Involvement of Nurses in the Euthanasia Care Process in Flanders (Belgium): An exploration of Two Perspectives

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

doi:10.1177/082585970902500404

Cited by 34 publications

(86 citation statements)

References 33 publications

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“…Further, Doane argued that this mediation occurs through the construction of narratives in which nurses bring their many identities to the task of figuring out a right course of action. Such identity construction has been found in other studies of nurses' experiences (Denier, Dierckx de Casterle, De Bal, & Gastmans, 2009). Findings from this study illustrate this contextually mediated moral identity.…”

Section: Discussionsupporting

confidence: 75%

Riding an elephant: A qualitative study of nurses' moral journeys in the context of Medical Assistance in Dying (MAiD)

Pesut

Thorne

Storch

et al. 2020

Journal of Clinical Nursing

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Aims and objectives To describes nurses' moral experiences with Medical Assistance in Dying in the Canadian context. Background Nurses perform important roles in Medical Assistance in Dying in Canada and do so within a unique context in which Medical Assistance in Dying is provided through healthcare services and where accessibility is an important principle. International literature indicates that participating in Medical Assistance in Dying can be deeply impactful for nurses and requires a high degree of moral sense‐making. Design A qualitative interview study guided by Interpretive Description using the COREQ checklist. Results Fifty‐nine nurses from across Canada participated in the study. The decision to participate in Medical Assistance in Dying was influenced by family and community, professional experience and nurses' proximity to the act of Medical Assistance in Dying. Nurses described a range of deep and sometimes conflicting emotional reactions provoked by Medical Assistance in Dying. Nurses used a number of moral waypoints to make sense of their decision including patient choice, control and certainty; an understanding that it was not about the nurse; a commitment to staying with patients through suffering; consideration of moral consistency; issues related to the afterlife; and the peace and gratitude demonstrated by patients and families. Discussion The depth of nurses' intuitional moral responses and their need to make sense of these responses are consistent with Haidt's theory of moral experience in which individuals use reasoning primarily to explain their moral intuition and in which moral change occurs primarily through compassionate social interaction. Further, work on the moral identity of nursing provides robust explanation of how nurses' moral decisions are contextually and relationally mediated and how they seek to guard patient vulnerability, even at their own emotional cost. Conclusion Medical Assistance in Dying is impactful for nurses, and for some, it requires intensive and ongoing moral sense‐making. Relevance to clinical practice There is a need to provide support for nurses' moral deliberation and emotional well‐being in the context of Medical Assistance in Dying care.

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Section: Discussionsupporting

confidence: 75%

Riding an elephant: A qualitative study of nurses' moral journeys in the context of Medical Assistance in Dying (MAiD)

Pesut

Thorne

Storch

et al. 2020

Journal of Clinical Nursing

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“…MELDs was the most researched topic in the Belgian literature, mainly focusing on definition of concepts [79], [80], [81], [82], incidence of MELDs [69], [80], [83], [84], decision making [85], [86], including communication [87], key actors [88], [89], [90], and the role of health professionals [91], [92], [93], [94], [95], [96], [97], [98], [99], [100], [101].…”

Section: Resultsmentioning

confidence: 99%

Culture and End of Life Care: A Scoping Exercise in Seven European Countries

et al. 2012

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Aim Culture is becoming increasingly important in relation to end of life (EoL) care in a context of globalization, migration and European integration. We explore and compare socio-cultural issues that shape EoL care in seven European countries and critically appraise the existing research evidence on cultural issues in EoL care generated in the different countries. Methods We scoped the literature for Germany, Norway, Belgium, the Netherlands, Spain, Italy and Portugal, carrying out electronic searches in 16 international and country-specific databases and handsearches in 17 journals, bibliographies of relevant papers and webpages. We analysed the literature which was unearthed, in its entirety and by type (reviews, original studies, opinion pieces) and conducted quantitative analyses for each country and across countries. Qualitative techniques generated themes and sub-themes. Results A total of 868 papers were reviewed. The following themes facilitated cross-country comparison: setting, caregivers, communication, medical EoL decisions, minority ethnic groups, and knowledge, attitudes and values of death and care. The frequencies of themes varied considerably between countries. Sub-themes reflected issues characteristic for specific countries (e.g. culture-specific disclosure in the southern European countries). The work from the seven European countries concentrates on cultural traditions and identities, and there was almost no evidence on ethnic minorities. Conclusion This scoping review is the first comparative exploration of the cultural differences in the understanding of EoL care in these countries. The diverse body of evidence that was identified on socio-cultural issues in EoL care, reflects clearly distinguishable national cultures of EoL care, with differences in meaning, priorities, and expertise in each country. The diverse ways that EoL care is understood and practised forms a necessary part of what constitutes best evidence for the improvement of EoL care in the future.

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“…As such the action/procedural focus (‘doing’) acts as an undercurrent within which the relational focus (‘being’) can take place (Denier et al . ). The issue therefore becomes not whether ‘being’ overrules ‘doing’, but how these two care dimensions may operate on equal footing to enhance grief care (Zisberg et al .…”

Section: Discussionmentioning

confidence: 97%

Grief and loss in older people residing in nursing homes: (un)detected by nurses and care‐assistants?

Humbeeck

Dillen

Piers

et al. 2016

Journal of Advanced Nursing

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Findings suggest an established personal sensitivity for grief care considered from the nursing staff points of view. Nevertheless, a common denominator was the necessity to further develop a supportive and multidisciplinary grief care policy ingrained in the existing care culture. Suggested components of this grief care policy are: (a) centring attention on non-death-related loss and the cumulative nature of loss in residents; (b) building capacity by means of reflective practices; and (c) the importance of self-care strategies for nursing staff. Furthermore, the findings from this study point towards a need for education and training.

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Involvement of Nurses in the Euthanasia Care Process in Flanders (Belgium): An exploration of Two Perspectives

Cited by 34 publications

References 33 publications

Riding an elephant: A qualitative study of nurses' moral journeys in the context of Medical Assistance in Dying (MAiD)

Riding an elephant: A qualitative study of nurses' moral journeys in the context of Medical Assistance in Dying (MAiD)

Culture and End of Life Care: A Scoping Exercise in Seven European Countries

Grief and loss in older people residing in nursing homes: (un)detected by nurses and care‐assistants?

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