Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspective
This narrative review aims to examine the ethical issues of do not resuscitate order (DNR) in cancer patients from a nursing perspective. Keywords were obtained based on Medical Subject Headings with titles related to the topic of the article. The data was obtained by searching English keywords (car...
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Journal of Nursing Reports in Clinical Practice
2023-06-01
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| Series: | Journal of Nursing Reports in Clinical Practice |
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| Online Access: | https://www.jnursrcp.com/article_184032_016585c752c91d5a25c2c9c03c23ea00.pdf |
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| author | Hedayat Jafari Sahar Amjadi Hadis Javadian Kutenai Mohammad Hosein Jafari |
| author_facet | Hedayat Jafari Sahar Amjadi Hadis Javadian Kutenai Mohammad Hosein Jafari |
| author_sort | Hedayat Jafari |
| collection | DOAJ |
| description | This narrative review aims to examine the ethical issues of do not resuscitate order (DNR) in cancer patients from a nursing perspective. Keywords were obtained based on Medical Subject Headings with titles related to the topic of the article. The data was obtained by searching English keywords (cardiopulmonary resuscitation, cancer, dilemma, oncology) in the title and abstract of the PubMed, Scopus, and Web of Science databases without time limits to access published foreign studies. Also, to access published Persian studies, Iranian websites, including Scientific Information Database, Magiran, and Iranmedex scientific databases, were searched with equivalent Persian keywords. Also, based on the determined keywords, a free search was also conducted in the Google Scholar search engine. The study on the implementation of DNR orders by healthcare providers has been of interest to medical staff, patients, and their families in the past. The issue of choosing between life and death to reduce pain and suffering and the lack of facilities to treat patients in the last stages of the disease is one of the main reasons for making a DNR order, especially in cancer patients who are going through the last stages of their lives. In various studies, various aspects of the treatment staff's and patients' attitudes were examined, but the most attention is paid to factors such as the doctor's moral competence, the patient's independence, the quality of life, and adopting the right time for this order. In these studies, it has been shown that the DNR order is widely used in patients with advanced cancers. Therefore, managers and policymakers in the health field should provide a platform for training the medical care team, especially nurses, in the field of various aspects of the ethical competence of DNR and interaction with these patients and their families. |
| format | Article |
| id | doaj-art-b9605162402d4397ba5bbb67ecc52e39 |
| institution | Kabale University |
| issn | 2980-9711 |
| language | English |
| publishDate | 2023-06-01 |
| publisher | Journal of Nursing Reports in Clinical Practice |
| record_format | Article |
| series | Journal of Nursing Reports in Clinical Practice |
| spelling | doaj-art-b9605162402d4397ba5bbb67ecc52e392025-08-20T03:42:23ZengJournal of Nursing Reports in Clinical PracticeJournal of Nursing Reports in Clinical Practice2980-97112023-06-011Issue 1162210.32598/JNRCP.23.30184032Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspectiveHedayat Jafari0Sahar Amjadi1Hadis Javadian Kutenai2Mohammad Hosein Jafari3Traditional and Complementary Medicine Research Center, Addiction Research Institute, Mazandaran University of Medical Sciences, Sari, IranStudent Research Committee, Mazandaran University of Medical Sciences, Sari, IranStudent Research Committee, Mazandaran University of Medical Sciences, Sari, IranStudent Research Committee, Islamic Azad University, Sari, IranThis narrative review aims to examine the ethical issues of do not resuscitate order (DNR) in cancer patients from a nursing perspective. Keywords were obtained based on Medical Subject Headings with titles related to the topic of the article. The data was obtained by searching English keywords (cardiopulmonary resuscitation, cancer, dilemma, oncology) in the title and abstract of the PubMed, Scopus, and Web of Science databases without time limits to access published foreign studies. Also, to access published Persian studies, Iranian websites, including Scientific Information Database, Magiran, and Iranmedex scientific databases, were searched with equivalent Persian keywords. Also, based on the determined keywords, a free search was also conducted in the Google Scholar search engine. The study on the implementation of DNR orders by healthcare providers has been of interest to medical staff, patients, and their families in the past. The issue of choosing between life and death to reduce pain and suffering and the lack of facilities to treat patients in the last stages of the disease is one of the main reasons for making a DNR order, especially in cancer patients who are going through the last stages of their lives. In various studies, various aspects of the treatment staff's and patients' attitudes were examined, but the most attention is paid to factors such as the doctor's moral competence, the patient's independence, the quality of life, and adopting the right time for this order. In these studies, it has been shown that the DNR order is widely used in patients with advanced cancers. Therefore, managers and policymakers in the health field should provide a platform for training the medical care team, especially nurses, in the field of various aspects of the ethical competence of DNR and interaction with these patients and their families.https://www.jnursrcp.com/article_184032_016585c752c91d5a25c2c9c03c23ea00.pdfethicsnursingoncology nursingcardiopulmonary resuscitationreview |
| spellingShingle | Hedayat Jafari Sahar Amjadi Hadis Javadian Kutenai Mohammad Hosein Jafari Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspective Journal of Nursing Reports in Clinical Practice ethics nursing oncology nursing cardiopulmonary resuscitation review |
| title | Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspective |
| title_full | Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspective |
| title_fullStr | Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspective |
| title_full_unstemmed | Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspective |
| title_short | Ethical issues of do not resuscitate in cancer patients: A narrative review from a nursing perspective |
| title_sort | ethical issues of do not resuscitate in cancer patients a narrative review from a nursing perspective |
| topic | ethics nursing oncology nursing cardiopulmonary resuscitation review |
| url | https://www.jnursrcp.com/article_184032_016585c752c91d5a25c2c9c03c23ea00.pdf |
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