Communication in nursing care for patients requesting euthanasia: a qualitative study

Denier, Yvonne; Gastmans, Chris; Bal, Nele De; Casterlé, Bernadette Dierckx de

doi:10.1111/j.1365-2702.2010.03367.x

Cited by 32 publications

(70 citation statements)

References 39 publications

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“…Evidence derived from nurses in Belgium has attested to the complexity of these conversations. (7,8) Countries considering the legalization of assisted death should carefully consider the impact of teamwork on best practices, including those having to do with communicating with patients and families.…”

Section: Discussionmentioning

confidence: 99%

“…In Canada, registered nurses who do not hold a nurse practitioner credential also play important roles in MAiD. The important role of the registered nurse is also evident in studies from other countries where assisted death is legal [6][7][8][9][10][11]. For example, our synthesis of qualitative studies from Belgium, the Netherlands, and Canada of registered nurses' experiences with assisted death suggested that nurses perform a central role in negotiating initial inquiries about assisted death, that nurses provide important 'wrap-around' care for patients and family, and that participating in an assisted death was impactful for nurses and required significant moral work [12].…”

Section: The Nursing Role In Maidmentioning

confidence: 99%

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The rocks and hard places of MAiD: a qualitative study of nursing practice in the context of legislated assisted death

et al. 2020

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Background: Medical Assistance in Dying (MAiD) was legalized in Canada in June, 2016. The Canadian government's decision to legislate assisted dying, an approach that requires a high degree of obligation, precision, and delegation, has resulted in unique challenges for health care and for nursing practice. The purpose of this study was to better understand the implications of a legislated approach to assisted death for nurses' experiences and nursing practice. Methods: The study used a qualitative approach guided by Interpretive Description. Semi-structured interviews were conducted with 59 registered nurses and nurse practitioners. Interviews were audio-recorded, transcribed, and managed using qualitative analysis software. Analysis followed a procedure of data immersion, open coding, constant comparative analysis, and the construction of a thematic and interpretive account. Results: Nurses in this study described great variability in how MAiD had been enacted in their work context and the practice supports available to guide their practice. The development of systems to support MAiD, or lack thereof, was largely driven by persons in influential leadership positions. Workplaces that supported a range of nurses' moral responses to MAiD were most effective in supporting nurses' well-being during this impactful change in practice. Participants cited the importance of teamwork in providing high quality MAiD-related care; although, many worked without the benefit of a team. Nursing work related to MAiD was highly complex, largely because of the need for patient-centered care in systems that were not always organized to support such care. In the absence of adequate practice supports, some nurses were choosing to limit their involvement in MAiD. Conclusions: Data obtained in this study suggested that some workplace contexts still lack the necessary supports for nurses to confidently meet the precision required of a legislated approach to MAiD. Without accessible palliative care, sufficient providers, a supportive team, practice supports, and a context that allowed nurses to have a range of responses to MAiD, nurses felt they were legally and morally at risk. Nurses seeking to provide the compassionate care consistent with such a momentous moment in patients' lives, without suitable supports, find themselves caught between the proverbial rock and hard place.

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Section: Discussionmentioning

confidence: 99%

Section: The Nursing Role In Maidmentioning

confidence: 99%

The rocks and hard places of MAiD: a qualitative study of nursing practice in the context of legislated assisted death

et al. 2020

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“…The prevalence of this miscommunications left many physicians hesitant in their decisions to provide assistance in dying (Borgsteede et al, 2007;Snijdewind et al, 2014). Nurses also described the significance of communication in their role in the assisted dying process: explaining the importance of their role in the patient's becoming certain about the decision, advocating for the patient, and helping the patient come to terms with the decision (Denier et al, 2009(Denier et al, , 2010bDierckx de Casterlé, Verpoort, De Bal, & Gastmans, 2006;Schwarz, 2003). The nurses explained that they communicated with patients through active listening, providing information, translating jargon, consulting with the patient, providing advice, and engaging in non-euthanasia-related conversation to support patients receiving assistance in dying (Denier et al, 2009).…”

Section: Continued Title and Authors Country Purpose Methods Participmentioning

confidence: 99%

Health Care Provider Experiences of and Perspectives on Medical Assistance in Dying: A Scoping Review of Qualitative Studies

Brooks

2019

Can. J. Aging

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RÉSUMÉUne grande partie des écrits sur l’aide médicale à mourir (AMM) qui traite de la perspective des prestataires de soins de santé est centrée sur le rôle des médecins, et le point de vue des infirmières n’est exprimé que dans quelques-uns d’entre eux. Toutefois, quelques provinces canadiennes ont mis en œuvre des approches multidisciplinaires pour l’AMM. Il serait donc important de mieux comprendre l’expérience des divers prestataires de soins de santé impliqués dans l’AMM, considérant que les plans provinciaux liés à l’AMM sont encore en élaboration. Cet examen de la portée a pour but de résumer les publications qualitatives existantes axées sur l’expérience des prestataires de soins dans l’AMM. Les thèmes clés retrouvés dans ces publications concernent la complexité du processus d’AMM, l’importance des relations et de la communication, les rôles et dynamiques interprofessionnels et le processus d’adaptation. Les résultats de cet examen de la portée démontrent la nécessité de poursuivre la recherche sur les expériences des divers prestataires de l’AMM, particulièrement dans le contexte canadien.

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“…For example, Denier et al . (), in stating that ‘sampling aimed for diversity regarding characteristics of both participants and hospitals’, recruited on the basis of attributes rather than concepts. Most of the articles that did not specify a sampling term failed to convey a theoretically driven approach.…”

Section: Resultsmentioning

confidence: 99%

Is it really theoretical? A review of sampling in grounded theory studies in nursing journals

McCrae

Purssell

2016

Journal of Advanced Nursing

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Communication in nursing care for patients requesting euthanasia: a qualitative study

Abstract: Being the essence of nursing care for patients requesting euthanasia, nurses' communication requires support and guidance on the level of nursing education, professional guidelines and hospital context.

Cited by 32 publications

References 39 publications

The rocks and hard places of MAiD: a qualitative study of nursing practice in the context of legislated assisted death

The rocks and hard places of MAiD: a qualitative study of nursing practice in the context of legislated assisted death

Health Care Provider Experiences of and Perspectives on Medical Assistance in Dying: A Scoping Review of Qualitative Studies

Is it really theoretical? A review of sampling in grounded theory studies in nursing journals

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