Open Access, Peer-reviewed
pISSN 2287-2434
eISSN 2287-447X
    Asian Oncol Nurs. 2014 Dec;14(4):254-264. Korean.
    Published online Dec 31, 2014.
    https://doi.org/10.5388/aon.2014.14.4.254
    © 2014 Korean Oncology Nursing Society
    Original Article

    Research Trend Analysis of Do-Not-Resuscitate Decision: Based on Text Network Analysis

    Miji Kim,1 Sangmi Noh,1 Eunjung Ryu,2 and Sangmoon Shin3
      • 1Graduate School of Nursing, Chung-Ang University, Seoul, Korea.
      • 2Department of Nursing, Chung-Ang University, Seoul, Korea.
      • 3Graduate School of Information, Yonsei University, Seoul, Korea.
    • Address reprint requests to: Noh, Sang Mi. Graduate School of Nursing, Chung-Ang University, 84 Heuksuk-ro, Dongjak-gu, Seoul 156-756, Korea. Tel: +82-10-2712-8818, Fax: +82-2-824-7961, Email: SMNOH@cau.ac.kr
    Received September 16, 2014; Accepted December 24, 2014.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    The purpose of this study was to identify a research trend of studies related to the Do-Not-Resuscitate (DNR) decision making process in Korea.

    Methods

    Assessing through five computerized databases, 889 studies were reviewed and of these 32 were included. An integrative literature review and text network analysis were applied to examine the research. The keywords from each article's abstracts were extracted by using a program, KrKwic.

    Results

    The number of studies on DNR decision has been increasing, especially since 2011. A descriptive study design (59%) was most commonly used in the research. In relation to factors affecting DNR decision, 97% of the studies stated patient factors and 66% stated family factors. 'Patient', 'DNR', 'decision', 'treatment', 'life', 'family' were the major keywords, and 'patient' and 'care' were dominant keywords that ranked high in coappearance frequency.

    Conclusion

    Studies related to DNR decision have been increasing, and themes of the studies have also been broader. Further research is required to investigate factors affecting DNR decision in specific populations such as cancer patients, the elderly, patients with end-stage of chronic diseases etc. Moreover, a comparative study is necessary to define differences of research trends related to DNR decision making process between Korea and other countries.

    Keywords
    Resuscitation Decisions; Patients; Care; Treatment

    Figures

    Fig. 1
    Flow Diagram for the Research Process

    Fig. 2
    Word Cloud of DNR Decision: Created by Wordle Software

    Fig. 3
    Keyword Network Analysis of DNR Decision

    Fig. 4
    Dendrogram of DNR Decision Keyword Network

    Fig. 5
    Comparing Degree Centrality of Keyword Network

    Appendix 1

    Analysis of factors related to DNR decision among

    *Written only family name of the first author; Rt= Retrospective study; Ds= Descriptive study; Qu= Qualitative research; Lit= Literature review.

