NUR 302 Nursing : Oncology and Hematology Care

Questions:

Answers:

1.Do-Not Resuscitate (DNR) orders are common within oncology and hematology care. Patients at times show very poor prognosis and hence cardiopulmonary resuscitation (CPR) for cardiac arrest remain no longer a feasible option. A phenomenological inquiry is the best suited in order to undergo a qualitative research on DNR orders taken by the doctors and then being executed by the nurses. This kind of research mainly focuses on the study of the experience of a nurse when she has been asked to perform DNR order. Moreover, it also critically interprets the mindset of the nurses when they suggest the attending doctor to order for DNR (Brown, 2013).

2.The main rational behind this is, it is the nurse who observes patients 24X7. Therefore, their feelings and thought process are important. The doctors check the patient and step out into different ward. As nurses spent longer time with the patient, they develop a connection with them and are the best person to analyze the patient condition via doing a comparative study. Moreover, a patient who is under palliative treatment with fast deterioration graph may experience cardiac arrest at mid-night and then only the nurses are there to execute the DNR orders (Polit, 2008).

3.The main data that is required in such phenomenological studies are:

• Feelings expressed by the nurse with respect to the age of the nurse
• Years of experience in the Intensive Care Unit (ICU)
• The emotional aftermath or the later consequences
• How they ascertain the requirement for DNR orders
• Sharing of few memories
• Sensations they feel

References:

Brown, S. J. (2013). Evidence-based nursing: The research-practice connection. Jones & Bartlett Publishers.

Polit, D. F., & Beck, C. T. (2008). Nursing research: Generating and assessing evidence for nursing practice. Lippincott Williams & Wilkins.