Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital

dc.contributor.advisorCoetzee-Prinsloo, Isabel
dc.contributor.coadvisorHeyns, Tanya
dc.contributor.emailsarah.ntseke2@gauteng.gov.zaen_US
dc.contributor.postgraduateNtseke, Sarah
dc.date.accessioned2023-02-23T07:21:17Z
dc.date.available2023-02-23T07:21:17Z
dc.date.created2023-04
dc.date.issued2022
dc.descriptionDissertation (MA (Nursing Science))--University of Pretoria, 2023.en_US
dc.description.abstractIntroduction: Patients who are critically ill or seriously injured are routinely admitted to critical care units. If the patient’s condition deteriorates beyond a certain point, the medical practitioner may prescribe or decide on a do-not-resuscitate (DNR) order that must be executed by the professional nurse. Professional nurses may experience moral distress that manifests in poor teamwork, depression, and absenteeism. Aim: To explore and describe factors contributing to moral distress of critical care nurse executing do-not-resuscitate orders. Design: The explorative descriptive qualitative design was selected to answer the research questions posed. Methods: Critical care nurses of a selected public hospital in Gauteng province were selected through purposive sampling to participated in the study. Participants: The shift leader assisted with selection of participants who met the eligibility criteria. The mean age of the participants was 36 years and most of them had more than five years’ critical care nursing experience. Finding: The findings were classified under three main topics which are moral distress; communication and psychological impact of DNR orders. Conclusion: Clearly defined national guidelines or legal framework are required to regulate DNR processes. The study further demonstrated the need for unit based ethical platforms and debriefing sessions for the critical care nurses. Key Words: Critical Care Nurse, Critical Care Unit, Do-not-resuscitate order, Moral distress.en_US
dc.description.availabilityUnrestricteden_US
dc.description.degreeMA (Nursing Science)en_US
dc.description.departmentNursing Scienceen_US
dc.identifier.citation*en_US
dc.identifier.doihttps://doi.org/10.25403/UPresearchdata.21293415.v2en_US
dc.identifier.otherA2023
dc.identifier.urihttps://repository.up.ac.za/handle/2263/89776
dc.language.isoenen_US
dc.publisherUniversity of Pretoria
dc.rights© 2022 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria.
dc.subjectUCTDen_US
dc.subjectCritical care Nursingen_US
dc.subjectCritical Care Unit
dc.subjectDo-not-resuscitate order
dc.subjectMoral distress
dc.titleMoral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospitalen_US
dc.typeDissertationen_US

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