Background : Since the implementation of modern CPR in the late 1950's, many lives have been saved. However, much controversy has developed over the use of aggressive CPR in patients that although are resuscitated, will have a quality of life that is practically meaningless and CPR-associated burdens. Much discussion on the definition of brain death has been carried on in Korea but there has been little or no discussion of DNR. To provide preliminary data on the issue of appropriate application of DNR, training residents' experience and attitude were investigated through a questionaire.
Methods : Questionnaires were distributed to 245 residents who were in departments facing the DNR issue on a clinical level. Data was analysed from the 145 residents that completed and returned the form.
Results : Discussion of DNR with the patient was avoided and family members were relied on generally. The majority of responders suggested that DNR guidelines are needed not necessarily to guarantee autonomy of patients and death with dignity but to establish clear guidelines for when CPR should be implemented. Respondents showed that there is some ambiguity of the DNR concept itself.
Conclusion : Open discussion for appropriate application of DNR and education of the original purpose and concept of DNR is needed in the future.