Numbering Code	G-MED22 5M040 LJ94	Year/Term	2022 ・ First semester
Number of Credits	1	Course Type	Lecture
Target Year	1st year master's students	Target Student
Language	Japanese	Day/Period	Thu.1・2
Instructor name	TAKENOUCHI SAYAKA (Graduate School of Medicine Associate Professor) TAMURA KEIKO (Graduate School of Medicine Professor) HATTORI TAKAHIRO (Graduate School of Law Professor) KODAMA SATOSHI (Graduate School of Letters Professor) OTAKI CHIFUMI (Graduate School of Medicine Senior Lecturer)
Outline and Purpose of the Course	To cultivate ethical sensitivity, which is the foundation of ethical nursing practice for advanced nurse practitioners, we outline fundamental knowledge and study the ethical issues and dilemmas arising out of healthcare policies, healthcare, nursing practice, nursing education, and research through the analysis of theory and values. We also cultivate the practical ability to define, analyze, and respond to the ethical issues arising out of clinical practice from the perspective of professional nurse practitioners using a structured approach that respects individual values together with the patient and stakeholders, and to discuss best practices and adjust ethics.
Course Goals	Understand: 1. The laws and guidelines that form the foundation of the ethical nursing practice of advanced nurse practitioners and the fundamental knowledge of ethics. 2. The differences in ideas and values of each position in situations where ethical issues arise and analyze the situation as an advanced nurse practitioner. 3. The differences of opinions and ideas that arise in team medical care, the complexity of the problems and conflicts that accompany uncertainty, as well as specific approaches to solving them as an advanced nurse practitioner. 4. The ethical issues involved in clinical practice, and alongside cultivating judgement skills by solving these issues, acquire the knowledge necessary for ethical adjustment as an advanced nurse practitioner. 5. The rights and protections of those collaborating on research with respect to the ethics of nursing research.
Schedule and Contents	Session 1. Orientation and the nursing profession and code of ethical practice (Takenouchi) Orientation, the development of a code of ethical practice for nursing, its functions, common propositions, and the use of the code of ethical practice and ethics mediation as an advanced nurse practitioner Session 2. Conflicts in values and ethical decision-making (Takenouchi) Personal and professional values, conflicts of values, informed consent, and support for decision-making, Advance Care Planning Session 3. Traditional Western ethics and ethical principles (Kodama) Schools of ethics, ethical principles, beyond traditional ethical theories and principles, bioethics Session 4. Clinical ethics and methods of examining case studies (Takenouchi) Quality of life, medical futility, the method of analyzing and considering solutions based on Jonsen et al.'s four quadrants. Session 5. Ethics and law (Hattori) Nursing duties (Article 5 of the Act on Public Health Nurses, Midwives and Nurses, "Assistance in medical treatment and support of medical care"), institutional restrictions on nursing activities, and the role of nurses in team medicine Sessions 6-7. Practice of case-led analysis in nursing situations and ethics mediation as nurse specialists (Tamura). Analysis of ethical issues and the practice of ethics mediation by nurse specialists Session 8. The nursing profession and research ethics (Takenouchi) Ethical issues in medical research for humans and ethical nursing research
Evaluation Methods and Policy	[Assessment method] Comprehensive assessment based on active participation in lectures (40%) and reports (60%). [Assessment policy] Attainment goals will be assessed in accordance with the grading assessment guidelines described in the academic guidelines for the human health sciences major.
Course Requirements	None
Study outside of Class (preparation and review)	Check the assignments given by each lecturer in advance, engage in self-study by relying on your existing knowledge of the topic in each teaching unit, and participate actively and independently in lectures.
Textbooks	Textbooks/References	Additional materials and literature will be specified by individual lecturers.
References, etc.	Sara T Fry, Megan-Jane Johnstone, translated by Noriko Katada and Aiko Yamamoto "看護実践の倫理【第3版】倫理的意思決定のためのガイド" (Japanese Nursing Association Publishing Company, 2010); Albert Jonsen, Mark Siegler "Clinical Ethics, 8th Edition: A Practical Approach to Ethical Decisions in Clinical Medicine" (McGraw-Hill Education) ISBN: 0071845062 2015; Albert Jonsen, Mark Siegler, translated by Akira Akabayashi, Nobuo Kurata and Satoshi Kodama, "臨床倫理学―臨床医学における倫理的決定のための実践的なアプローチ" (Shinkoh Igaku Publishing), ISBN: 4880024856, translation of the 5th edition of the English-language version by Akira Akabayashi, "入門・医療倫理I 改訂版" (Keiso Shobo Publishing, 2017).