2024 Volume 12 Pages 28-40
It is said that different professions, such as physicians, nurses, medical social workers (MSWs), and administrative staff, have different values, but these differences have never been examined in an ethical problem-solving situation. Therefore, we conducted a qualitative comparative analysis of the agreement contents derived from ethical consultation of two simulated cases by job category in five hospitals in prefecture A. As a result, while respecting the patient’s will or presumed will was common to each job category, the following job-specific tendencies were found in common in the two cases : physicians emphasized [application of rules set by the hospital and general rules], nurses emphasized [patient dignity] and [establishment of a medical-patient/family relationship], and MSWs emphasized [patient dignity] and were more interested in [holistic involvement considering the patient’s life]. These differences in values are thought to be due in large part to the differences in their respective occupational duties. How these diverse values of multi-disciplinary should be integrated and consolidated into a consensus in ethics consultation is an issue for future study.