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Development of analysis and coordination tools of clinical ethics in critical care medicine

Yamaguchi medical journal Volume 71 Issue 1 Page 15-23
published_at 2022-02-22
B030071000102
[fulltext] 933 KB
Title
クリティカルケアにおける臨床倫理分析・調整ツールACTce-CCMの開発
Development of analysis and coordination tools of clinical ethics in critical care medicine
Abstract
We have developed ACTce‑CCM̶ Analysis and Coordination Tools of Clinical Ethics in Critical Care Medicine. The preparation process was carried out in four stages:construct setting and prototype creation, application of prototype version to fictitious cases, clarification of the construct based on focus group interviews, and a fact-finding survey on ethical issues and ethical adjustment. The completed version of ACTce-CCM consists of information organization and assessment frameworks, problem analysis and integration, problem lists, goals, care practices, and ethical adjustment. There are six frameworks for information organization and assessment:pathology and treatment, QOL and QOD, patient intention, family psychosocial situation, medical team situation, and the surrounding situation. The problem lists include those related to the patient, the family, and the medical staff. Goals include those of the medical team and the expected outcomes for the patient/family. Care practices and ethical adjustment consist of three aspects: direct patient care, direct family care, and medical team adjustment.
Creators Yamase Hiroaki
[e_rad]90279357 1000090279357
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
Creators Tado Asami
[e_rad]30452642 1000030452642
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
Creators Yamamoto Konami
[e_rad]60574340 1000060574340
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
Creators Tatsuno Junko
Creators Suda Kaho
[e_rad]60883593 1000060883593
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
Creators Saeki Kyoko
[e_rad]60759687 1000060759687
Affiliate Master Yamaguchi University
[kakenhi]15501 grid.268397.1
Source Identifiers [PISSN] 0513-1731 [NCID] AN00243156
Creator Keywords
臨床倫理 クリティカルケア 問題志向型システム ツール
Subjects
医学 ( Other)
Languages jpn
Resource Type journal article
Publishers Yamaguchi University medical association
Date Issued 2022-02-22
File Version Version of Record
Access Rights open access
Funding Refs
Japan Society for the Promotion of Science [crossref_funder]https://doi.org/10.13039/501100001691
Award クリティカルケアにおける臨床倫理分析・調整システムツールの開発 17K12212
Schools 大学院医学系研究科 医学部附属病院