Development of a nursing model to assist Japanese patients and family with health care decision making

开发护理模型以协助日本患者及其家人做出医疗保健决策

• 批准号: 21592732
• 负责人: ITO Misae
• 金额: $ 2.83万
• 依托单位: Kawasaki University of Medical Welfare
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2009
• 资助国家: 日本
• 起止时间: 2009 至 2012
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-21592732/
• 关键词: 意思決定; 患者の自律; 家族; 看護倫理; 自律; 実践モデル; 看護実践モデル

The reigning principle in health care ethics has been emphasized respect for patient autonomy. Nurses experience a family request not to inform a patient of a diagnosis and prognosis. The healthy adults desire the involvement of their family in health care decision making, and that the extents of physician’s opinion for the life style are lower than those for examination and treatment style. The extents of own opinion for the treatment decision and of family’s opinion for the life-prolonging treatment in the terminal stage tend to be taken by the adults. The most common decision-making preference desired by patients and their families are to make their own decisions after consultation with the physician and the family. However, preferences regarding the decision making process for competent patients are diverse among them. Few pairs of the adults/patients and their family members matched on desire for making decision in health care. It is necessary for nurse to assess the competency for decision making and autonomy preference of a patient and substitute judgment by family. Nurses are in the ideal role to facilitate discussions of preferences between patients and their family members.

保健伦理的主导原则是强调尊重病人的自主权。护士遇到一个家庭要求不告知病人的诊断和预后。健康成人希望家人参与医疗保健决策，医生对生活方式的意见程度低于对检查和治疗方式的意见程度。成人对治疗决策的个人意见和家庭对晚期延长生命治疗的意见的程度倾向于采取。患者及其家属最普遍的决策偏好是在与医生和家属协商后自行做出决定。然而，对于有能力的患者的决策过程，他们的偏好是不同的。很少有对成人/患者及其家属在医疗保健决策意愿上匹配。护理人员有必要评估患者的决策能力和自主偏好，替代家属的判断。护士的理想角色是促进患者和家属之间的偏好讨论。

项目成果

Experiences of genetic nursing care among perinatal and pediatric nurse professionals in Japan

日本围产期和儿科护士的遗传护理经验

• 发表时间: 2009
• 作者: Kyoko Murakami;Kumiko Tsujino;Saeko Kutsunugi;Misae Ito;Hidechika Iino;Masato Tsukahara
• 通讯作者: Masato Tsukahara

意思決定能力のある人への医療に関する意思決定支援を再考する

重新思考为决策者提供医疗决策支持

• 发表时间: 2012
• 作者: 伊東美佐江;服鳥景子;村上京子
• 通讯作者: 村上京子

医療にかかわる患者の意思決定支援

支持患者做出与医疗护理相关的决策

• 发表时间: 2012
• 作者: 山田聡子;太田勝正;伊東美佐江
• 通讯作者: 伊東美佐江

The Relationships among Decision-Making Preferences, Demographic Characteristics, and Family Function

决策偏好、人口特征和家庭功能之间的关系

• 发表时间: 2012
• 作者: Misae Ito;Keiko Hattori;Kyoko Murakami;Takahiro Kakeda;Keiko Matsumoto
• 通讯作者: Keiko Matsumoto

Family Role for Decision Making in Health Care Toward a Competent Patient

家庭在医疗保健决策中的角色，以培养有能力的患者

• 发表时间: 2011
• 作者: Misae Ito;Keiko Hattori;Takahiro Kakeda;Kyoko Murakami;Susan Turale
• 通讯作者: Susan Turale