The results show substantial differences between the intramural sector (hospitals and nursing homes) and the extramural sector (home care), which are probably linked to the organisational structure of the institutions. Consultation between physicians and nurses during the decision-making process needs improvement, particularly in home care. Some nurses had administered euthanatics, although this task is by law exclusively reserved to physicians.

Nurses in clinical practice are often closely involved in the last stage of a person's life. Consequently, they are often confronted with caring for patients requesting euthanasia or physician-assisted suicide. The results provide relevant information and may help nurses in defining their role in euthanasia and physician-assisted suicide, especially in case these practices should become legalised.

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This study examines what patients' admission to and discharge from hospital means for nurses in their relations with patients. The study focuses on the rights of patients and the rights and duties of nurses working in a general hospital and in the community. The 'information standard' is introduced, consisting of three conceptions: informed consent, informed referral and informed discharge. In-depth interviews have been conducted with patients (n = 11) and nurses (n = 22) to elucidate views on and personal experience of the admission and discharge process, in relation to the information standard. The interviews have been analysed by means of qualitative research methods. The results show that patients did not complain about the admission and discharge process, and that they were not informed about the information exchange between nurses working in hospital and in the community. In addition, community nurses were often not informed about a patient's admission to hospital. Nursing programmes for home care were arranged by community nurses and hospital nurses without co-ordination, resulting in unsuitable nursing care.

This article reports the findings of a study into the role of Dutch nurses in the alleviation of pain and symptoms with a life-shortening intention, conducted as part of a study into the role of nurses in medical end-of-life decisions. A questionnaire survey was carried out using a population of 1509 nurses who were employed in hospitals, home care organizations and nursing homes. The response rate was 82.0%; 78.1% (1179) were suitable for analysis. The results show that in about half of the cases (55.8%) nurses were involved in the decision making by the physician and that nurses were frequently (81.5%) involved in administering the medication. The authors' conclusion is that alleviation of pain and symptoms with a life-shortening intention represents a ;grey' area, in which physicians and nurses act on the basis of personal ethical norms rather than legal rules, professional guidelines or shared moral values.

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