A literature review of nursing practice regarding do-not-attempt-resuscitation in critical care:

DOI
  • Moriyama Mika
    Department of Clinical Nursing, Shimane University Faculty of Medicine
  • Ito Misae
    Department of Nursing, Faculty of Health and Welfare, Kawasaki University of Medical Welfare

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  • クリティカルケア領域におけるDo-Not-Attempt-Resuscitationに関する文献検討
  • ─ 日本と米国との比較 ─
  • A comparison between Japan and the United States

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This literature review aimed to clarify the issues related to nursing practice in critical care concerning do-not-attemptresuscitation (DNAR) orders in Japan through a comparison with that of the United States. Literatures were classified into "basic attributes and clinical condition of the patient with the DNAR order", "the situation of the family making decisions regarding DNAR", "ambiguity of the physician's DNAR diagnostic criterion", and "nurse's perception and nursing practice supporting DNAR decision making". The results showed few patients with advanced directives and no significant differences in DNAR nursing practice between Japan and the United States. Guidelines and manuals regarding DNAR are available in the United States, but critical care nurses misunderstand the meaning of DNAR and refrain from treating and caring for patients after receiving a DNAR order. In Japan, few hospitals have DNAR order manuals and nurses might misunderstand the DNAR meaning and have difficulty dealing with patients' families.

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