Knowledge, Opinions and Behaviors of Senior Nursing Students in Turkey Regarding Euthanasia and Factors in Islam Affecting These

YILDIRIM, Jülide Gülizar

doi:10.1007/s10943-019-00954-z

Cited by 11 publications

(10 citation statements)

References 13 publications

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“…Thus, the impact of religiosity and religion on nurses' attitudes toward euthanasia is significant, and it is therefore necessary to pay attention to religious beliefs in different societies when examining the concept of euthanasia. 55 In addition, findings in studies from non-Islamic countries, such as Greece, were consistent with the present study showing that 59% of physicians and 68% of nurses in the ICU had a negative attitude toward euthanasia. 36 On the other hand, according to a study in Germany, 79.6% of nurses refused to perform euthana-sia on patients in the final stages of the disease.…”

Section: Discussionsupporting

confidence: 91%

The Attitude of Iranian Critical Care Nurses Toward Euthanasia

Zeydi¹,

Ghazanfari²,

Fast³

et al. 2022

Critical Care Nursing Quarterly

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Today, one of the major ethical challenges facing the world's health care system, and in particular nurses in the intensive care unit, is euthanasia or death out of pity. The aim of this study was to investigate the attitude of Iranian nurses in the intensive care unit toward euthanasia. This was an analytical cross-sectional study using census sampling. The data collection tool was the Euthanasia Attitude Scale. A total of 206 nurses working in the intensive care unit in 4 hospitals in the Mazandaran province of Iran were included in this study. The mean of total Euthanasia Attitude Scale score in intensive care unit nurses was 2.96. The mean euthanasia dimensions were ethical consideration, practical considerations, treasuring life, and naturalistic beliefs, 3.03, 2.92, 2.98, and 2.99, respectively. There was significant but low negative correlation between age and total Euthanasia Attitude Scale score, ethical considerations, and practical considerations. Male nurses exhibited significantly higher Euthanasia Attitude Scale scores, specifically in regard to ethical and practical considerations compared with female nurses. The most Iranian nurses in the intensive care unit had a negative attitude toward euthanasia for patients in the later stages of the disease. However, this opposition was less than similar studies in Iran in the past.

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Section: Discussionsupporting

confidence: 91%

The Attitude of Iranian Critical Care Nurses Toward Euthanasia

Zeydi¹,

Ghazanfari²,

Fast³

et al. 2022

Critical Care Nursing Quarterly

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“…In countries where euthanasia is legal, a higher degree of acceptance towards euthanasia can be observed than in countries where euthanasia is illegal (Cayetano‐Penman et al, 2021; Naseh et al, 2015). When we examine nursing students and their attitudes towards euthanasia for terminal patients, similar results emerge as for working nurses (Malary et al, 2019; Yildirim, 2020). When focusing exclusively on UMS‐euthanasia, only two nursing studies could be identified (De Hert et al, 2015; Demedts et al, 2018).…”

Section: Introductionmentioning

confidence: 53%

“…When we examine nursing students and their attitudes towards euthanasia for terminal patients, similar results emerge as for working nurses (Malary et al, 2019;Yildirim, 2020). When focusing exclusively on UMS-euthanasia, only two nursing studies could be identified (De Hert et al, 2015;Demedts et al, 2018).…”

Section: Backg Rou N Dmentioning

confidence: 68%

Nursing students' attitudes regarding euthanasia due to unbearable mental suffering: Cross‐sectional study using the adapted and validated Euthanasia Attitude Scale

