看護行為における倫理的意思決定とは何か : 一事例を通して考える

概要

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Many people now pay attention to the concepts of IC and autonomy of patients in health care. Nurses also begin to notice that it is necessary to change the traditional way of decision making in nursing care. Especially many American nurses believe that ethical decision making for nursing care must be led by patients' autonomy, because patient autonomy is the most important principle in bioethics. It is also related to human dignity. The concrete way of ethical decision making in nursing care is presented by the book; <Bioethical Decision Making for Nurses> by Thompson, J. E. and H. O.. They present the 10 steps to bioethical decisions. Step One : Review the situation Step Two : Gather additional information Step Three : Identify the ethical issues Step Four : Identify personal and professional values Step Five : Identify the values of key individuals Step Six : Identify the value conflicts, if any Step Seven : Determine who should decide Step Eight : Identify the range of actions and anticipated outcomes Step Nine : Decide on a course of action and carry it out Step Ten : Evaluate the results In this paper I explain this model theory concretely through some Japanese clinical cases. I believe that we can make an ideal method of carrying out bioethical nursing care by reviewing today's problem of decision-making in nursing care.
日本医学哲学・倫理学会の論文
1993-10-01