providers has an important role in legalization of this procedure. The aim of the present study was to investigate the viewpoints of nursing students on DNR orders. One hundred...

  • State Variation in Nursing Home Mortality Outcomes According to Do-Not-Resuscitate Status. Egleston, Brian L.; Rudberg, Mark A. // Journals of Gerontology Series A: Biological Sciences & Medical ;Apr2000, Vol. 55 Issue 4, pM215 

    Presents a study which compared mortality outcomes of Medicaid-reimbursed nursing home residents with and without do-not-resuscitate orders. Methodology; Results; Discussion.

  • Nurses More Confident in Their Ability to Initiate DNR Discussions Than Physicians. Edmond, Lissa // Pulmonary Reviews;Jul2008, Vol. 13 Issue 7, p17 

    The article reports on a study which found that health care professionals are uncertain about the role that nurses should take in do not resuscitate (DNR) discussions. Participants rated their level of agreement with statements about their confidence and attitudes regarding DNR orders. The study...

  • Making life and death decisions you can live with. Clough, Jeanette G. // RN;May88, Vol. 51 Issue 5, p28 

    Presents a set of guidelines to help nurses deal with the moral and ethical aspects of do-not-resuscitate (DNR) orders or requests. Principles that govern nursing decisions; Steps for a systematic approach to decision-making in DNR situations; Suggestions on how nurses can prevent moral...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics