{"created":"2023-07-25T09:04:41.161234+00:00","id":2559,"links":{},"metadata":{"_buckets":{"deposit":"b468ce81-bef7-4cc1-82be-1ec4df47b358"},"_deposit":{"created_by":3,"id":"2559","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2559"},"status":"published"},"_oai":{"id":"oai:toyama.repo.nii.ac.jp:00002559","sets":["439:440:443:444:449"]},"author_link":["156345","156346"],"item_3_alternative_title_19":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"精神看護におけるインフォームド・コンセント : 患者の判断能力の査定に焦点を当てて"}]},"item_3_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2002-04","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"50","bibliographicPageStart":"43","bibliographicVolumeNumber":"4","bibliographic_titles":[{"bibliographic_title":"富山医科薬科大学看護学会誌"}]}]},"item_3_description_15":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_3_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"From the view point of Bioethics, medical and health care staff must properly treat and care for patients with their consent. However, prior to getting the patient's consent, it needs to be established if the patient is competent or not. In the case of psychiatric patients, how does one judge the patient's competency ? In some cases informed consent should be obtained also from the psychiatric patients themselves. In those cases it is essential how to judge the competency level. This is the focus of my research. One recommendation is to use a Sliding-Scale Model by J.F.Drane. Drane set three standards criteria for determining competency. Each level being more stringent than the next. Standard 1 is the least stringent criteria for granting competency. Here, the measure of competency is if the patients are aware and can assent. Standard 2 is more stringent than standard 1. In this case it is a little more difficult to grant competency. In this criteria the measure of competency is if the patients have understanding and the ability to choose. Standard 3 is the most stringent of criteria, making it the most difficult to grant competency. The measure of competency is if the patients have ability of appreciation and rational decision. It seems possible for psychiatric patients to have competency for decision-making, especially in some cases of standard 1 and standard 2. In this article, with specific examples of these criterias, the level of patient's competency for decision-making is considered from the view point of psychiatric nursing..","subitem_description_type":"Abstract"},{"subitem_description":"最近, インフォームド・コンセントが医療の中で大きな関心を集めている.生命倫理の視点からみると, 医療関係者は患者の同意のもとに治療やケアを行わなければならない.しかし, 患者の同意を取るに先立って, 患者の判断能力の査定が必要である.ことに対象が精神科の患者のように判断能力に問題があるとされるケースでは, この査定がとりわけ必要となる.こうした場合, この査定はどのように実施したらいいのだろうか.査定に当たって, J. F. Draneの理論が参考となる.Draneの段階的尺度モデル(Sliding Scale Model)によると, 判断能力には3段階がある.基準1は判断の対象となる内容がもっとも容易な場合で, ここで, 判断能力の査定の尺度は認識力と同意能力の有無である.基準2は判断対象の難易度がもう少し上がる場合で, 査定の尺度は理解力や選択能力の有無である.基準3は難易度がもっとも高い場合で, 査定の尺度は評価能力と理性的な決定能力の有無である.本論文において著者は各々の基準を特に精神科の患者の事例に当てはめながら考察し, 意思決定における患者の判断能力の問題に光りを当てた.精神科の患者であっても, 基準1と2においては判断能力のある場合があるため, インフォームド・コンセントはまず患者本人から取るべきである.","subitem_description_type":"Abstract"}]},"item_3_description_40":{"attribute_name":"資源タイプ(DSpace)","attribute_value_mlt":[{"subitem_description":"Article","subitem_description_type":"Other"}]},"item_3_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"156346","nameIdentifierScheme":"WEKO"}],"names":[{"name":"澤田, 愛子"}]}]},"item_3_identifier_registration":{"attribute_name":"ID登録","attribute_value_mlt":[{"subitem_identifier_reg_text":"10.15099/00002553","subitem_identifier_reg_type":"JaLC"}]},"item_3_publisher_33":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"富山医科薬科大学看護学会"}]},"item_3_source_id_10":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA11340152","subitem_source_identifier_type":"NCID"}]},"item_3_source_id_8":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1344-1434","subitem_source_identifier_type":"ISSN"}]},"item_3_version_type_16":{"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":"Sawada, Aiko"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-02-15"}],"displaytype":"detail","filename":"jns040206.pdf","filesize":[{"value":"743.0 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"jns040206.pdf","url":"https://toyama.repo.nii.ac.jp/record/2559/files/jns040206.pdf"},"version_id":"14e6e35f-4280-4e79-a950-cb1fb3cb0431"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"インフォームド・コンセント","subitem_subject_scheme":"Other"},{"subitem_subject":"精神看護","subitem_subject_scheme":"Other"},{"subitem_subject":"オートノミーの尊重","subitem_subject_scheme":"Other"},{"subitem_subject":"判断能力の査定","subitem_subject_scheme":"Other"},{"subitem_subject":"段階的尺度モデル","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Informed consent in psychiatric nursing : Focusing on the assessment of patient's competency","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Informed consent in psychiatric nursing : Focusing on the assessment of patient's competency"}]},"item_type_id":"3","owner":"3","path":["449"],"pubdate":{"attribute_name":"公開日","attribute_value":"2007-12-21"},"publish_date":"2007-12-21","publish_status":"0","recid":"2559","relation_version_is_last":true,"title":["Informed consent in psychiatric nursing : Focusing on the assessment of patient's competency"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-25T15:55:22.563583+00:00"}