    References

      1. Kim SH. Decision making process in Do-Not-Resuscitate orders for patients with cancer. Korean J Nurs Query 2005;13(1):127–143.
      1. Lee SB, Lee WS. A study on a patient's self-determination right and advance directive in withdrawal of life sustaining treatment. Korean Criminol Rev 2010;2010(30):1–158.
      1. Lee K, Jang HJ, Hong SB, Lim CM, Koh YS. Do-not-resuscitate order in patients, Who were deceased in a medical intensive care unit of an university hospital in Korea. Korean J Crit Care Med 2008;23(2):84–89.
      1. Chang CY, Kim YS. Attitude toward forgoing life-sustaining treatment among cancer patient families. Ment Health Soc Work 2011;38:5–30.
      1. Song T, Kim KP, Koh YS. Factors determining the establishment of DNR orders in oncologic patients at a university hospital in Korea. Korean J Med 2008;74(4):403–410.
      1. Kim MH, Kang EH, Kim MY. Family decision-making to withdraw life-sustaining treatment for terminally-ill patients in an unconscious state. Korean J Hosp Palliat Care 2012;15(3):147–154.
      1. Kwon YC, Shin DW, Lee JH, Heo DS, Hong YS, Kim SY, et al. Impact of perception of socioeconomic burden on advocacy for patient autonomy in end-of-life decision making: a study of social attitude. Palliat Med 2009;23(1):87–94.
      1. Shim BY, Hong SI, Park JM, Cho HJ, Ok JS, Kim SY, et al. DNR (Do-Not-Resuscitate) Ordr for terminal cancer patients at hospice ward. Korean J Hosp Palliat Care 2004;7(2):232–237.
      1. Park YO. In: Withdrawing of life-sustaining trearment. Paju: Korean Studies Information; 2008.
      1. Sun DS, Chun YJ, Lee JH, Gil SH, Shim BY, Lee OK, et al. Recognition of advance directives by advanced cancer patients and medical doctors in hospice care ward. Korean J Hosp Palliat Care 2009;12(1):20–26.
      1. Choi YC, Park SJ. A study on the research trend of Korean public administration: application of network text analysis. Korean Public Adm Rev 2011;45(1):123–139.
      1. Park HW, Leydesdorff L. Understanding the KrKwic: a computer program for the analysis of Korean text. J Korean Data Anal Soc 2004;6(5):1377–1387.
      1. Park CS, Jung JW. Text network analysis: sharing meanings among stakeholders of the policy through a socio-cognitive network analysis. J Gov Stud 2013;19(2):75–110.
      1. Rivadeneira AW, Gruen DM, Muller MJ, Millen DR. Getting our head in the clouds: toward evaluation studies of tagclouds; Proceedings of the CHI 2007; California, USA. New York: ACM; 2007. pp. 995-998.
      1. Ryu SI, Lee MK, Jung SH, Kang HG. The trends of crisis emergency management research in korea. Korean Rev Crisis Emerg Manage 2012;8(3):105–120.
      1. Kwon I, Koh YS, Yun YH, Heo DS, Seo SY, Kim HC, et al. A study of the attitudes of patients, family members, and physicians toward the withdrawal of medical treatment for terminal patients in Korea. Korean J Med Ethics 2010;13(1):1–16.
      1. Kim ES. In: The attitude of the terminally ill cancer patients, the families and medical teams for discontinuation of meaningless life-sustaining treatment and self decision-making [dissertation]. Daejeon: Chungnam National Univ.; 2011.
      1. Lee SR, Shin DS, Choi YJ. Perceptions of caregivers and medical staff toward DNR and AD. Korean J Hosp Palliat Care 2014;17(2):66–74.
      1. Lee JY, Choi EH, Park KS. Awareness and ethical attitudes toward ‘Do-Not-Resuscitate (DNR)'for cancer patients. Asian Oncol Nurs 2014;14(1):32–40.
      1. OK JH, YI MS. Understanding the experiences of family members who make Do-Not-Resuscitate decisions for cancer patients. Korean J Med Ethics 2012;15(1):34–51.
      1. Lee HK, Kang HS. Attitudes and awareness towards the withdrawal of life-sustaining treatment among nurses, physicians, and families of intensive care unit patients. J Korean Clin Nurs Res 2010;16(3):85–98.
      1. Jung YR. In: A study of difference in perception of 'Do Not Resuscitate' between medical doctors and relative caregivers for the patient with a advanced disease [dissertation]. Daegu: School of Public Health Daegu Haany Univ.; 2014.
      1. An AR. In: Late discussion about end-of-life care in terminal cancer patients: a retrospective cohort study. Seoul: Seoul National Univ.; 2012.
      1. Lee YJ, Lee HS. An integrative review of Do-Not-Resuscitate Decisions: focused on Korean data after 2010. J Korean Bioethics Assoc 2013;14(2):41–52.
      1. Heo DS. Patient autonomy and advance directives in Korea. J Korean Med Assoc 2009;52(9):865–870.
      1. Oh DY, Kim JH, Kim DW, Im SA, Kim TY, Heo DS, et al. CPR or DNR? end-of-life decision in korean cancer patients: a single center's experience. Support Care Cancer 2005;14(2):103–108.
      1. Lee IY. A study on the legal analysis and public opinion survey on euthanasia. J Crim Law 2008;20(2):167–200.
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    MeSH Terms
    Aged
    Chronic Disease
    Decision Making
    Humans
    Korea
    Resuscitation Orders
    Metrics
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