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Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital
Dissertation (MA (Nursing Science))--University of Pretoria, 2023.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2023
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| _version_ | 1867613695751749632 |
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| access_status_str | Open Access |
| author2 | Coetzee-Prinsloo, Isabel |
| author_browse | Coetzee-Prinsloo, Isabel |
| author_facet | Coetzee-Prinsloo, Isabel |
| collection | Thesis |
| dc_rights_str_mv | © 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. |
| description | Dissertation (MA (Nursing Science))--University of Pretoria, 2023. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/89776 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:40:14.504Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/89776 Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital Coetzee-Prinsloo, Isabel sarah.ntseke2@gauteng.gov.za Heyns, Tanya Ntseke, Sarah UCTD Critical care Nursing Critical Care Unit Do-not-resuscitate order Moral distress Dissertation (MA (Nursing Science))--University of Pretoria, 2023. Introduction: 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. Nursing Science MA (Nursing Science) Unrestricted 2023-02-23T07:21:17Z 2023-02-23T07:21:17Z 2023-04 2022 Dissertation * A2023 https://repository.up.ac.za/handle/2263/89776 https://doi.org/10.25403/UPresearchdata.21293415.v2 en © 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. application/pdf University of Pretoria |
| spellingShingle | UCTD Critical care Nursing Critical Care Unit Do-not-resuscitate order Moral distress Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital |
| title | Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital |
| title_full | Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital |
| title_fullStr | Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital |
| title_full_unstemmed | Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital |
| title_short | Moral distress of critical care nurses when initiating do-not-resuscitate orders for critical ill patients in a specific government hospital |
| title_sort | moral distress of critical care nurses when initiating do not resuscitate orders for critical ill patients in a specific government hospital |
| topic | UCTD Critical care Nursing Critical Care Unit Do-not-resuscitate order Moral distress |
| url | https://repository.up.ac.za/handle/2263/89776 https://doi.org/10.25403/UPresearchdata.21293415.v2 |