Qualitative Research on Clinical Ethics Consultation in Japan : The Voices of Medical Practitioners

DOI 被引用文献3件 参考文献18件 オープンアクセス
  • Asai Atsushi
    Department of Bioethics, Kumamoto University Graduate School of Medical Science
  • Itai Koichiro
    Department of Social Medicine, Division of Biomedical Ethics, Faculty of Medicine, University of Miyazaki
  • Shioya Keiichi
    Department of Neurology, Miyazaki Higashi Hospital, National Hospital Organization
  • Saita Kazuko
    Department of Neurology, Miyazaki Higashi Hospital, National Hospital Organization
  • Kayama Mami
    Department of Psychiatric & Mental Health Nursing, St. Luke's College of Nursing
  • Izumi Shinichi
    Department of Physical Medicine and Rehabilitation, Tohoku University Graduate School of Medicine

この論文をさがす

説明

BACKGROUND : In Japan, clinical ethics support services are only available at certain institutions. The actual conditions surrounding ethics consultation are unclear with few resources available for determining its efficacy. The object of this study is to clarify the expected outcome of ethics consultation and identify the appropriate mode. We also aim to elucidate the ideal consultant and the obstacles to achieving full utilization of ethics consultation.<br>METHODS : Eighteen medical practitioners participated in the study. We held semi-structured interviews and analyzed these interviews by qualitative content-analysis technique.<br>RESULTS : This study suggests that specific advice, new insights from outside parties, emotional support, and an appropriate process based on a division of labor between medicine and ethics all contribute to a team-based practice of medicine that avoids the arbitrariness and dogmatism of single practitioners. It is also indicated that timeliness and swift answers are required. Knowledge of medicine and ethics, communication skills, a close familiarity with actual conditions in medical practice, and empathy toward the medical staff were found to be as important as the qualifications of consultants. Contrarily, the participants suggested that the busy pace, lack of psychological breathing room, medical practitioners' pride, lack of awareness of ethical issues, and the negative image of the word “ethics” were significant impediments to achieving full utilization of ethics consultation.<br>CONCLUSIONS : The present study is the first of its kind to reveal the views of medical professionals regarding clinical ethics consultation in Japan. Further research is required to identify the features of a consultation system that can be easily accessed and effectively utilized in Japan.

収録刊行物

被引用文献 (3)*注記

もっと見る

参考文献 (18)*注記

もっと見る

関連プロジェクト

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