對新生兒加護病房執行DNR困境之建議

Translated title of the contribution: Suggestion for the dilemma of executing DNR in the neonatal intensive care unit

張育菁, 張碧真

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The DNR (do-not-resuscitate) order is being increasingly used in pediatric practice. However, all too frequently, the DNR is signed too near the time of death in actual clinical practice. However, even so, the usage of DNR is still deemed inadequate. This article aimed to discuss the dilemma of using DNR in neonatal care. A lack of clear instructions from terminal neonatal patients affects the decision making of physicians. There is also a lack of guidelines for DNR use, which could lead to its lack of completeness. Different cultural and religious backgrounds may affect communication and ethical considerations for neonatal patients. The paper provides some suggestions for the clinical practice of DNR based on a review of the literature. It is hoped that a joint effort between clinical institutions and schools can improve neonatal care quality.

Original languageTraditional Chinese
Pages (from-to)94-99
Number of pages6
JournalJournal of Nursing
Volume56
Issue number4
DOIs
Publication statusPublished - Aug 2009

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Neonatal Intensive Care Units
Resuscitation Orders
Quality of Health Care
Decision Making
Communication
Guidelines
Pediatrics
Physicians

Keywords

  • Clinical dilemma
  • Do-not-resuscitate (dnr)
  • Neonatal intensive care

ASJC Scopus subject areas

  • Nursing(all)

Cite this

對新生兒加護病房執行DNR困境之建議. / 張育菁; 張碧真.

In: Journal of Nursing, Vol. 56, No. 4, 08.2009, p. 94-99.

Research output: Contribution to journalArticle

張育菁 ; 張碧真. / 對新生兒加護病房執行DNR困境之建議. In: Journal of Nursing. 2009 ; Vol. 56, No. 4. pp. 94-99.
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