The current state of placebo use in a certain mid-size hospital and consciousness of the nurses

  • TANAKA Miho
    東邦大学医学部看護学科
  • KOMATSU Akira
    東京女子医科大学医学部第一生理:(現)帝京大学医療技術学部柔道整復学科

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Other Title
  • ある中規模総合病院におけるプラシーボ使用の現状と看護師の意識

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Abstract

To clarify the present situation of placebo treatment provided by clinical nurses and their consciousness related to it, we surveyed 142 nurses working at a mid-size hospital in Tokyo by self-written unsigned answer sheets. From the results of this study, 46.9% of the nurses answered that they have executed the placebo treatment in a present hospital. Also, informed consent (IC) was performed only in 20 cases (23%) before using. These results suggest the necessity of social consensus regarding placebo treatment. Most nurses practicing the placebo treatment believe it is effective and evaluate it positively. On the other hand, they are afraid that it could damage the relationship of mutual trust between a patient and the medical staff and that the mistrust of the medical service would increase after the patient as informed of the fact. These results suggest that the nurses recognize the placebo treatment only from the viewpoint of medical staff, and that they lack a consciousness of ethical issues such as the patient's autonomy, IC and so on, even though they have the problem consciousness.

Journal

  • Bioethics

    Bioethics 18 (1), 149-157, 2008

    Japan Association for Bioethics

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