'I Am Okay With It, But I Am Not Going to Do It': The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying
| Autor: | Donna Goodridge, Janine Brown, Lilian Thorpe, Alexander M. Crizzle |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Canada
Social contact physicians Nurse practitioners Context (language use) nurse practitioners Suicide Assisted Non participation Nursing Health care Humans Research Articles Terminal Care Medical Assistance conscience objection business.industry Public Health Environmental and Occupational Health non-participation nonparticipation decision-making qualitative interpretive description Canada Saskatchewan Work (electrical) Current practice qualitative medical assistance in dying Psychology business interpretive description |
| Zdroj: | Qualitative Health Research |
| ISSN: | 1552-7557 1049-7323 |
| DOI: | 10.1177/10497323211027130 |
| Popis: | © The Author(s) 2021. Published by SAGE. This article is distributed under the terms and conditions of the Creative Commons Attribution (CC BY 4.0) license (https:// creativecommons.org/licenses/by/ 4.0/). Access to medical assistance in dying (MAID) is influenced by legislation, health care providers (HCPs), the number of patient requests, and the patients’ locations. This research explored the factors that influenced HCPs’ nonparticipation in formal MAID processes and their needs to support this emerging practice area. Using an interpretive description methodology, we interviewed 17 physicians and 18 nurse practitioners who identified as non-participators in formal MAID processes. Nonparticipation was influenced by their (a) previous personal and professional experiences, (b) comfort with death, (c) conceptualization of duty, (d) preferred end-of-life care approaches, (e) faith or spirituality beliefs, (f) self-accountability, (g) consideration of emotional labor, and (h) future emotional impact. They identified a need for clear care pathways and safe passage. Two separate yet overlapping concepts were identified, conscientious objection to and nonparticipation in MAID, and we discussed options to support the social contract of care between HCPs and patients. Faculty yes |
| Databáze: | OpenAIRE |
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