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Development of a nursing model to assist Japanese patients and family with health care decision making

Research Project

Project/Area Number 21592732
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Fundamental nursing
Research InstitutionKawasaki University of Medical Welfare

Principal Investigator

ITO Misae  川崎医療福祉大学, 医療福祉学部, 教授 (00335754)

Co-Investigator(Kenkyū-buntansha) HATTORI Keiko  川崎医療福祉大学, 医療福祉学部, 講師 (10335755)
KAKEDA Takahiro  川崎医療福祉大学, 医療福祉学部, 准教授 (60403664)
MURAKAMI Kyoko  山口大学, 医学(系)研究科(研究院), 教授 (10294662)
TURALE Susan  山口大学, 医学(系)研究科, 教授 (30420516)
HAYASHI Shinpei  元川崎医療福祉大学, 医療福祉学部, 助教 (90515785)
Co-Investigator(Renkei-kenkyūsha) TANIDA Noritoshi  山口大学, 医学(系)研究科(研究院), 教授 (30140437)
Research Collaborator MARIE T Nolan  The Johns Hopkins University, School of Nursing, Professor
Project Period (FY) 2009 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2012: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2011: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2010: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2009: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords意思決定 / 患者の自律 / 家族 / 看護倫理 / 自律 / 実践モデル / 看護実践モデル
Research Abstract

The reigning principle in health care ethics has been emphasized respect for patient autonomy. Nurses experience a family request not to inform a patient of a diagnosis and prognosis. The healthy adults desire the involvement of their family in health care decision making, and that the extents of physician’s opinion for the life style are lower than those for examination and treatment style. The extents of own opinion for the treatment decision and of family’s opinion for the life-prolonging treatment in the terminal stage tend to be taken by the adults. The most common decision-making preference desired by patients and their families are to make their own decisions after consultation with the physician and the family. However, preferences regarding the decision making process for competent patients are diverse among them. Few pairs of the adults/patients and their family members matched on desire for making decision in health care. It is necessary for nurse to assess the competency for decision making and autonomy preference of a patient and substitute judgment by family. Nurses are in the ideal role to facilitate discussions of preferences between patients and their family members.

Report

(5 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (32 results)

All 2013 2012 2011 2010 2009 Other

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (29 results) (of which Invited: 1 results) Book (1 results)

  • [Journal Article] Noritoshi Tanida, Sue Turale: Perceptions of Japanese patients and their family about medical treatment decisions2010

    • Author(s)
      Misae Ito
    • Journal Title

      Nursing and Health Sciences

      Volume: 12(3) Pages: 314-321

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Perceptions of Japanese patients and their family about medical treatment decisions2010

    • Author(s)
      Misae Ito, Noritoshi Tanida, Sue Turale
    • Journal Title

      Nursing and Health Sciences

      Volume: Vol.12 Pages: 2601-2610

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] Decision-Making Preference in Health Care toward a Competent Patient and Family Involvement、Sigma Theta Tau2013

    • Author(s)
      Misae Ito, Keiko Hattori, Kyoko Murakami, Takahiro Kakeda
    • Organizer
      International's 24th International Nursing Research Congress
    • Place of Presentation
      Hotel Hilton Prague (Czech Republic)
    • Related Report
      2012 Final Research Report
  • [Presentation] Decision-Making Preference in Health Care toward a Competent Patient and Family Involvement2013

    • Author(s)
      Misae Ito
    • Organizer
      STTI 24th International Nursing Research Congress
    • Place of Presentation
      Hotel Hilton Prague (Czech Republic)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 意思決定能力のある人への医療に関する意思決定支援を再考する2012

    • Author(s)
      伊東美佐江,服鳥景子,村上京子
    • Organizer
      第32回日本看護科学学会学術集会
    • Place of Presentation
      東京国際フォーラム(東京都)
    • Year and Date
      2012-11-30
    • Related Report
      2012 Final Research Report
  • [Presentation] 医療にかかわる患者の意思決定支援2012

    • Author(s)
      伊東美佐江
    • Organizer
      第7回山口県遺伝看護卒後教育セミナー「先天異常をもつ子どもに関連した倫理的問題と遺伝看護」
    • Place of Presentation
      山口大学(山口県)
    • Year and Date
      2012-10-23
    • Related Report
      2012 Final Research Report
  • [Presentation] 医療にかかわる患者の意思決定支援2012

    • Author(s)
      伊東美佐江
    • Organizer
      看護における倫理的ジレンマを解決するための方策
    • Place of Presentation
      川崎医療福祉大学(岡山県).
    • Year and Date
      2012-10-20
    • Related Report
      2012 Final Research Report
  • [Presentation] Perceptions about medical decision making among Japanese patient, their family2012

