| Project/Area Number |
22592434
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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 | Niimi College |
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Principal Investigator |
DOI Hideko 新見公立大学, 看護学部看護学科, 准教授 (00290510)
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| Co-Investigator(Kenkyū-buntansha) |
KANAYAMA Tokie 新見公立大学, 教授 (30224588)
ONO Haruko 新見公立大学, 教授 (70331832)
AWAYA Tsuyoshi 岡山大学, 教授 (20151194)
NAKANISHI Yoshiko 兵庫県立大学, 講師 (50217783)
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| Project Period (FY) |
2010 – 2012
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| Project Status |
Completed (Fiscal Year 2012)
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| Budget Amount *help |
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2012: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2011: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000)
Fiscal Year 2010: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
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| Keywords | 看護倫理学 / 在宅看護 / 在宅高齢患者の判断能力 / PEGによる経管栄養 / 訪問看護師 / 倫理的ジレンマ / 在宅高齢患者 / 経管栄養 / アドボカシー / 自己決定 / 終末期高齢患者 / ディレンマ |
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| Research Abstract |
In Japan, an steady increase of percutaneous endoscopic gastrostomy (PEG) procedures for elderly patients from around 2000 has stirred up a criticism that unnecessary PEG has often been performed. In response to the criticism, an ethical dilemma faced by home-visiting nurses was examined in the case of deciding whether or not enteral nutrition by PEG should be introduced to elderly patients living at home who had difficulty with food intake. The survey revealed that home-visiting nurses had serious ethical dilemma in the following three cases: 1) they thought that patients’ right of self-determination was violated, 2) PEG was introduced even if the decision was based on the consent of a patient and the family, and 3) the nurses’ view on PEG was not discussed with a patient and family members.
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