Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study.
Purpose: This study aimed to distinguish and describe the types of perceptions of do not resuscitate (DNR) proxy decisions among families of elderly patients in a long-term care facility. Methods: This exploratory study applied Q-methodology, which focuses on individual subjectivity. Thirty-four Q-s...
| Publicado en: | Journal of Korean Academy of Nursing Vol. 51; no. 1; pp. 15 - 27 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Korean Society of Nursing Science
Feb2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149296445&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149296445 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20053673 ATS7 jtl: Journal of Korean Academy of Nursing issn: 20053673 maglogo: N pubinfo: dt: Feb2021 vid: 51 iid: 1 pid: 42744 pub: Korean Society of Nursing Science place: , <Blank> artinfo: ui: 149296445 149296445 149296445 10.4040/jkan.20188 149296445 ppf: 15 ppct: 12 formats: fmt: @attributes: type: P tig: atl: Family's Perception of Proxy Decision Making to Authorize Do Not Resuscitate Order of Elderly Patients in Long Term Care Facility: A Q-Methodological Study. aug: au: Hyeon Jin Cho Jiyeon Kang affil: Department of Nursing, Dong-A University Daesin Intermediate Care Hospital, Busan, Korea sug: subj: Family Attitudes Proxy Decision Making Resuscitation Orders In Old Age Long Term Care Human Aged Exploratory Research Interviews Literature Review South Korea Factor Analysis Psychological Distress Emotions Conflict (Psychology) Terminal Care Aged: 65+ years ab: Purpose: This study aimed to distinguish and describe the types of perceptions of do not resuscitate (DNR) proxy decisions among families of elderly patients in a long-term care facility. Methods: This exploratory study applied Q-methodology, which focuses on individual subjectivity. Thirty-four Q-statements were selected from 130 Q-populations formed based on the results of in-depth interviews and literature reviews. The P-samples were 34 families of elderly patients in a long-term care hospital in Busan, Korea. They categorized the Q-statements using a 9-point scale. Using the PC-QUANL program, factor analysis was performed with the P-samples along an axis. Results: The families' perceptions of the DNR proxy decision were categorized into three types. Type I, rational acceptance, valued consensus among family members based on comprehensive support from medical staff. Type II, psychological burden, involved hesitance in making a DNR proxy decision because of negative emotions and psychological conflict. Type III, discreet decisions, valued the patients' right to self-determination and desire for a legitimate proxy decision. Type I included 18 participants, which was the most common type, and types II and III each included eight participants. Conclusion: Families' perceptions of DNR proxy decisions vary, requiring tailored care and intervention. We suggest developing and providing interventions that may psychologically support families. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Korean refInfo: holdings: @attributes: islocal: N |
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