Kadooka Yasuhiro, Asai Atushi, Fukuyama Miki, Bito Seiji
Kumamoto University, Japan.
Nurs Ethics. 2014 Feb;21(1):64-75. doi: 10.1177/0969733013484490. Epub 2013 May 23.
In the issue of futile treatments, patients and healthcare professionals tend to disagree. We conducted an Internet questionnaire survey and explored the Japanese nurses' attitude toward this topic, comparing with that of laypeople. In total, 522 nurses and 1134 laypeople completed the questionnaire. Nurse respondents were significantly less in favor of providing potentially futile treatments in hypothetical vignettes and stressed quality of life of the patient for judging the futility of a certain treatment. Of them, 85.4% reported having experienced providing such treatments. Reasons for providing them included factors related to not only patients but also healthcare teams. Our results indicate that attitudes among Japanese nurses toward the issue of futile treatments are different from patients and that their actual practice is influenced by several situational factors.
在无效治疗的问题上，患者和医疗保健专业人员往往存在分歧。我们进行了一项互联网问卷调查，探讨日本护士对这一话题的态度，并与普通民众的态度进行比较。共有522名护士和1134名普通民众完成了问卷。在假设的情景中，护士受访者明显不太赞成提供潜在的无效治疗，并强调患者的生活质量以判断某种治疗的无效性。其中，85.4%的人报告曾提供过此类治疗。提供这些治疗的原因不仅包括与患者相关的因素，还包括与医疗团队相关的因素。我们的结果表明，日本护士对无效治疗问题的态度与患者不同，他们的实际做法受到多种情境因素的影响。
