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  1.  93
    Defining end-of-life care from perspectives of nursing ethics.Shigeko Izumi, Hiroko Nagae, Chihoko Sakurai & Emiko Imamura - 2012 - Nursing Ethics 19 (5):608-618.
    Despite increasing interests and urgent needs for quality end-of-life care, there is no exact definition of what is the interval referred to as end of life or what end-of-life care is. The purpose of this article is to report our examination of terms related to end-of-life care and define end-of-life care from nursing ethics perspectives. Current terms related to end-of-life care, such as terminal care, hospice care, and palliative care, are based on a medical model and are restrictive in terms (...)
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  2.  86
    Bridging Western Ethics and Japanese Local Ethics by Listening to Nurses' Concerns.Shigeko Izumi - 2006 - Nursing Ethics 13 (3):275-283.
    Among Japanese nurses ethics is perceived as being distant and unrelated to their practice, although this is filled with ethical concerns and the making of ethical decisions. The reasons for this dissociation are the primacy of western values in modern Japanese health care systems and the suppression of Japanese nurses’ indigenous ethical values because of domination by western ethics. A hermeneutic study was conducted to listen to the ethical voices of Japanese nurses. Seven ethical concerns were revealed. Although some of (...)
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  3.  20
    Relief of Suffering and Regard for Personhood: nurses' ethical concerns in Japan and the USA.Dawn Doutrich, Peggy Wros & Shigeko Izumi - 2001 - Nursing Ethics 8 (5):448-458.
    The ethical concerns of Japanese nurses are compared with those of previously described nurses from the USA. Patient comfort was a primary concern of nurses from both countries. Participants described an ethical imperative to provide adequate pain medication for patients and prevent unnecessary and uncomfortable invasive tests and procedures, especially at the end of life as the focus changed from ‘cure’ to ‘care’. The notion of regard for personhood varied, based on the communication styles and definition of the self inherent (...)
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  4.  42
    Ethical practice in end-of-life care in Japan.Shigeko Izumi - 2010 - Nursing Ethics 17 (4):457-468.
    Nurses are obliged to provide quality nursing care that meets the ethical standards of their profession. However, clear descriptions of ethical practice are largely missing in the literature. Qualitative research using a phenomenological approach was conducted to explicate ethical nursing practice in Japanese end-of-life care settings and to discover how ethical practices unfold in clinical situations. Two paradigm cases and contrasting narratives of memorable end-of-life care from 32 Japanese nurses were used to reveal four levels of ethical practice: ethical, distressed, (...)
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