| Project/Area Number |
19592452
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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 | Tokyo Metropolitan University |
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Principal Investigator |
SHUDA Akihiro Tokyo Metropolitan University, 人間健康科学研究科, 准教授 (60315760)
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| Co-Investigator(Kenkyū-buntansha) |
SHIJIKI Yasuko 首都大学東京, 人間健康科学研究科, 教授 (60259140)
KATSUNO Towako 首都大学東京, 人間健康科学研究科, 教授 (60322351)
NAITO Akiko 首都大学東京, 人間健康科学研究科, 准教授 (30329825)
ISHIKAWA Yoko 首都大学東京, 人間健康科学研究科, 准教授 (40453039)
NAKAMURA Miyuki 首都大学東京, 人間健康科学研究科, 助教 (40423818)
KIM Sooja 首都大学東京, 健康福祉学部, 准教授 (60279776)
MIWA Masae 首都大学東京, 人間健康科学研究科, 助教 (20457831)
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| Project Period (FY) |
2007 – 2009
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| Project Status |
Completed (Fiscal Year 2009)
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| Budget Amount *help |
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2009: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2008: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
Fiscal Year 2007: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
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| Keywords | 看護倫理 / 生体肝移植 / 倫理的ジレンマ / 生体ドナー / レシピエント / クリニカル移植コーディネーター / 倫理的対応モデル / ジレンマ / ドナー / 生体部分肝移植 / 米国 / 臨床移植コーディネーター / 意思決定プロセス |
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| Research Abstract |
The purpose of this study was to clarify various moral dilemmas concerning living donor liver transplantation (LDLT) and construct models to deal with the moral dilemmas. For the study, interviews were conducted with thirteen clinical transplant coordinators (CTC) in Japan and the U.S.. The result of the interviews clarified the multileveled structure of the subjects' dilemmas involving various ethical principles and different values. Therefore, the following models to deal with their moral dilemmas were constructed ; a basic model, in which it was necessary to perform an LDLT (including information providers and advocators who supported the donors in their decision-making) and an applied model, in which it was used in the situation of the moral dilemmas (including securing the time and the place for an LDLT, justification for medical paternalism, donors' authority to do cooling-off, guarantee of free will in their decision-making, intervention in dynamic relations in their family, confidentiality of information and intervention in their noncompliance).
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