保健医療福祉職の自律と法  [in Japanese] Autonomy of Healthcare Personnel and Related Laws  [in Japanese]

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Abstract

保健医療福祉職の中でも特に看護職に焦点をあて、プロフェッション(専門職)の特徴の一つである「自律」と法との関わりを考える。その際、看護師が「療養上の世話」と「診療の補助」の業務を遂行するプロセスにおいて、「医師の指示」との関連において、いかに自律性を発揮しうるか否かを検討する。とりわけ、診療の補助として「医行為」を行う場面において、今日、法改正が進行中の「特定看護師(仮称)」ないし「特定行為に係る看護師の研修制度」を取り上げ、従来、保健師助産師看護師法上、明確にされてこなかった①「手順書」(プロトコール)という「医師の指示」のあり方と、②「診療の補助」として行いうる医行為の特定及びその範囲の拡大と明確化について、その概要と問題点を明らかにした上で、かかる改正保健師助産師看護師法の下で、なお、看護師の専門性を確立し、その自律性を発揮しうる方途を提示する。

Focusing on nurses among healthcare personnel, this paper will discuss the relationship between "autonomy," which is one of the characteristics of the profession (or professionals), and related laws. Especially whether or not nursing autonomy can be exerted in the course of performing their affairs such as "nursing care" and "auxiliary to medical treatment" will be examined in the context that the "doctor's order" is needed. Amendment Law on Act concerning Public health nurses, Midwives and Nurses (herein after referred as new Nurses Act) is pending in the Diet. This law revision is based upon "Training system of nurses related to specific medical treatment" which was proposed by the Committee on Team Medical Care Promotion. The meaning and significance of "instruction" (i.e. protocol) which is provided in article 37–2 of new Nurses Act and "specific medical treatment" that is found to be carried out as "auxiliary" will be clarified and some problems of new law will be pointed out in the light of the history leading to the "Training system" from "Specified Nurse (tentative name)." After arguing these issues mentioned above, this paper will be concluded by suggesting a path which might lead nurses to the fully professionalized and exert their autonomy under new Nurses Law.

Journal

  • The Japanese Journal of Health and Medical Sociology

    The Japanese Journal of Health and Medical Sociology 25(2), 7-17, 2015

    The Japanese Society of Health and Medical Sociology

Codes

  • NII Article ID (NAID)
    130005254441
  • NII NACSIS-CAT ID (NCID)
    AN10421975
  • Text Lang
    JPN
  • ISSN
    1343-0203
  • NDL Article ID
    026162033
  • NDL Call No.
    Z6-B330
  • Data Source
    NDL  J-STAGE 
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