Demedts

Cools

Fobelets

et al. 2022

Journal of Advanced Nursing

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Aim To explore final year nursing students' attitudes towards euthanasia due to unbearable mental suffering by using the adapted and validated Euthanasia Attitude Scale. Design Cross‐sectional survey. Methods Explorative, descriptive cross‐sectional study conducted using an e‐mail survey between October 2020 and March 2021 by a sample of final‐year baccalaureate nursing students (n = 273) from eight of the eleven Flemish university colleges. The actual questionnaire contains 21 questions and was developed based on a consensus reached following independent translations. The psychometric properties of the Euthanasia Attitude Scale were assessed, including reliability and validity. Independent‐sample Mann–Whitney U‐test was used to investigate relation between demographic and education‐related data, and domain and total score of the UMS‐EAS‐NL. This study received ethical approval from the Ethical Committee of the University Hospital Brussels, Belgium. Results McDonald's omega was 0.838 for the total Euthanasia Attitude Scale scores, supporting the validity of the questionnaire. A statistically significant difference in ‘Naturalistic beliefs’ score was found relating to the year of birth. There are clinically important results between those students who have been involved in euthanasia and those who have not. Conclusions Most of the final‐year nursing students supported the probability of patients' access to euthanasia due to unbearable mental suffering. To monitor adequate care, it is necessary to prepare nursing students adequately for this complex matter. Impact To date, no large‐scale study has examined nursing students' attitudes towards euthanasia because of unbearable mental suffering. It is expected that nursing students may be confronted with such a euthanasia request during an internship, or later in their professional career, in countries where euthanasia is legal. Students showed a high acceptability towards UMS‐euthanasia. Clinically significant differences were found for students who had ever been involved in euthanasia.

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“…First, a recent integrative review reported that many studies that have been conducted in different countries and cultures found that lack of awareness, clarity, and knowledge serve as the main barriers for the initiation and implementation of advance care planning ( 13 ). Second, confusing advance directives with euthanasia might dramatically reduce the willingness to completing these documents, especially among veteran Jewish and Arab participants as Judaism and Islam (monotheistic religions) perceive life as a gift from God and strongly oppose both passive and active euthanasia ( 39 ). This was less evident among Jews from the FSU, who despite being Jews are less attached to religion.…”

Section: Discussionmentioning

confidence: 99%

Exploring the Motivations for Completing Advance Care Directives: A Qualitative Study of Majority/Minority Israeli People Without Dementia

2022

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BackgroundCompleting advance directives has been declared an essential instrument for preserving and respecting the autonomy and preferences for end-of-life care of people living with dementia. However, research deciphering the reasoning behind the decision to complete or not advance directives in the case of dementia remains limited, especially among people pertaining to different majority/minority groups.ObjectivesTo explore the motivations of people without dementia in Israel to complete or not to complete advance directives and to compare these motivations among the majority veteran Jewish group, the minority Jewish Former Soviet Union immigrant group, and the minority Arab group.MethodsThis qualitative study used purposive sampling and focus groups with discussions elicited by a vignette. A total of 42 Israeli people without dementia participated in 6 focus groups: two with veteran Jews (n = 14), two with Jewish immigrants from the Former Soviet Union (n = 14), and two with Arabs (n = 14). The analysis followed recommended steps for thematic content analysis.ResultsFour overarching themes were identified: (1) the meaning of dementia-related advance directives, (2) motivations for willingness to complete advance directives, (3) motivations for not being willing to complete advance directives, and (4) ethical dilemmas. Some of the themes were common to all groups, while others were informed by the groups' unique characteristics. Participants displayed a lack of knowledge and misunderstanding about advance directives, and central concepts such as autonomy and competence. Furthermore, stigmatic images of dementia and of the person with the diagnosis were associated to participants' motivations to complete advance directives.ConclusionsThere is need to expand comparative research among culturally and socially similar and dissimilar groups within a country as well as between countries in order to better guide public health efforts to increase the rates of advance directives completion. Special attention should be paid to decreasing stigmatic beliefs and understanding unique cultural values and motivations.

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Knowledge, Opinions and Behaviors of Senior Nursing Students in Turkey Regarding Euthanasia and Factors in Islam Affecting These

Cited by 11 publications

References 13 publications

The Attitude of Iranian Critical Care Nurses Toward Euthanasia

The Attitude of Iranian Critical Care Nurses Toward Euthanasia

Nursing students' attitudes regarding euthanasia due to unbearable mental suffering: Cross‐sectional study using the adapted and validated Euthanasia Attitude Scale

Exploring the Motivations for Completing Advance Care Directives: A Qualitative Study of Majority/Minority Israeli People Without Dementia

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