    • Author(s)
      Misae Ito
    • Organizer
      nurse and physician
    • Place of Presentation
      Johns Hopkins University(USA).
    • Year and Date
      2012-09-13
    • Related Report
      2012 Final Research Report
  • [Presentation] 一般成人における医療の意思決定プロセスに対する自律性2012

    • Author(s)
      市橋拓磨,伊東美佐江,村上京子
    • Organizer
      第20回日本ホスピス・在宅ケア研究会全国大会inとかち大会
    • Place of Presentation
      帯広市民文化ホール・とかちプラザ(北海道)
    • Year and Date
      2012-09-09
    • Related Report
      2012 Final Research Report
  • [Presentation] 小規模病院に勤務する臨床看護師におけるがんの病名や予後の未告知の依頼状況と患者の自己決定に関する認識2012

    • Author(s)
      伊東美佐江,黒石洋史,村上京子
    • Organizer
      第20回日本ホスピス・在宅ケア研究会全国大会inとかち大会
    • Place of Presentation
      帯広市民文化ホール・とかちプラザ(北海道)
    • Year and Date
      2012-09-09
    • Related Report
      2012 Final Research Report
  • [Presentation] The Relationships among Decision-Making Preferences, Demographic Characteristics, and Family Function2012

    • Author(s)
      Misae Ito, Keiko Hattori, Kyoko Murakami, Takahiro Kakeda, Keiko Matsumoto
    • Organizer
      Honor Society of Nursing, Sigma Theta Tau International, 23rdInternational Nursing Research Congress
    • Place of Presentation
      Brisbane Convention and Exhibition Centre (Australia).
    • Related Report
      2012 Final Research Report
  • [Presentation] The Relationships among Decision-Making Preferences, Demographic Characteristics, and Family Function2012

    • Author(s)
      Misae Ito
    • Organizer
      STTI 23rd International Nursing Research Congress
    • Place of Presentation
      Brisbane Convention and Exhibition Centre (Australia)
    • Related Report
      2012 Annual Research Report
  • [Presentation] Terror of death and its impact on ethical decision making at the end of life2011

    • Author(s)
      Megan-Jane Johnstone
    • Organizer
      研究成果発表会
    • Place of Presentation
      川崎医療福祉大学(岡山県)(招待講演)
    • Year and Date
      2011-10-17
    • Related Report
      2011 Annual Research Report
  • [Presentation] The family roles related to advance directives completion among elders living in the community-A systematic review-2011

    • Author(s)
      Keiko Hattori
    • Organizer
      The 10^<th> International Family Nursing Conference
    • Place of Presentation
      国立京都国際会館(京都府)
    • Year and Date
      2011-06-26
    • Related Report
      2011 Annual Research Report
  • [Presentation] "What does good death mean to you?" Elderly Japanese American and Japanese nationals contemporary view2011

    • Author(s)
      Keiko Hattori, Misae Ito
    • Organizer
      2011 Pacific Institute for Nursing Conference
    • Place of Presentation
      Waikiki Beach Marriott Resort & Spa (USA)
    • Year and Date
      2011-03-30
    • Related Report
      2010 Annual Research Report
  • [Presentation] Family Role for Decision Making in Health Care Toward a Competent Patient2011

    • Author(s)
      Misae Ito, Keiko Hattori, Takahiro Kakeda, Kyoko Murakami, Susan Turale
    • Organizer
      10th International Family Nursing Conference
    • Place of Presentation
      Kyoto InternationalConference Center (Japan).
    • Related Report
      2012 Final Research Report
  • [Presentation] Relationships Between Self-Directed Learning Readiness, Self-Directed Learning Ability and the Characteristics of Japanese Nurses2011

    • Author(s)
      Misae Ito
    • Organizer
      Sigma Theta Tau International, The 41th Biennial Convention
    • Place of Presentation
      Gaylord Texan^<TM> Resort & Convention Center (Texas, USA)
    • Related Report
      2011 Annual Research Report
  • [Presentation] Family Role for Decision Making in Health Care Toward a Competent Patient2011

    • Author(s)
      Misae Ito
    • Organizer
      The 10^<th> International Family Nursing Conference
    • Place of Presentation
      国立京都国際会館(京都府)
    • Related Report
      2011 Annual Research Report
  • [Presentation] 重要な医療にかかわる意思決定における患者や家族と医療者の認識2010

    • Author(s)
      伊東美佐江,服鳥景子,掛田崇寛,村上京子,林信平
    • Organizer
      第30回日本看護科学学会学術集会
    • Place of Presentation
      札幌コンベンションセンター(北海道)
    • Year and Date
      2010-12-04
    • Related Report
      2012 Final Research Report 2010 Annual Research Report
  • [Presentation] Perceptions about medical decision making among Japanese patient, their family, nurse and physician2010

