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Hospice Nursing Ethics in Japan

Research Project

Project/Area Number 14572240
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

KONISHI Emiko  Nagano College of Nursing, School of Nursing, Professor, 看護学部, 教授 (70011054)

Co-Investigator(Kenkyū-buntansha) NAKAJIMA Naoko  Nagano College of Nursing, School of Nursing, Research Associate, 看護学部, 助手 (40347373)
ANITA Fisher  Nagano College of Nursing, School of Nursing, Professor (from '04), 看護学部, 教授(‘04から) (10336620)
MITOH Takako  Nagano College of Nursing, School of Nursing, Professor (till '03), 看護学部, 教授(‘03まで) (00086266)
TASHIRO Marie  Nagano College of Nursing, School of Nursing, Lecturer ('02 only) (80336619)
KUBOTA Chie  Nagano College of Nursing, School of Nursing, Lecturer ('02 only) (20322357)
Project Period (FY) 2002 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥3,800,000 (Direct Cost: ¥3,800,000)
Fiscal Year 2004: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2003: ¥1,200,000 (Direct Cost: ¥1,200,000)
Fiscal Year 2002: ¥1,400,000 (Direct Cost: ¥1,400,000)
KeywordsHospice / Nursing ethics / Japan / Norway and Denmark / Moral universalism / Moral relativism / 日本と西洋 / 国際比較 / 家族と個 / 緩和ケア / 告知 / セデーション / 安楽死
Research Abstract

The purpose of this study was to add knowledge about Japan nursing ethics in a specific physical and philosophical context. The research questions were: (1) What ethical issues arise in hospice nursing in Japan(JP)? (2) How do these compare with ethical issues confronted by a) JP nurses caring for terminally ill patients in general hospitals and b) hospice nurses in Norway and Denmark (N&D)? (3) What theoretical and practice implications do these findings have for Japanese nursing ethics? We conducted questionnaire surveys and interviews. One-hundred-and-forty-seven JP hospice nurses, 147 JP nurses caring for terminally ill patients in general hospitals and 106 hospice nurses in N&D completed the questionnaire, and three JP hospice nurses and 14 terminally ill patients responded to the interviews. A cross-cultural comparison highlighted some differences and similarities between European nursing ethics and Japanese nursing ethics in terminal care. Ethical problems experienced by the JP … More hospice nurses and those experienced by JP hospitals nurses had major commonalities: telling the truth to terminally ill patients, treatment issues such as cure/care transition, and family involvement in the patient decision making. N&D nurses also experienced ethical problems but the issues were different from those experienced by JP nurses: palliation versus treatment; dying with dignity; active/passive euthanasia and issues in clinical caring. The findings suggested the problems emerging from having one model of nursing ethics in end-of-life care. These problems are made more difficult by the fact that this model was developed in the west. This study have brought the nursing profession farther along in the questioning of universal ethics while at the same time not entirely relying on moral relativism. We discussed further on moral universalism and relativism in our recent book chapter: Anne J Davis, Emiko Konshi. The teaching of Nursing Ethics in Japan. In: AJ Davis, V Tudin, L de Raeve (ed): Essentials in teaching and learning in nursing ethics: Perspectives and methods. Butterworth Heinemann, 2005, Edinburgh(in press). Less

Report

(4 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report

Research Products

(42 results)

All 2005 2004 2003 2002 Other

All Journal Article (22 results) Book (7 results) Publications (13 results)

  • [Journal Article] 看護実践の中での看護倫理を考える-看護教育者の立場から2005

    • Author(s)
      小西恵美子
    • Journal Title

      看護 57.3(印刷中)

    • Related Report
      2004 Annual Research Report
  • [Journal Article] A comparative study on end-of-life ethical issues experienced by nurses in hospice and in general hospitals in Japan2004

    • Author(s)
      Emiko Konishi, Naoko Nakajima
    • Journal Title

      18th Annual Meeting of Japanese Society of Cancer Nursing, Tokyo Feb 8

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 終末期看護の倫理的課題:ホスピス・緩和ケア病棟と一般病棟との比較2004

    • Author(s)
      小西恵美子, 中嶋尚子
    • Journal Title

      日本がん看護学会第18回学術集会 2.8,東京都

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Ethical Issues Following the Disclosure of a Terminal Illness : Danish and Norwegian Hospice Nurses' Reflections2003

    • Author(s)
      Margarethe Lorensen, Anne J.Davis, Emiko Konishi, Eli H Bunch
    • Journal Title

      Nursing Ethics 10(2)

      Pages: 175-185

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Physician Non-Disclosure & Paternalism in Terminal Care : Ethical Issues for Japanese Nurses2003

    • Author(s)
      E Konishi, AJ Davis
    • Journal Title

      Eubios Journal of Asian and International Bioethics. 13(6)

