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We asked Ms. Kyoko Saeki about the relationship between doctors and nurses in hospita. She goes to Human science faculty, Waseda University and knows how the bioethics should be practically, because she used to be one of those former nurses who comes to the University.
In the hospital I work for, there were only resistered nurses. That is, there were no practical nurses. In addition, fresh doctors were enrolled every ear, about 20 in number. To those fresh, of course, it is high doctors that taught medical matters. but some systems of the work, for example, how to cut the prescription and currents of their works were taught by the nurses to the fresh doctors. Considering these facts, experiensed nurses could advice to the fresh doctors to a certain degree. So if a nurse has worked for the hospital far longer time than a doctor, the nurse can advice the doctor.
But it may be difficult for the advice to the fresh doctor to be recieved when it comes to the precept of the medical treatment the doctor do operate on a patient because of the higher doctors taking charge of the patient, even if the nurse disagree with the doctor.
I suppose that the case where the
patient, doctor, and nurse can talk until all of them are satisfied. Certainly
in some hospitals there may be some talks among medical people, but the number
of the hospitals where all of the party can talk has not increased enough, I
feel.
It's natural that we --the medical concerned-- put the matters of patients before
everythin else. We must think of what is tought to be the happiest by the patients.
In Japan, thre is still an image to the doctor "Dr. esqure" and so a patient
sem to have, for example, in casual question of the doctor or asking a favor
of him or her. In this present machinery, what the nurses do for the patients
is...mediators? In other word, difficulties the nurses hear the patients' opinion
instead of the doctors or give a chances to talk to the doctors and the patients,
because I think it is a nurse that is exposed to both doctors and patients.
Therefore, some patients ask nurses to settle the chance of talk between the
patients and the doctors. If the subject of the talk is grave such as notification
of cancer or of a serious operation, the doctors consult with nurses that seem
to know well about the families of the patients or the matter of the characters.
But the doctor who does as this probably listens to the nurse. Namely, though
it is ordinary in an easy word, "Some doctors are good and others are not" is
my conclusion. I heard that the main theme of this talk is the relationship
between doctors and nurses, and so I talked with my somethime co-worker. As
I had anticipated, we came to the conclusion that what canbe commonly said si
what is important for the patiets is important for us. "To recognize precisely,
nurses as well as doctors should have high level expertise about medicalscience
and take care of the patients", someone said.
But I don't think so. Even if it is achieved, it only generate "Mini Dr.", I
feel. So I think Doctors and nurses need to share the parts. The former opinion
might be suggested by a person who think that we can not talk with doctors without
such expertise as doctors have. Since we all think highly of the matters of
patient, we might as well gather, present our own expertise, share it, and produce
the best precept.
Rihito Kimura laboratory, Human health department, human science faculty,
Waseda University
3rd grade, Kyoko Saeki
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