    • Author(s)
      Misae Ito
    • Organizer
      Seminar of School of Nursing, Johns Hopkins University
    • Place of Presentation
      School of Nursing, Johns Hopkins University (USA)(招待講演)
    • Year and Date
      2010-09-13
    • Related Report
      2010 Annual Research Report
  • [Presentation] Experiences of genetic nursing care among perinatal and pediatric nurse professionals in Japan2009

    • Author(s)
      Kyoko Murakami, Kumiko Tsujino, Saeko Kutsunugi, Misae Ito, Hidechika Iino, Masato Tsukahara
    • Organizer
      The 22nd Annual ISONG Conference
    • Place of Presentation
      San Diego, California, USA
    • Year and Date
      2009-10-18
    • Related Report
      2009 Annual Research Report
  • [Presentation] Perceptions of Japanese patients and their families about medical treatment decisions2009

    • Author(s)
      Misae Ito, Noritoshi Tanida, Susan Turale, Takahiro Kakeda, Miki Saito, Shimpei Hayashi, Keiko Hattori
    • Organizer
      The 1st International Nursing Research Conference of World Academy of Nursine Science
    • Place of Presentation
      兵庫県神戸市
    • Year and Date
      2009-09-19
    • Related Report
      2009 Annual Research Report
  • [Presentation] Information disclosure practices and attitudes towards health decision-making in Japanese nurses and physicians2009

    • Author(s)
      Misae Ito, Sue Turale, Takahiro Kakeda, Kyoko Murakami, Miki Saito, Shimpei Hayashi, Keiko Hattori , Noritoshi Tanida
    • Organizer
      The40th Biennial Convention, Sigma Theta Tau International
    • Place of Presentation
      Indiana Convention Center (USA).
    • Related Report
      2012 Final Research Report
  • [Presentation] Perceptions of Japanese patients and their families about medical treatment decisions2009

    • Author(s)
      Misae Ito, Noritoshi Tanida, Susan Turale, Takahiro Kakeda, Miki Saito, Shimpei Hayashi, Keiko Hattori
    • Organizer
      The 1st International Nursing Research Conference of World Academy of Nursing Science
    • Place of Presentation
      Kobe International Exhibiton Hall (Japan).
    • Related Report
      2012 Final Research Report
  • [Presentation] 一般成人におけるセカンド・オピニオンの認知度や経験と今後の意向2009

    • Author(s)
      上田美香, 伊東美佐江, 掛田崇寛, 服鳥景子, 齋藤美紀, 林信平
    • Organizer
      第40回日本看護学会-看護教育-
    • Place of Presentation
      岡山県岡山市
    • Related Report
      2009 Annual Research Report
  • [Presentation] Information disclosure practices and attitudes towards health decision-making in Japanese nurses and physicians2009

    • Author(s)
      Misae Ito, Sue Turale, Takahiro Kakeda, Kyoko Murakami, Miki Saito, Shimpei Hayashi, Keiko Hattori , Noritoshi Tanida
    • Organizer
      The 40^<th> Biennial Convention, Sigma Theta Tau International
    • Place of Presentation
      Indianapolis, Indianapolis, USA
    • Related Report
      2009 Annual Research Report
  • [Presentation] 交流集会:意思決定能力のある人への医療に関する意思決定支援を再考する

    • Author(s)
      伊東美佐江
    • Organizer
      第32回日本看護科学学会学術集会
    • Place of Presentation
      東京国際フォーラム (東京都)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 医療にかかわる患者の意思決定支援

    • Author(s)
      伊東美佐江
    • Organizer
      第7回 山口県遺伝看護卒後教育セミナー
    • Place of Presentation
      山口大学(山口県)
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Presentation] 医療にかかわる患者の意思決定支援

    • Author(s)
      伊東美佐江
    • Organizer
      シンポジウム:看護における倫理的ジレンマを解決するための方策
    • Place of Presentation
      川崎医療福祉大学(岡山県)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 一般成人における医療の意思決定プロセスに対する自律性

    • Author(s)
      市橋 拓磨
    • Organizer
      第20回日本ホスピス・在宅ケア研究会全国大会inとかち大会
    • Place of Presentation
      とかちプラザ(北海道)
    • Related Report
      2012 Annual Research Report
  • [Presentation] 小規模病院に勤務する臨床看護師におけるがんの病名や予後の未告知の依頼状況と患者の自己決定に関する認識

    • Author(s)
      伊東美佐江
    • Organizer
      第20回日本ホスピス・在宅ケア研究会全国大会inとかち大会
    • Place of Presentation
      とかちプラザ(北海道)
    • Related Report
      2012 Annual Research Report
  • [Book] A Chapter of People of Japanese Heritage. In : Transcultural Health Care : A Culturally Competent Approach 4^<th> edition(Larry D.Purnell & Betty J.Paulanka (Ed.))2012

    • Author(s)
      Misae Ito
    • Publisher
      F.A.Davis Company(印刷中)
    • Related Report
      2011 Annual Research Report

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Published: 2009-04-01   Modified: 2019-07-29  

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