|Budget Amount *help
¥1,800,000 (Direct Cost : ¥1,800,000)
Fiscal Year 1998 : ¥600,000 (Direct Cost : ¥600,000)
Fiscal Year 1997 : ¥1,200,000 (Direct Cost : ¥1,200,000)
This study was undertaken Critical care nurses, ethical decision-making and coping to restraint of patients. The purpose of this study analyzes a process of ethical judgment and action of a nurse, and will decision-making ability about nursing ethics improve, and investigate a subject of practice for the restraint abolition. I enforced interview investigation to Critical nurse. As for investigation contents, 1.restraint is executed by any kind of situation with 1CU. When a nurse of ICU uses restraint, what do you judge in grounds ?
The analysis referred to ethical judgment model of Thmpson.
As a result a nurse did tending, judgment different personally to select to give priority to medical care purpose over while submitting dignity and autonomy of a patient to spirit, but the tendencies that convinced when a situation it was means as an occupation person in this way or to judge was not bolied, and selected an action became clear, it was suggested that spell as an occupation person acted on a clinical nurse powerfully. The purpose that a nurse restrained was in order tube and drain prevented from falling out, and to protect danger and security of life of a patient, and a sense of responsibility as an occupation person of a nurse not to wake up medical care accident acted powerfully. As for the object of restraint, so-called patient who did it whom 1 nursed delusions, and came was often found, and the prevention of delusion and management were close to the abolition of restraint, and it became clear to be related, 1 guess a focus right in intervention and risk management to prevent a delusion beforehand in future and will be to proceed a study.