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1996 Fiscal Year Final Research Report Summary

The Development of Evaluation Method for Bioethics Education in Japan.

Research Project

Project/Area Number 07672437
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Medical sociology
Research InstitutionUniversity of Tokyo

Principal Investigator

AKABAYASHI Akira  The University of Tokyo, Graduate School of Medicine, Assistant Prof., 大学院・医学系研究科, 助手 (70221710)

Co-Investigator(Kenkyū-buntansha) KAI Ichiro  The University of Tokyo, Graduate School of Medicine, Prof., 大学院・医学系研究科, 教授 (30126023)
OHI Gen  The University of Tokyo, Graduate School of Medicine, Prof.Emeritus, 大学院・医学系研究科, 名誉教授 (70114410)
YAMAGISHI Junko  Juntendo Medical College of Nursing, Associate Prof., 助教授 (40220248)
Project Period (FY) 1995 – 1996
Keywordsbioethics / medical ethics / questionnaire / evaluation / test battery / education / reliability / validity
Research Abstract

The Development of An Evaluation Method for Bioethics Education in Japan
As biothics education has gradually evolved at universities as well as medical schools in Japan, there is a great need for a reliable program evaluation strategy. However, objective and quantitative evaluation instruments have not been developed. The purposes of this research are 1) to develop a new test battery to evaluate bioethics education ; 2) to investigate chronological changes of ethical problem identification ability and moral reasoning in medical and nursing students and graduates.
According to J.Rest, the process of ethical problem solving can be divided into 4 steps : problem identification ; reasoning ; judgment ; and action. In this research, the first two steps were focused on. As to the problem identification, a new questionnaire has been developed (Problem Identification Test). referring to the preceding study by Herbert et al. The questionnaire submits three vignettes to examinees and asks them to … More list all the ethical issues related to each case. Each vignette was scored as to the number of issues identified and this number is regarded as the problem identification ability. The reliability and validity of this questionnaire were assessed. As for moral reasoning, two vignettes from the Japanese version of Rest's Defining lssues Test (DIT) was used.
This test battery was administered to students and graduates of one medical school (1st to 6th year students and residents ; N=831) and one nursing school (1st to 3rd year students and graduates ; N=320). Problem identification ability in the nurse samples increased according to the grade, while the medical samples showed highest identification ability at the 3rd and 4th year. In DIT,no significant changes were observed in the moral developmental stages, while the decision on whether or not to give euthanasia drug to a terminal cancer patient dramatically decreased when the grade increased.
Finally, as an intervention study, pre and post sampling for the students who took a 2 month bioethics course was performed. Problem identification ability was significantly higher in the post samples, while no change was observed in their moral reasoning. Less

  • Research Products

    (23 results)

All Other

All Publications (23 results)

  • [Publications] Akabayashi A.: "Japan's parliament passes:brain-death low" The Lancet. 349. 1895-1895 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Akabayashi A.: "Questions raised over release of side-effects data in Japan" The Laucet. 350. 124-124 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Akabayashi A.: "Finally done Japan's final decision on organ transplatation" The Hastings Center Report. Sep-Oct. 47-47 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 赤林 朗 ら: "アドバンスディレクティブに関する医師の意識調査" 日本医事新報. 3842. 24-29 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 赤林 朗 ら: "アドバンスディレクティブの日本社会における適用可能性" 生命倫理. 7(1). 31-40 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Akabayashi A.: "The concept of happiness in oriental thought and its significauce in clincal newcine" Japanese & Western Bioethics (Klawer Academic) Philosoply & Medicine Series 54. 161-164 (1997)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] Voltz, R., Akabayashi, A., Reese, C., et al.: "End-of life decisions and advance directives in palliative care : A crosscultural survey of patients and health care professionals." Journal of Pain and Symptom Management. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A.: "Female circumcision-A health issue or ahuman rights issue." Health Care Analysis. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Ohi, G., .Akabayashi, A., Miyasaka, M.: "Japan's health care system as egalitarian : A brief analysis of its history and selected social systems." Health Care Analysis. (in press).

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Nishimura-Takahashi, T., Akabayashi, A., Kai, I., Cabigon, J., Ohi, G., Naka, K: "Social and Behavioral Factors Associated with condom use among female commercial sex workers (CSWs) in Tarlac, the Philippines." Environmental Health and Preventive Medicine. 2. 167-171 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A.: "Finally done-Japan's final decision on organ transplantation." The Hastings Center Report Sep-Oct. 1997. 47 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A.: "Questions raised over release of sideeffects data in Japan." The Lancet. 350 : 9071. 124 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A.: "Japan's parliament passes brain-death law." The Lancet. 349 : 9069. 1895 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A.: "The concept of happiness in oriental thought and its significance in clinical medicine." Japanese and Western Bioethics, Hoshino, K.ed., Philosophy & Medicine Series 54, Kluwer Academic Publishers. 161-164 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Ohi, G., Uemura, Akabayashi, A.et al.: "Preventive behaviors against HIV transmission adopted by Japanese commercial sex workers." Environmental Health and Preventive Medicine. 3. 132-134 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Voltz, R., Akabayashi, A., Reese, C., et al.: "Organization and patients' perception of palliative care : A crosscultural comparison." Palliative Medicine. 11. 351-357 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A., Kai, I., Itoh, K., Tsukui, K.: "Acceptability of advance directive in Japanese Society : A questionnaire study for healthy people in the physical check-up settings.(in Japanese)" J Japan Association for Bioethics. 7(1). 31-40 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Fukatsu, N., Akabayashi, A., Kai.I.: "The current status of ethics committees and decision making procedures in general hospitals in Japan.(in Japanese)" J Japan Association for Bioethics. 7(1). 130-136 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Sass, H., Bonkovsky, F., Akabayashi, A.et al.: "Advance Health Care Documents in Multicultural Perspective." Ann.Rev.of Law and Ethics Band. 4. 465-508 (1996)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A.: "Open letter to those diet members responsible for legislating Japanese organ transplantation." Health Care Analysis. 3. 358-360 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A.: "Financing health care-A Japanese perspective." Health Care Analysis. 3. 123-125 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Akabayashi, A.: "Ohi, G.An introductory report on the Clinical Ethics movement in the US.(in Japanese)" J.Japan Association for Bioethics. 5 : (1). 55-59 (1995)

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] Nishimura, T., Miyasaka, M., Akabayashi, A., et al.: "The development of evaluation method for bioethics education in Japan.(in Japanese)" J.Japan Association for Bioethics. 5 : (1). 73-77 (1995)

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 1999-03-16  

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