The Implementation of Assisted Dying in Quebec and Interdisciplinary Support Groups: What Role for Ethics?

Bouthillier, Marie-Ève; Perron, Catherine; Roigt, Delphine; Fortin, Jean-Simon; Pimont, Michelle

doi:10.1007/s10730-022-09484-w

Cited by 4 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…MAiD is not an obligatory part of any medical specialty; thus, access to MAiD is dependent on the good-will and engagement of physicians and nurse practitioners who choose to use their discretionary energy to participate in MAiD. Increased demand combined with increased complexity is putting pressure on MAiD programs across the country 7 . There is evidence that the rate of physicians and nurse practitioners entering the practice is not keeping pace with the increase in MAiD requests.…”

Section: Introductionmentioning

confidence: 99%

Leader as CARER: An ecological approach to designing a resilient MAiD program

Frolic

2023

Healthc Manage Forum

View full text Add to dashboard Cite

In this paper, I use a personal narrative case study approach to describe how the evolution of the MAiD program at one Canadian hospital is informed by the model of a “care ecology,” and how we designed our program to generate resilience and sustainability systemically and structurally, rather than relying on the self-care efforts of individuals. I will also reflect on the leader behaviours required to enable a care ecology, and how this challenges traditional approaches to leadership. This model may be adapted to other high-stress teams to promote longitudinal well-being for healthcare professionals and leaders, as well as quality care for patients and families.

show abstract

Section: Introductionmentioning

confidence: 99%

Leader as CARER: An ecological approach to designing a resilient MAiD program

Frolic

2023

Healthc Manage Forum

View full text Add to dashboard Cite

show abstract

“…The theme of this volume centers on the practical ethics of delivering Medical Assistance in Dying (MAiD) and the lessons learned in the first 6 years since the emergence of this novel clinical practice in Canada in 2016. Other papers explore: the political and legal history that led to the decriminalization of MAiD in Canada and Quebec (Bouthillier et al, 2022 ; Downie, 2022 ); a method for addressing the introduction of MAiD as an organizational ethics challenge (Frolic & Miller, 2022 ); and the results of a stakeholder engagement process to assess the readiness of a hospital system for MAiD, including the specific needs clinical staff identified as important in designing a values-based, high-quality approach to MAiD care (Frolic et al, 2022a ). In this paper, we describe how we put the results of that needs assessment process into practice, developing a sustainable, integrated and quality-focused MAiD program based on an ecological approach to clinical service design.…”

Section: Introductionmentioning

confidence: 99%

MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services

et al. 2022

View full text Add to dashboard Cite

This paper depicts a case study of an organizational strategy for the promotion of ethical practice when introducing a new, high-risk, ethically-charged medical practice like Medical Assistance in Dying (MAiD). We describe the development of an interprofessional program that enables the delivery of high-quality, whole-person MAiD care that is values-based and sustainable. A “care ecology” strategy recognizes the interconnected web of relationships and structures necessary to support a quality experience of MAiD for patients, families, and clinicians. This program exemplifies a care ecology approach that addresses common barriers to entry to MAiD practice, and also meets the needs of a variety of stakeholders through the creation of patient and family resources, team supports, standards of practice, professional development opportunities, organizational infrastructure, and community partnerships. We also describe how a thriving care ecology evolves to remain resilient, and to enable integration as the needs of the organization, team and program change over time. The design and development of this program may be adapted to other jurisdictions and organizations where MAiD is introduced, or where new patient populations become eligible for MAiD. This care ecology model may also be applicable to the creation of sustainable programs that provide other morally controversial or novel clinical services.

show abstract

“…Justice to the complexity of the relationship between Québec and the rest of Canada cannot be done here. For more on why what happened in Québec happened, seeBouthillier, 2022 and Mona Gupta, 2021.…”

mentioning

confidence: 99%

From Prohibition to Permission: The Winding Road of Medical Assistance in Dying in Canada

Downie

2022

HEC Forum

View full text Add to dashboard Cite

In this paper, I offer a personal and professional narrative of how Canada went from prohibition to permission for medical assistance in dying (MAiD). I describe the legal developments to date and flag what might be coming in the near future. I also offer some personal observations and reflections on the role and impact of bioethics and bioethicists, on what it was like to be a participant in Canada's law reform process, and on lessons that readers in other jurisdictions might take from Canada's experience.

show abstract

The Implementation of Assisted Dying in Quebec and Interdisciplinary Support Groups: What Role for Ethics?

Cited by 4 publications

References 12 publications

Leader as CARER: An ecological approach to designing a resilient MAiD program

Leader as CARER: An ecological approach to designing a resilient MAiD program

MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services

From Prohibition to Permission: The Winding Road of Medical Assistance in Dying in Canada

Contact Info

Product

Resources

About