Qualitative Research on Clinical Ethics Consultation in Japan : The Voices of Medical Practitioners
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概要
- 論文の詳細を見る
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.METHODS : Eighteen medical practitioners participated in the study. We held semi-structured interviews and analyzed these interviews by qualitative content-analysis technique.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.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.
- 日本総合診療医学会の論文
- 2008-10-01
著者
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Asai Atsushi
Department Of Biomedical Ethics Kyoto University School Of Public Health
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Izumi Shinichi
Department Of Pathology School Of Medicine Tokai University
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Izumi Shinichi
Department Of Physical Medicine And Rehabilitation Tohoku University Graduate School Of Medicine
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Itai Koichiro
Department Of Social Medicine Division Of Biomedical Ethics Faculty Of Medicine University Of Miyaza
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SHIOYA Keiichi
Department of Neurology, Miyazaki Higashi Hospital, National Hospital Organization
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SAITA Kazuko
Department of Neurology, Miyazaki Higashi Hospital, National Hospital Organization
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KAYAMA Mami
Department of Psychiatric & Mental Health Nursing, St. Luke's College of Nursing
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Kayama Mami
Department Of Psychiatric & Mental Health Nursing St. Luke's College Of Nursing
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Saita Kazuko
Department Of Neurology Miyazaki Higashi Hospital National Hospital Organization
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Shioya Keiichi
Department Of Neurology Miyazaki Higashi Hospital National Hospital Organization
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Asai Atsushi
Department Of Bioethics Kumamoto University Graduate School Of Medical Science
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- Qualitative Research on Clinical Ethics Consultation in Japan : The Voices of Medical Practitioners