{"created":"2023-06-20T15:56:40.853637+00:00","id":13644,"links":{},"metadata":{"_buckets":{"deposit":"c4b0656b-2289-476f-9e57-8b62870ff39e"},"_deposit":{"created_by":28,"id":"13644","owners":[28],"pid":{"revision_id":0,"type":"depid","value":"13644"},"status":"published"},"_oai":{"id":"oai:redcross.repo.nii.ac.jp:00013644","sets":["172:173:500"]},"author_link":["1788","7984","15029","27876"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-04-25","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"47","bibliographicPageStart":"43","bibliographicVolumeNumber":"35","bibliographic_titles":[{"bibliographic_title":"日本赤十字社和歌山医療センター医学雑誌"},{"bibliographic_title":"Medical Journal of Japanese Red Cross Wakayama Medical Center","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"今回、当センターにおけるDo Not Attempt Resusciaitation;DNAR（以下DNARとする）オーダーの現状の4つの問題点として、①代理人の意思決定であることが多い、②DNARの拡大解釈がされている、③主治医だけにDNARの決定がゆだねられている、④信頼関係が構築されていない中でDNARオーダーを家族に相談している、という実態が提示された。その解決の一助としてDNARコンセンサスミーティングを実施した。その結果、多職種が倫理的ジレンマを持っていることが明確になった。このことからDNARについて医療従事者が理解し、コンセンサスを持つよう働きかけることが患者の尊厳を守るためにも重要と考えられた。今後、臨床倫理を考える場をつくり「臨床倫理カンファレンス」を多職種で行い、医療従事者の倫理観を醸成していくことが大きな課題と思われる。","subitem_description_type":"Abstract"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"Shibata, Rika"}]},{"nameIdentifiers":[{}],"names":[{"name":"Tsutsui, Kazushige"}]}]},"item_10001_heading_23":{"attribute_name":"見出し","attribute_value_mlt":[{"subitem_heading_banner_headline":"原著","subitem_heading_language":"ja"}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本赤十字社和歌山医療センター"}]},"item_10001_relation_16":{"attribute_name":"情報源","attribute_value_mlt":[{"subitem_relation_name":[{"subitem_relation_name_text":"日本赤十字社和歌山医療センター"}]}]},"item_10001_rights_15":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本赤十字社和歌山医療センター"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN1051395X","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1341-9927","subitem_source_identifier_type":"ISSN"}]},"item_10001_version_type_20":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"芝田, 里花"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"筒井, 一成"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-06-20"}],"displaytype":"simple","filename":"08.芝田里花.pdf","filesize":[{"value":"500.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"wakayama35_08","url":"https://redcross.repo.nii.ac.jp/record/13644/files/08.芝田里花.pdf"},"version_id":"e23f8939-f970-4cae-9a10-8da1fa045d01"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"DNAR","subitem_subject_scheme":"Other"},{"subitem_subject":"コンセンサスミーティング","subitem_subject_scheme":"Other"},{"subitem_subject":"倫理的ジレンマ","subitem_subject_scheme":"Other"},{"subitem_subject":"DNAR","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"consensus meeting","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"ethical dilemma","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"DNARコンセンサスミーティングの現状報告","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"DNARコンセンサスミーティングの現状報告"},{"subitem_title":"Current report on the situation of DNAR consensus meetings","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"28","path":["500"],"pubdate":{"attribute_name":"公開日","attribute_value":"2018-06-20"},"publish_date":"2018-06-20","publish_status":"0","recid":"13644","relation_version_is_last":true,"title":["DNARコンセンサスミーティングの現状報告"],"weko_creator_id":"28","weko_shared_id":-1},"updated":"2023-06-20T18:55:33.861939+00:00"}