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Discretion and Legal Responsibilities of Nurses in Drug Management Based on Advanced Physician Directives

Research Project

Project/Area Number 21592675
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Fundamental nursing
Research InstitutionHokkaido University

Principal Investigator

YOSHIMURA Sadako  北海道大学, 大学院・保健科学研究院, 教授 (10182817)

Co-Investigator(Renkei-kenkyūsha) TERASHIMA Taiko  日本赤十字北海道看護大学, 大学院・看護学研究科, 講師 (40341680)
Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2011: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2010: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2009: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Keywords看護師 / 薬剤管理 / 裁量 / 法的責任 / 医師 / 事前指示 / 助産師
Research Abstract

Doctors give visiting nurses written instructions on drug dose and route of administration for each patient in advance. Based on their assessments of the changes in the patient's condition at home, nurses use their discretion in drug administration. They usually make reports to the doctor after visits unless there were no abnormalities in the patient's condition. Nurses usually administer drugs according to comprehensive and specific orders in various clinical settings. However, standard protocols for drug administration by nurses and physicians have not been well established ; therefore, appropriate protocols need to be prepared as rapidly as possible. Nurses bear heavy responsibilities as professionals responding to the health needs of a sophisticated and diverse society. When a patient death is attributed to a nurse's inappropriate drug administration, the courts will hold nurses criminally responsible for critical negligence in addition to civil liability.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (12 results)

All 2011 2010 2009

All Journal Article (4 results) (of which Peer Reviewed: 4 results) Presentation (6 results) Book (2 results)

  • [Journal Article] 潜在助産師のための再チャレンジ支援プログラムにおける「実習」の意味-受講生のインタビュー分析から2011

    • Author(s)
      常田美和、平塚志保、良村貞子
    • Journal Title

      日本看護学会論文集

      Volume: 41 Pages: 57-59

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 夜間・休日における在宅糖尿病患者の電話相談2009

    • Author(s)
      寺島泰子、藤井瑞恵、良村貞子
    • Journal Title

      看護総合科学研究会誌

      Volume: Vol.12 No.1 Pages: 25-33

    • NAID

      120001971715

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] インシデント・アクシデント報告告と看護師の職務満足度との関連2009

    • Author(s)
      寺島泰子、片岡則子、良村貞子
    • Journal Title

      医工学治療

      Volume: Vol.21 No.3 Pages: 171-178

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 看護師による安全な静脈注射実施に向けた北海道大学病院での取り組み:静脈注射エキスパートナース育成を中心とした教育体制の構築2009

    • Author(s)
      岡田きょう子、本間美恵、坂口登子、中西千代美、船木典子、良村貞子
    • Journal Title

      看護総合科学研究会誌

      Volume: Vol.11 No.2 Pages: 33-50

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Presentation] Responsibilities on Administrative2011

    • Author(s)
      S. YOSHIMURA、M. IWAMOTO、R. WATANABE、T. SHIMODA、R. YANO、Review Nurses
    • Organizer
      Sanctions in Japan、ICN
    • Place of Presentation
      Malta
    • Year and Date
      2011-05-06
    • Related Report
      2011 Final Research Report
  • [Presentation] Review Nurses' Responsibilities on Administrative Sanctions in Japan2011

    • Author(s)
      S.YOSHIMURA, M.IWAMOTO, R.WATANABE, T.SHIMODA, R.YANO
    • Organizer
      ICN 2011学術集会
    • Place of Presentation
      地中海コンファレンスセンター(マルタ共和国)
    • Year and Date
      2011-05-06
    • Related Report
      2011 Annual Research Report
  • [Presentation] 新人助産師の与薬ミスを予防するための先輩助産師の支援-分娩の誘発および促進時の助産管理-2011

    • Author(s)
      佐々木壽子、良村貞子、平塚志保、佐川正
    • Organizer
      第25回日本助産学会学術集会
    • Place of Presentation
      名古屋市
    • Year and Date
      2011-03-06
    • Related Report
      2011 Final Research Report
  • [Presentation] 新人助産師の与薬ミスを予防するための先輩助産師の支援-分娩の誘発および促進時の助産管理-2011

    • Author(s)
      佐々木壽子、良村貞子、平塚志保、佐川正
    • Organizer
      第25回日本助産学会学術集会
    • Place of Presentation
      名古屋国際会議場(名古屋市)
    • Year and Date
      2011-03-06
    • Related Report
      2010 Annual Research Report
  • [Presentation] 医療安全と新人教育に関する先輩助産師への面接調査2010

    • Author(s)
      佐々木壽子、良村貞子、平塚志保、佐川正
    • Organizer
      第51回日本母性衛生学会学術集会
    • Place of Presentation
      金沢市
    • Year and Date
      2010-11-06
    • Related Report
      2011 Final Research Report
  • [Presentation] 医療安全と新人教育に関する先輩助産師への面接調査2010

    • Author(s)
      佐々木壽子、良村貞子、平塚志保、佐川正
    • Organizer
      第51回日本母性衛生学会学術集会
    • Place of Presentation
      石川県立音楽堂(金沢市)
    • Year and Date
      2010-11-06
    • Related Report
      2010 Annual Research Report
  • [Book] 看護倫理学-看護実践における倫理的基盤-第10章看護倫理と法的問題2010

    • Author(s)
      松木光子、良村貞子、ヌーヴェルヒロカワ
    • Related Report
      2011 Final Research Report
  • [Book] 看護倫理-看護実践における倫理的基盤-第10章看護倫理と法的問題2010

    • Author(s)
      良村貞子
    • Total Pages
      13
    • Publisher
      ヌーヴェルヒロカワ
    • Related Report
      2010 Annual Research Report

URL: 

Published: 2009-04-01   Modified: 2016-04-21  

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