The right‐to‐die and the duty‐to‐die: perceptions of nurses in the West and in Japan

Konishi, Emiko; Davis, Anne J.

doi:10.1046/j.1466-7657.2001.00049.x

Cited by 11 publications

(11 citation statements)

References 6 publications

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“…[15][16][17][18] With these socially contingent ethics problems in mind, they perceive a rights based ethics as a means to solving these problems. If others, such as families and physicians, view these two approaches as mutually exclusive, then these nurses go against the cultural and morally defined norms.…”

Section: Discussionmentioning

confidence: 99%

A Pilot Study of Selected Japanese Nurses’ Ideas on Patient Advocacy

2003

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This pilot study had two purposes: (1) to review recent Japanese nursing literature nursing advocacy; and (2) to obtain data from nurses on advocacy. For the second purpose, 24 nurses at a nursing college in Japan responded to a questionnaire. The concept of advocacy, taken from the West, has become an ethical ideal for Japanese nurses but one that they do not always understand, or, if they do, they find it difficult to fulfil. They cite nursing leadership support as necessary to enacting this role. Discussion on meaning of and the rationale for advocacy in a society where goodness or badness is relative to social situations and its impact may reveal two parallel but overlapping views of morality. Such a situation would not only influence notions of advocacy but also possibly render them more complex.

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Section: Discussionmentioning

confidence: 99%

A Pilot Study of Selected Japanese Nurses’ Ideas on Patient Advocacy

2003

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“…The preferences of patients and families are the first priorities when creating care plans (JHPCF 2006b). The patient and family are regarded as one unit, because the family influence on decision-making is substantial (Davis and Konishi 2000;Konishi and Davis 2001). Both medical and social interventions are provided along with pain management in PCUs (Nishida 2004).…”

Section: Administration Of Hospice Servicesmentioning

confidence: 99%

A Cross-Cultural Comparison of Hospice Development in Japan, South Korea, and Taiwan

Glass

Chen

Hwang

et al. 2010

J Cross Cult Gerontol

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By 2050, one out of four people in Eastern Asia will be aged 65 and above. Thus, preparing to care for an older population is imperative. Addressing quality care for elders includes consideration of palliative and end-of-life care. A comparative study of the development of hospice and palliative care services in Japan, South Korea, and Taiwan, is presented, based on an extensive literature review. Both commonalities and differences were found. This article provides information on the origins and administration of hospice services in these three cases, as well as the degree of government involvement. Cultural and religious aspects are also considered, and obstacles to the spread of hospice services are discussed. This review compares experiences with hospice services and identifies factors that influence people's perceptions and adoption of hospice. Stronger financial support for hospice and palliative care through the government and insurance programs would help increase the availability and use of services. Also, the need for continuing education of healthcare providers, patients, families, and the community is urgent. However, promotion of understanding of better pain management and the worth of hospice and palliative care must be conducted in ways that are sensitive to the cultural values and traditions in Japan, South Korea, and Taiwan. Only when hospice and palliative care can be viewed as an admirable choice for one's loved ones, overcoming issues of truth telling, filial piety, worries about how one is judged, and religious considerations, will it become more widely accepted.

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“…Thus, family members not only influence their vulnerable relatives' decision making but also sometimes make health care decisions in their place (Asahara & Momose, 2003). In fact, Japanese nurses sometimes view the patient's family as a critical partner in decision making (Konishi & Davis, 2001). Thus, since Japanese PHNs value decisions of the family as well as the client, it seems that PHNs who care for clients in their home would face ethical issues concerning the discrepancy of intentions between these two parties.…”

Section: Discussionmentioning

confidence: 99%