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Structure of pediatricians' decision making and their dilemmas. A qualitative study.

Research Project

Project/Area Number 15K08555
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Medical sociology
Research InstitutionKyushu University

Principal Investigator

Toda Naoko  九州大学, 大学病院, 学術研究員 (60645993)

Co-Investigator(Kenkyū-buntansha) 酒井 康成  九州大学, 大学病院, 准教授 (10380396)
奈良間 美保  名古屋大学, 医学系研究科(保健), 教授 (40207923)
木澤 義之  神戸大学, 医学部附属病院, 特命教授 (80289181)
Research Collaborator Sasazuki Momoko  西南女学院大学, 保険福祉学部, 准教授 (40809125)
Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2017: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2016: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords小児科医 / 葛藤 / 意思決定 / 医学教育 / 生命維持治療 / 方針決定 / プロフェッショナリズム / 倫理教育 / 小児科医の葛藤 / 質的解析 / 構造化 / 質的研究
Outline of Final Research Achievements

The purpose of this study was to delineate the process of pediatricians’ critical decision making for children with life-threatening conditions and the pediatricians’ psychosocial experience. Semi-structured, individual face-to-face interviews were performed for 15 pediatricians, and the interview content was subjected to the content analysis.
Pediatricians carried both unique and overlapping categories of dilemmas when making critical decisions. The dilemmas had five types of causal elements: (I) pediatricians’ convictions; (II) quest for the best interests of patients; (III) quest for medically appropriate plans; (IV) confronting parents and families; and (V) socio-environmental issues. Dilemmas occurred and developed as conflicting interactions among these five elements. Our data indicate the necessity of implementing the system that supports pediatricians to find the best management plan for severely ill children and their families.

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (4 results)

All 2018 2017

All Presentation (4 results)

  • [Presentation] 命に関わる治療方針の決定に際する小児科医の意思決定の過程と葛藤2018

    • Author(s)
      笹月桃子
    • Organizer
      第121回日本小児科学会学術集会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 命に関わる治療方針に際しての小児科医の葛藤2017

    • Author(s)
      笹月桃子
    • Organizer
      第5回日本臨床倫理学会
    • Place of Presentation
      東京都、昭和大学
    • Year and Date
      2017-03-19
    • Related Report
      2016 Research-status Report
  • [Presentation] 小児科医としてのアイデンティティ形成: 葛藤の質的解析を通じての考察2017

    • Author(s)
      笹月桃子
    • Organizer
      第49回日本医学教育学会大会
    • Related Report
      2017 Annual Research Report
  • [Presentation] 命に関わる治療方針の決定に際する小児科医の葛藤2017

    • Author(s)
      笹月桃子
    • Organizer
      第5回日本臨床倫理学会
    • Related Report
      2017 Annual Research Report

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Published: 2015-04-16   Modified: 2019-03-29  

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