Implementation of Medical Assistance in Dying (Maid): Scoping Health Care Providers’ Perspectives

Fujioka, Jamie; Klinger, Christopher; Mirza, Raza; Sahar, Mafi; Dillman, Arline S.; Akhtar, D.; Tamblyn-Watts, L.; McDonald, Lynn

doi:10.1093/geroni/igx004.2059

Cited by 5 publications

(17 citation statements)

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“…The results of this scoping review build on the work of Fujioka et al (2018), who worked to identify key challenges faced by MAiD providers. This review uniquely identifies the major themes and findings of the qualitative research pertaining to experiences and perspectives of health care professionals involved in the assistance in dying or euthanasia care process.…”

Section: Discussionmentioning

confidence: 99%

“…This review uniquely identifies the major themes and findings of the qualitative research pertaining to experiences and perspectives of health care professionals involved in the assistance in dying or euthanasia care process. As identified by Fujioka et al (2018), existing research provides some insight into the perspectives of physicians and nurses, but little has been published on the experiences of social workers or other allied health providers. In fact, this review returned no results related to the experiences of psychiatrists, pharmacists, or speech language pathologists, despite the inclusion of these professionals in provincial plans.…”

Section: Discussionmentioning

confidence: 99%

“…To date, Canadian research has largely focused on the understanding of end-of-life legislation, cost analysis, and program implementation (Li et al, 2017; Marcoux, Boivin, Arsenault, Toupin, & Youssef, 2015; Trachtenberg & Manns, 2017). Internationally, a majority of the literature on assisted dying is focused on the physician; however, some research has also examined the roles of nurses and psychiatrists (Block & Billings, 1995; Edwards, 2016; Fujioka, Mirza, McDonald, & Klinger, 2018; Groenewoud et al, 1997; Schwarz, 1999). Much of this literature, however, is focused on opinions related to the ethics of assisted dying, and whether or not the practice is justifiable (Braverman, Marcus, Wakim, Mercurio, & Kopf, 2017; Glebock Gawor, & Ostrowski, 2013).…”

Section: Introductionmentioning

confidence: 99%

“…A scoping review by Fujioka et al (2018) recently investigated the roles of providers involved in MAiD, and the challenges faced by providers involved in the provision of MAiD. This review ultimately concluded that, although a variety of providers are involved in assisted dying, most published literature examines the roles and experiences of physicians and nurses (Fujioka et al, 2018). Considering the variety of providers involved in Canadian contexts, it is important to understand the perspectives and experiences of all parties involved in the MAiD process.…”

Section: Introductionmentioning

confidence: 99%

“…Considering the variety of providers involved in Canadian contexts, it is important to understand the perspectives and experiences of all parties involved in the MAiD process. This scoping review will build on the findings of Fujioka et al (2018) by examining and summarizing the existing qualitative literature surrounding the perspectives and experiences of health care providers involved in the care of persons receiving MAiD.…”

Section: Introductionmentioning

confidence: 99%

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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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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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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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Pharmacy practice in the domain of assisted dying: A mapping review of the literature

Woods

Schindel

King

et al. 2020

Research in Social and Administrative Pharmacy

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BackgroundThe scope and roles of pharmacists worldwide are undergoing dramatic change. Patientfocused care aimed at caring for people that seek medical assistance in dying is among the newest roles. While pharmacists have been involved in medically assisted dying in some international jurisdictions for over two decades, little is known about their actual lived experiences. ObjectiveTo map the literature concerning pharmacy practice in the assisted dying domain to clarify apparent research gaps. MethodsA mapping review was preformed following a systematic search of Medline, CINAHL and IPA to locate academic papers and reports relating to pharmacists' involvement in assisted dying published between 1990 and 2019. Searches included articles in English, French, and Dutch. References and citations of articles were searched to identify additional articles. ResultsA total of 43 articles were selected, including commentaries (n=26), reports (n=2), a scoping literature review (n=1), and empirical studies (n=14). Most commentaries centered on pharmacists' roles, ethico-legal and moral challenges, and educational concerns in relation to participation. Of the 14 empirical studies, 12 studies were designed around surveys that focused on pharmacists' attitudes, and opinions concerning assisted dying. Other methodologies included thematic analysis of moral dilemmas, experimental design identifying attitudes to sedation at end of life, and analysis of documents such as guidelines, position statements, and standards of practice.

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Medical assistance in dying: implications for health systems from a scoping review of the literature

Fujioka

Mirza

Klinger

et al. 2019

J Health Serv Res Policy

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Objective Medical assistance in dying (MAiD) is the medical provision of substances to end a patient’s life at their voluntary request. While legal in several countries, the implementation of MAiD is met with ethical, legislative and clinical challenges, which are often overshadowed by moral discourse. Our aim was to conduct a scoping review to explore key barriers for the integration of MAiD into existing health systems. Methods We searched electronic databases (CINAHL, Embase, MEDLINE, and PsycINFO) and grey literature sources from 1990 to 2017. Studies discussing barriers and/or challenges to implementing MAiD from a health system’s perspective were included. Full-text papers were screened against inclusion/exclusion criteria for article selection. A thematic content analysis was conducted to summarize data into themes to highlight key implementation barriers. Results The final review included 35 articles (see online Appendix 1). Six categories of implementation challenges emerged: regulatory (n = 26), legal (n = 15), social (n = 9), logistical (n = 9), financial (n = 3) and compatibility with palliative care (n = 3). Within four of the six identified implementation barriers (regulatory, legal, social and logistical) were subthemes, which described barriers related to legalizing MAiD in more detail. Conclusion Despite multiple challenges related to its implementation, MAiD remains a requested end-of-life option, requiring careful examination to ensure adequate integration into existing health services. Comprehensive models of care incorporating multidisciplinary teams and regulatory oversight alongside improved clinician education may be effective to streamline MAiD services.

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Implementation of Medical Assistance in Dying (Maid): Scoping Health Care Providers’ Perspectives

Cited by 5 publications

References 0 publications

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

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

Pharmacy practice in the domain of assisted dying: A mapping review of the literature

Medical assistance in dying: implications for health systems from a scoping review of the literature

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