| Project/Area Number |
16592110
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Fundamental nursing
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| Research Institution | Yamaguchi University |
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Principal Investigator |
ITO Misae Yamaguchi University, Graduate School of Medicine, Associate Professor, 大学院医学系研究科, 講師 (00335754)
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| Co-Investigator(Kenkyū-buntansha) |
TANIDA Noritoshi Yamaguchi University, Graduate School of Medicine, Professor, 大学院医学系研究科, 教授 (30140437)
MASAMURA Keiko Yamaguchi University, Graduate School of Medicine, Professor, 大学院医学系研究科, 教授 (40145339)
MELBY Carolyn Sue Research Institute, International Medical Center of Japan, Research Staff, 研究員 (80379940)
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| Project Period (FY) |
2004 – 2006
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| Project Status |
Completed (Fiscal Year 2006)
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| Budget Amount *help |
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2006: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2005: ¥700,000 (Direct Cost: ¥700,000)
Fiscal Year 2004: ¥2,100,000 (Direct Cost: ¥2,100,000)
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| Keywords | Decision Making / Patient / Autonomy / Family / Nurse / Physician / Medical Doctor / Critical Thinking Skill / Communication Skill / 患者の自律 |
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| Research Abstract |
In Japan the reigning principle underlying medical ethics is in transition from paternalism to respect for patient autonomy. Ethical issues have become more complicated and controversial with the development of medicine and health care, and this has great impact on the daily work of nurses.
A structured self descriptive questionnaire was administered to inpatients, their families, nurses, and medical doctors in two general hospitals with over 500 beds in Japan.
Data analysis revealed differences between the perspectives of patients including their families and health care professionals (nurses and medical doctors) regarding the participation of patients and their families in decision making. Approximately one-third of nurses and medical doctors experienced a family request not to inform a patient of a diagnosis and prognosis.
Most of patients thought to be involved in their medical decision making processes to some degree.
The most common decision making process desired by one-third of competent patients, half of their families, and three-quarters of the nurses and medical doctors, was the desire to make their own decisions after consultation with the physician and the family. However, preferences regarding the decision making process for competent patients were diverse among patients and their families.
Patients, their families, and health care professionals believed that families have a crucial role to place in health care decision making even when a patient is competent to make their own decisions. Nurses involved in the study clearly believed that they encountered ethical dilemmas associated with patient autonomy.
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