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Creating an ethical response manual for handling patients with dementia and building a remote advice system

Research Project

Project/Area Number 18K10220
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 58050:Fundamental of nursing-related
Research InstitutionUniversity of Human Environments

Principal Investigator

ITO CHIHARU  人間環境大学, 看護学部, 教授 (20434574)

Co-Investigator(Kenkyū-buntansha) 篠崎 惠美子  人間環境大学, 看護学部, 教授 (50434577)
栗田 愛  人間環境大学, 看護学部, 講師 (50759149)
早瀬 良  中部大学, 生命健康科学部, 講師 (90571927)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords看護倫理 / 認知症患者 / 遠隔アドバイスシステム / 対応マニュアル / 救急医療 / 認知症高齢患者 / 倫理的問題 / 遠隔研修 / 遠隔アドバイスシステムの構築 / 尊厳 / 認知症患者対応マニュアル / 患者の尊厳 / 看護者の倫理綱領 / 事例検討会 / 患者の権利
Outline of Final Research Achievements

The purpose of this study is to lay out a support framework by creating an ethical response manual for handling patients with dementia to [ensure patient dignity] and [prevent a deterioration of dementia], widely distributing said manual, and building a remote advice system in order to effectively utilize it. We clarified the ethical problems of nurses who practice emergency medicine on patients with dementia and were able to create a response manual based on the results. Although it was difficult to obtain opinions regarding the efficacy of this manual from specialists overseas, we have repeatedly conducted validations with domestic specialists and those in charge of education at clinical sites. We also set up a dedicated homepage and are continuously building a network among clinical nurses in addition to piloting/evaluating the remote advice system.

Academic Significance and Societal Importance of the Research Achievements

本研究は、全国の救急病院に従事する看護師を対象に認知症患者に関する倫理的問題を明確にし、その結果に基づき倫理的対応マニュアルを作成した。マニュアルは専門家間での検討を繰り返した。併せて、マニュアルを広く普及させ、効果的に活用ができるよう遠隔アドバイスシステムを構築しサポート体制を整えることができた点は認知症患者の尊厳と権利を守り、安心して治療・ケアが受けられる体制の基盤を作ることができたと評価し社会的意義がある。

Report

(4 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (14 results)

All 2021 2020 2019 2018 Other

All Journal Article (4 results) (of which Peer Reviewed: 2 results,  Open Access: 2 results) Presentation (9 results) (of which Int'l Joint Research: 3 results) Remarks (1 results)

  • [Journal Article] 医療現場における看護倫理研修に関する実態調査;中部地区を対象にした調査より2019

    • Author(s)
      伊藤千晴 早瀬良 栗田愛 篠崎恵美子
    • Journal Title

      日本看護倫理学会

      Volume: 11 Pages: 59-66

    • NAID

      130007653114

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 看護倫理とラダー2019

    • Author(s)
      伊藤千晴
    • Journal Title

      Nursing BUSINESS

      Volume: 増刊号 Pages: 110-115

    • Related Report
      2019 Research-status Report
  • [Journal Article] 医療現場における看護倫理研修に関する実態調査:中部地区を対象にした調査より2019

    • Author(s)
      伊藤 千晴
    • Journal Title

      日本看護倫理学会誌

      Volume: 11 Pages: 59-66

    • NAID

      130007653114

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] 倫理的課題の解決に向けた事例検討会~4分割法を用いて解決してみませんか~2019

    • Author(s)
      伊藤 千晴
    • Journal Title

      第23回一般社団法人日本看護研究学会東海地方会学術集会抄録集

      Volume: - Pages: 15-15

    • Related Report
      2018 Research-status Report
  • [Presentation] Ethical issues concerning confidentiality and protection of personal information among patients with dementia in emergency medical care in Japan2021

    • Author(s)
      Ito Chiharua. Shinozaki Emikoa. Ejiri Harumi.Kondo Akira,Ban Ryosuke
    • Organizer
      2021 ICN
    • Related Report
      2020 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 職位別に見た救急医療に従事する看護師が経験する認知症患者の倫理的問題の特徴2020

    • Author(s)
      早瀬良 伊藤千晴 栗田愛 篠崎恵美子
    • Organizer
      日本看護研究学会第46回学術集会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 救急医療現場で遭遇する認知症患者に対する倫理的問題2020

    • Author(s)
      伊藤千晴 夏目美貴子
    • Organizer
      日本臨床倫理学会第8回年次大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] Ethical issues with dementia patients experienced by nurses engaged in Japanese emergency care units2020

    • Author(s)
      Chiharu Ito,Emiko Shinozaki,Ryo Hayase,Keiko Umeda,Akira Kondo,
    • Organizer
      The 31st International Nursing Research Congress
    • Related Report
      2020 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Ethical issues with dementia patients experienced by nurses engaged in Japanese emergency care units ― With a focus on patient autonomy ―2020

    • Author(s)
      伊藤千晴 早瀬良 篠崎恵美子 江尻晴美 近藤彰
    • Organizer
      The 31st International Nursing Research Congress
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 救急医療現場で遭遇する認知症患者に対する倫理的問題2020

    • Author(s)
      伊藤千晴 夏目美貴子
    • Organizer
      日本臨床倫理学会 第8回年次大会
    • Related Report
      2019 Research-status Report
  • [Presentation] 救急医療に従事する看護師が経験する認知症患者の倫理的問題の特徴-役職の有無による特徴-2020

    • Author(s)
      早瀬良 伊藤千晴 篠崎恵美子
    • Organizer
      日本看護研究学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 倫理的課題に解決に向けた事例検討~4分割法を用いて解決してみませんか~2019

    • Author(s)
      伊藤千晴 坂亮輔
    • Organizer
      第23回 日本看護研究学会東海地方会 ワークショップ
    • Related Report
      2019 Research-status Report
  • [Presentation] 手術室における中堅看護師の倫理的行動力の現状と関連する要因2018

    • Author(s)
      坂 亮輔
    • Organizer
      日本看護研究学会 第44回学術集会
    • Related Report
      2018 Research-status Report
  • [Remarks] ともに考える看護倫理のなかまたち

    • URL

      https://nursing-ethics.support/

    • Related Report
      2020 Annual Research Report

URL: 

Published: 2018-04-23   Modified: 2022-01-27  

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