      Pages: 213-215

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 「苦痛を和らげること」と「死を早めないこと」:ホスピス看護の倫理的ジレンマ2003

    • Author(s)
      AJ Davis, E Konishi
    • Journal Title

      Quality Nursing 9

      Pages: 781-786

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Ethical Issues Following the Disclosure of a Terminal Illness :Danish and Norwegian Hospice Nurses' Reflections2003

    • Author(s)
      Margarethe Lorensen, Anne J.Davis, Emiko Konishi, Eli H Bunch
    • Journal Title

      Nursing Ethics 10(2)

      Pages: 175-185

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Physician Non-Disclosure & Paternalism in Terminal Care: Ethical Issues for Japanese Nurses2003

    • Author(s)
      E Konishi, AJ Davis
    • Journal Title

      Eubios Journal of Asian and International Bioethics 13(6)

      Pages: 213-215

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Conflicting ethical obligations experienced by Japanese hospice nurses2003

    • Author(s)
      AJ Davis, E Konishi
    • Journal Title

      Quality Nursing(in Japanese) 9

      Pages: 781-786

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Ethical Issues Experienced by Hospice Nurses in Japan2003

    • Author(s)
      Emiko Konishi, Chie Kubota, Naoko Nakajima
    • Journal Title

      17th Annual Meeting of Japanese Society of Cancer Nursing, Osaka Feb 8

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Hospice nursing ethics in Japan and in Norway and Denmark2003

    • Author(s)
      Emiko Konishi, Anne J Davis, Margarethe Lorensen, Eli Haugen Bunch
    • Journal Title

      First International Conference of Cancer Nursing, Osaka Feb 9

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Vulnerable by tradition: ethics data for advocacy intervention2003

    • Author(s)
      Anne J Davis, Emiko Konishi
    • Journal Title

      The 3rd European Nursing Congress, Amsterdam 10

      Pages: 5-8

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Danish and Norwegian hospice nurses' ethical reflections in prognosis disclosure2003

    • Author(s)
      Margarethe Lorensen, Anne J Davis, Emiko Konishi, Eli H Bunch
    • Journal Title

      The Third European Nursing Congress, Amsterdam 10

      Pages: 5-8

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Relieving pain and not shortening human life: conflicting ethical obligations experienced by Japanese hospice nurses2003

    • Author(s)
      Emiko Konishi, Anne J Davis
    • Journal Title

      15 Annual Meeting of Japan Association for Bioethic, Tokyo Nov 16

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Ethical problems experienced by hospice nurses in Japan and in Norway/and Denmark2003

    • Author(s)
      Emiko Konishi, Naoko Nakajima, Chie Kubota
    • Journal Title

      23rd Annual Meeting of Japan Academy of Nursing Science, Tsu Dec 7

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Nursing ethical issues at the patient's end of life in Japan2002

    • Author(s)
      Emiko Konishi
    • Journal Title

      Asian Journal of Nursing Studies 6(1)

      Pages: 1-5

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 医療者・生命倫理学者がみる末期ケアの倫理問題2002

    • Author(s)
      小西恵美子, デービス.アンJ
    • Journal Title

      生命倫理 12(1)

      Pages: 19-24

    • NAID

      110004833309

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The Telling and Knowing of Dying : Philosophical Bases for Hospice in Japan2002

    • Author(s)
      A J Davis, E Konishi, T Mitoh
    • Journal Title

      International Nursing Review 49(4)

      Pages: 226-233

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Nursing ethical issues at the patient's end of life in Japan2002

    • Author(s)
      Emiko Konishi
    • Journal Title

      Asian Journal of Nursing Studies (6)1

      Pages: 1-5

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Ethics at the patient's end of life in Japan and the West2002

    • Author(s)
      E Konishi, AJ Davis
    • Journal Title

      Seimei rinri, Journal of Japan Association for Bioethics 12(1)

      Pages: 19-24

    • NAID

      110004833309

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] The Telling and Knowing of Dying: Philosophical Bases for Hospice in Japan2002

    • Author(s)
      AJ Davis, E Konishi, T Mitoh
    • Journal Title

      International Nursing Review 49(4)

      Pages: 226-233

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Hospice Nursing Ethics in Japan2002

    • Author(s)
      Emiko Konishi, Anne J Davis
    • Journal Title

      The 6th World Congress of Biothics, Rio de Janeiro, Brasil Nov.1(Proceedings)

      Pages: 93-93

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] The teaching of Nursing Ethics in Japan. In : Essentials in teaching and learning in nursing ethics : Perspectives and methods. (AJ Davis, V Tudin, L de Raeve (ed))2005

