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Withdrawing Artificial Food and Fluid from Terminally Ill Patients : An Ethical Dilemma for Nurses and Families

Research Project

Project/Area Number 11672345
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field 基礎・地域看護学
Research InstitutionNagano College of Nursing

Principal Investigator

DAVIS Anne j.  Nagano College of Nursing, School of Nursing, Professor, 看護学部, 教授 (70291573)

Co-Investigator(Kenkyū-buntansha) YAHIRO Michiko  Nagano College of Nursing, School of Nursing, Assistant, 看護学部, 助手 (10326100)
KUBOTA Chie  Nagano College of Nursing, School of Nursing, Assistant, 看護学部, 助手 (20322357)
KONISHI Emiko  Nagano College of Nursing, School of Nursing, Professor, 看護学部, 教授 (70011054)
MITOU Takako  Nagano College of Nursing, School of Nursing, Dean, 看護学部, 学長 (00086266)
MAYUMI Naoya  Nagano College of Nursing, School of Nursing, Assistant, 看護学部, 助手 (10315848)
赤羽 智恵  長野県看護大学, 看護学部, 助手
Project Period (FY) 1999 – 2000
Project Status Completed (Fiscal Year 2000)
Budget Amount *help
¥2,700,000 (Direct Cost: ¥2,700,000)
Fiscal Year 2000: ¥1,100,000 (Direct Cost: ¥1,100,000)
Fiscal Year 1999: ¥1,600,000 (Direct Cost: ¥1,600,000)
KeywordsArtificial food and fluid / Terminall ill patient / Ethical dilemma / Japanese nurses
Research Abstract

End-of-life issues have become an urgent problem in Japan where people live the longest in the world, and most of them die connected to highly developed medical technology. This study examines a sensitive end-of-life ethical issue that concerns patient, families, and nurses : the withdrawal of artificial food and fluid from terminally ill patients. A sample of 160 Japanese nurses, who completed the questionnaire that included force-choice and open-ended questions, supported this act under only two specific conditions : if the patient requested it, and if this act relieved the patient's suffering. Doctor's order, family's request, or patient's old age did not ethically justify this act. A small number of family members, who recently had lost their relatives, responded to semi-structured interviews and talked about their experiences of having their terminally ill relatives given artificial food and fluid. Ethical, social, and cultural factors in this issue are discussed.

Report

(3 results)
  • 2000 Annual Research Report   Final Research Report Summary
  • 1999 Annual Research Report

Research Products

(9 results)

All Other

All Publications (9 results)

  • [Publications] 小西恵美子: "末期患者の栄養・水分の継続と中止:看護婦の倫理的ジレンマ"第12回日本生命倫理学会誌. 62 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Emiko Konishi: "Withdrawing Artificial Food and Fluid from Terminally Ill Patients : An End of Life Ethical Dilemma for Japanese Nurses and Families"13^<th> World Congress on Medical Law. 584-585 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 小西恵美子: "死ぬ権利と死ぬ義務:日本、欧米の医療者、生命倫理学者の意識"生命倫理. 10(1). 84-91 (2000)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] アンJデービス: "高齢者社会の医療における倫理と経済:権利と義務"緩和医療学. 3(1). 13-17 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] Konishi, Emiko: "Withdrawing Artificial Food and Fluid from Terminally Ill Patients : An End of Life Ethical Dilemma for Japanese Nurses and Families"13th World Congress on Medical Law. 584-585 (2000)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2000 Final Research Report Summary
  • [Publications] 小西恵美子: "末期患者の栄養・水分の継続と中止:看護婦の倫理的ジレンマ"第12回日本生命倫理学会誌. 62 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] Emiko Konishi: "Withdrawing Artificial Food and Fluid from Terminally Ill Patients : An End of Life Ethical Dilemma for Japanese Nurses and Families"13^<th> World Congress on Medical Law. 584-585 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] 小西恵美子: "死ぬ権利と死ぬ義務:日本、欧米の医療者、生命倫理学者の意識"生命倫理. 10(1). 84-91 (2000)

    • Related Report
      2000 Annual Research Report
  • [Publications] アンJデービス: "高齢者社会の医療における倫理と経済:権利と義務"緩和医療学. 3(1). 13-17 (2001)

    • Related Report
      2000 Annual Research Report

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Published: 1999-03-31   Modified: 2016-04-21  

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