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

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

Creators Tado Asami

Creators Yamamoto Konami

Creators Tatsuno Junko

Creators Suda Kaho

Creators Saeki Kyoko

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