Verification of the Informed Consent Dialogue Process from the Viewpoint of Restorative Justice

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K01417
• Research Category: Grant-in-Aid for Scientific Research (C)
• Allocation Type: Multi-year Fund
• Section: 一般
• Review Section: Basic Section 05070:New fields of law-related
• Research Institution: Yamagata University
• Principal Investigator: Nakanishi Toshimi 山形大学, 医学部, 准教授 (20420424)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: インフォームド・コンセント（IC） / 修復的正義 / 協働意思決定 / 医療メディエーション

Outline of Final Research Achievements

From analytical research based on a survey of informed consent (hereinafter referred to as IC) in adverse events from routine medical care, It found that ethics and collaborative dialogue processes are important for IC, and I constructed ethical mediation dialogue as a dialogue process that aims to build restorative relationships. I studied dialogues with bullying issues and with people with serious illnesses, and for collaborative decision-making, I used medical mediation dialogues to support patients and families with several serious neurological incurable illnesses. Results were published in national and international conferences, articles and books.
I were able to build and validate a program of collaborative dialogue for ethical medical mediation that is restorative and respectful of autonomy in response to conflicts that arise during explanatory understanding, rather than simply sharing information and consulting for mutual understanding.

Free Research Field

法社会学・新領域法学関連

Academic Significance and Societal Importance of the Research Achievements

諸外国での修復的正義の文献検討から当事者支援のICの本研究結果により、ICには、事前ケア計画の臨床倫理面を含むことが重要である。特に、患者の意向（自立性尊重）を重視した、協働意思決定の対話過程の展開が重要であると明確になった。
単なる情報共有や相互理解の相談から、説明理解の際に発生したコンフリクトへ対する修復的で自律尊重のある倫理的な医療メディエーションの協働対話プログラムへの構築と検証ができた。これらは、共創として、社会的意義があると考えており、完成させる予定である。今後も、当事者支援、特に、傷ついた方々や高齢者など脆弱な人々への自律尊重の視点から臨床倫理メディエーションを展開する予定である。