    • Author(s)
      Anne J Davis, Emiko Konshi (2005)
    • Publisher
      Butterworth Heinemann, Edinburgh (In press)
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] The teaching of Nursing Ethics in Japan. in nursing ethics : Perspectives and methods. Butterworth Heinemann,2005, Edinburgh In : AJ Davis, V Tudin, L de Raeve (ed) : Essentials in teaching and learning in nursing ethics : Perspectives and methods.2005

    • Author(s)
      Anne J Davis, Emiko Konshi
    • Publisher
      Butterworth Heinemann, Edinburgh (In press)
    • Related Report
      2004 Annual Research Report
  • [Book] 看護とバイオエシックス.In:バイオエシックスハンドブック-生命倫理を超えて(木村利人, 赤林朗, 小西恵美子, 土田友章, 南裕子, 和田努編)2003

    • Author(s)
      Anne J Davis, 小西恵美子他
    • Publisher
      法研
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] Nursing and Bioethics(R Kimura(ed) Bioethics Handbook)(in Japanese)2003

    • Author(s)
      Davis, AJ, Konishi, E, Katada, N, Tashiro, M
    • Publisher
      Houken, Tokyo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] 看護倫理:理論・実践・教育2002

    • Author(s)
      AJ Davis, 見藤隆子, 小西恵美子他
    • Total Pages
      244
    • Publisher
      日本看護協会出版会
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] Nursing Ethics Theory, Practice, & Research(in Japanese)2002

    • Author(s)
      Davis, AJ, Mitoh, T, Konishi, E, Sakagawa, M
    • Publisher
      Japanese Nursing Association Publishing Co, Tokyo
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] The teaching of Nursing Ethics in Japan(AJ Davis, V Tudin, L de Raeve (ed): Essentials in teaching and learning in nursing ethics: Perspectives and methods)

    • Author(s)
      Davis, Anne J, Konshi, Emiko
    • Publisher
      Butterworth Heinemann, Edinburgh(in press)
    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Publications] E Konishi, AJ Davis: "Physician Non-Disclosure & Paternalism in Terminal Care : Ethical Issues for Japanese Nurses."Eubios Journal of Asian and International Bioethics. 13(6). 213-215 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Anne J Davis, 小西恵美子: "「苦痛を和らげること」と「死を早めないこと」:ホスピス看護の倫理的ジレンマ"Quality Nursing. 9(9). 781-786 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] M Lorensen, AJ.Davis, E Konishi, EH Bunch: "Ethical Issues Following the Disclosure of a Terminal Illness : Danish and Norwegian Hospice Nurses' Reflections"Nursing Ethics. 10(2). 175-185s (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Anne J Davis, Emiko Konishi: "Vulnerable by tradition : ethics data for advocacy intervention"The Third European Nursing Congress, Amsterdam. 10. 5-8 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] M Lorensen, AJ.Davis, E Konishi, EH Bunch: "Danish and Norwegian hospice nurses ethical reflections in prognosis disclosure"The Third European Nursing Congress, Amsterdam. 10. 5-8 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 小西恵美子, Anne J Davis: "苦痛の緩和と死を早めないこと:ホスピスケアの倫理的課題"生命倫理学会第15回年次大会. 11.16,東京. (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 小西恵美子, 久保田智恵, 中嶋尚子: "日本のホスピス看護の倫理的課題:デンマーク、ノルウェーとの比較に基づく考察"日本看護科学学会第23回学術集会. 12.7,津市. (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 小西恵美子, 中嶋尚子: "終末期看護の倫理的課題ホスピス:緩和ケア病棟と一般病棟との比較"日本がん看護学会第18回学術集会. 2.7-8,東京都. (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Anne J Davis, 小西恵美子, 片田範子, 田代麻里江: "看護とバイオエシックス バイオエシックスハンドプック-生命倫理を超えて-(木村利人, 赤林朗, 小西恵美子, 土田友章, 南裕子, 和田努編)東京"法研. 23 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 小西恵美子, 久保田智恵, 中嶋尚子: "日本のホスピス看護における倫理的課題"日本がん看護学会誌. 17Supplement. 47 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] E Konishi, AJ Davis, M Lorensen, E Bunch: "Hospice nursing ethics in Japan and in Norway and Denmark"First International Conference, Japanese Society for Cancer Nursing. Proceedings. 93 (2003)

    • Related Report
      2002 Annual Research Report
  • [Publications] E Konishi, AJ Davis: "Hospice Nursing Ethics in Japan"6th World Congress of Biothics. Proceedings. 262 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] M Lorensen, AJ.Davis, E Konishi, EH Bunch: "Ethical Issues Following the Disclosure of a Terminal Illness : Danish and Norwegian Hospice Nurses' Reflections"Nursing Ethics. 10(2)(In Press). (2003)

    • Related Report
      2002 Annual Research Report

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Published: 2002-03-31   Modified: 2016-04-21  

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