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General Understanding of DNAR Orders in Japan and an Ideal Ethics Education Method Towards Avoiding Confusion

Research Project

Project/Area Number 26463221
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Fundamental nursing
Research InstitutionNigata University of Phermacy and Applied Life Sciences (2015-2017)
Bunri University of Hospitality (2014)

Principal Investigator

MIZUSAWA HISAE  新潟薬科大学, 健康・自立総合研究機構, 研究員 (20433196)

Co-Investigator(Kenkyū-buntansha) 深堀 浩樹  東京医科歯科大学, 保健衛生学研究科, 准教授 (30381916)
中村 裕美  豊橋創造大学, 保健医療学部, 教授 (60381464)
Research Collaborator DEGAI YUKO  宮城大学, 看護学部, 准教授
SATO KANA  宮城大学, 看護学部, 准教授
NAITO MIHO  新潟県立看護大学, 看護学部, 助教
Project Period (FY) 2014-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2016: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2015: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Fiscal Year 2014: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000)
KeywordsDNAR / DNR / 蘇生不要指示 / End of Life / 看護倫理 / 臨床倫理 / 生命倫理 / 量的研究 / 終末期 / 質的研究 / 倫理的課題
Outline of Final Research Achievements

This study aimed to ascertain the current general understanding of do-not-attempt-resuscitation (DNAR) orders in Japan; to clarify ethical issues concerning DNAR orders in the actual medical setting; and to examine an ideal ethics education method towards avoiding confusion as to DNAR orders.
The interviews were conducted with five doctors and ten nurses involved in the treatment/care of end-of-life patients at six hospitals. Furthermore, a survey questionnaire was distributed to doctors and nurses at 7,380 general hospitals throughout Japan. The results of this study revealed that DNAR is misused and its meaning is over-extended. They also illustrated the current state of consensus on DNAR orders among medical staff and their decision making processes as well as emotional changes in nurses after the issuance of DNAR orders and their influence on patient care. Based on these results, the content of ethics education towards avoiding confusion as to DNAR orders was determined.

Report

(5 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report
  • Research Products

    (2 results)

All 2018

All Presentation (2 results) (of which Int'l Joint Research: 2 results)

  • [Presentation] Understanding of the DNAR directives by nurses working in Japanese hospitals2018

    • Author(s)
      Hiromi Nakamura, Hisae Mizusawa-Miyakawa,Yuko Degai, Kana Sato
    • Organizer
      21st East Asian Forum of Nursing Scholars&11th international Nursing conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Do-Not-Attempt-Resuscitation (DNAR) order, impacts of the order on treatment and nursing care, and ethical issues associated with the order2018

    • Author(s)
      Hisae Mizusawa-Miyakawa ,Yuko Degai , Hiromi Nakamura, Kana Sato
    • Organizer
      21st East Asian Forum of Nursing Scholars&11th international Nursing conference
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research

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Published: 2014-04-04   Modified: 2023-09-11  

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