Nurse-Physician Collaboration Strategies in Ethical Decision-making for Newborn Infants

• Project/Area Number: 23593309
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Research Field: Lifelong developmental nursing
• Research Institution: Yamanashi Prefectural University
• Principal Investigator: INOUE Myuki 山梨県立大学, 看護学部, 教授 (80347351)
• Project Period (FY): 2011-04-28 – 2015-03-31
• Project Status: Completed (Fiscal Year 2014)
• Budget Amount: ¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000); Fiscal Year 2014: ¥1,300,000 (Direct Cost: ¥1,000,000、Indirect Cost: ¥300,000); Fiscal Year 2013: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2012: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000); Fiscal Year 2011: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
• Keywords: 新生児の生命維持治療 / 看護師‐医師コラボレーション / 協働意思決定 / NICU / 倫理的意思決定 / 重篤な新生児 / 選択的治療 / 新生児医療 / 生命維持治療 / チーム医療 / 新生児看護 / 小児看護 / コラボレーション / 看護師-医師

Outline of Final Research Achievements

This study aimed to clarify effective strategies by which nurses and physicians can collaborate in the ethical decision-making process for newborn infants with serious diseases. We conducted a survey among physicians and nurses working for nationwide NICUs. The survey revealed a difference among nurses and physicians in that physicians had a greater awareness of the nurse-physician collaboration. Results suggested that role models are essential in determining effective discussion strategies in ethical decision-making for newborn infants with serious diseases. Accordingly, we examined <strategies to create an environment conducive to free dialogue> and <strategies to facilitate dialogue that respects the family’s intentions> and prepared scenarios to be used in a DVD. This DVD is intended to help nurses and physicians collaborate and engage in dialogue about ethical decision-making regarding life-sustaining medical treatment for newborn infants.

Research Products

• [Journal Article] NICUの倫理的意思決定における効果的な看護師‐医師コラボレーションの要因―Magnet Hospitalに勤務するARNPの語りから― (2015)
  • Author(s): 井上みゆき
  • Journal Title: 日本小児看護学会誌 Volume: 24 Pages: 61-67
  • NAID: 110009934904
  • Peer Reviewed / Acknowledgement Compliant
• [Journal Article] Shwu-Shin Hou：When the Beginning Is the End Ethical Decision Making in NICU, Collaboration Approach in A Magnet Hospital, (2012)
  • Author(s): Shwu-Shin Hou 井上みゆき訳
  • Journal Title: 小児看護 Volume: 35 Pages: 1640-1644
• [Journal Article] Case study (2012)
  • Author(s): Shwu-Shin Hou 井上みゆき訳
  • Journal Title: 小児看護 Volume: 35 Pages: 1650-1654
  • NAID: 40019447690
• [Presentation] 家族と過ごした6日間～小さな命をめぐる選択～ (2015)
  • Author(s): 井上みゆき
  • Organizer: NHK特報首都圏
  • Place of Presentation: NHK (東京都渋谷区）
  • Year and Date: 2015-01-13
  • Invited
• [Presentation] 重篤な新生児の生命維持治療の決定をめぐる話し合いのシミュレーションの効果 (2014)
  • Author(s): 井上みゆき
  • Organizer: 第34回日本看護科学学術集会
  • Place of Presentation: 名古屋国際会議場（愛知県名古屋市）
  • Year and Date: 2014-11-29 – 2014-11-30
• [Presentation] 新生児の生命維持治療をめぐる看護師-医師協働の構成概念-子どもの最善の利益のための話し合い- (2014)
  • Author(s): 井上みゆき
  • Organizer: 第2回日本臨床倫理学会
  • Place of Presentation: すみだ産業会館
• [Presentation] 子どもの終末期をめぐって 看護の立場から (2014)
  • Author(s): 井上みゆき
  • Organizer: 第2回日本臨床倫理学会
  • Place of Presentation: すみだ産業会館
  • Invited
• [Presentation] 新生児の生命維持治療の選択過程における看護師と医師のコラボレーションの認識 (2014)
  • Author(s): 井上みゆき
  • Organizer: 第24回日本小児看護学会学術集会
  • Place of Presentation: タワーホール船堀
• [Presentation] 重篤な新生児の治療をめぐる意思決定過程の看護師と医師のコラボレーションの要因 (2013)
  • Author(s): 井上みゆき
  • Organizer: 第33回日本看護科学学会学術集会
  • Place of Presentation: 大阪国際会議場
• [Presentation] 新生児の倫理的意思決定における効果な看護師-医師のコラボレーションの要因 (2012)
  • Author(s): 井上みゆき
  • 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