Voluntary assisted dying: The expanded role of psychiatrists in Australia and New Zealand

Cheung, Gary; Frey, Rosemary; Young, Jessica; Hoeh, Nicholas; Carey, Melissa; Vara, Alisha; Menkes, David B.

doi:10.1177/00048674221081419

Cited by 3 publications

(4 citation statements)

References 6 publications

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“…5 Three respondents were working in two DHB locations. 6 The Ministry had presented 'psychiatrist' as a distinct category in both surveys. 7 Other health professionals included academics, allied health, clinical managers, mental/social health workers, midwives, etc.…”

Section: Age Understanding Of the Act And Support For Admentioning

confidence: 99%

“…8 Other work settings included educational institutions, urgent care, prison/corrections, non-government organisations, government agencies, etc. 6 Asian in this study refers to Chinese, Indian, Filipino, Sri Lankan, Malaysian, South East Asian, etc. 7 MELAA (Middle Eastern/Latin American/African) was grouped under the 'Other' category due to the small number.…”

Section: Age Understanding Of the Act And Support For Admentioning

confidence: 99%

“…9 The Ministry had presented 'psychiatrist' as a distinct category in both surveys. 6 Asian in this study refers to Chinese, Indian, Filipino, Sri Lankan, Malaysian, South East Asian, etc. 7 MELAA (Middle Eastern/Latin American/African) grouped under the 'Other' category due to the small number.…”

Section: Age Understanding Of the Act And Support For Admentioning

confidence: 99%

“…International studies have highlighted the emotional and psychological burdens of providing AD on health professionals and the impact of these burdens on workforce availability if left unaddressed. [6][7][8] Given that health professionals in New Zealand will increasingly encounter patients requesting AD, it is important to gain insight into their knowledge and attitudes towards the Act. This insight would help with the provision of AD services by ensuring support is available and minimising the burdens on the workforce.…”

mentioning

confidence: 99%

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Health professionals' understanding and attitude towards the End of Life Choice Act 2019: a secondary analysis of Manatū Hauora – Ministry of Health workforce surveys

Cheung,

Dehkhoda,

Frey

et al. 2023

NZMJ

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aim: To determine socio-demographic factors associated with health professionals' understanding of the End of Life Choice Act (the Act), support for assisted dying (AD), and willingness to provide AD in New Zealand. method: Secondary analysis of two Manatū Hauora -Ministry of Health workforce surveys conducted in February and July 2021. results: Our analysis showed (1) older health professionals (age>55) had a better overall understanding of the Act than their young colleagues (age<35), (2) female health professionals were less likely to support and be willing to provide AD, (3) Asian health professionals were less likely to support AD compared to their Pākehā/European counterparts, (4) nurses were more likely to support AD and be willing to provide AD when compared to medical practitioners, and (5) pharmacists were more willing to provide AD when compared to medical practitioners. conclusion: Several socio-demographic factors, including age, gender, ethnicity, and professional background, are significantly associated with health professionals' support and willingness to provide AD, with likely consequences for the AD workforce availability and service delivery in New Zealand. Future review of the Act could consider enhancing the roles of those professional groups with higher support and willingness to assist in providing AD services in caring for people requesting AD.

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Section: Age Understanding Of the Act And Support For Admentioning

confidence: 99%

Section: Age Understanding Of the Act And Support For Admentioning

confidence: 99%

Section: Age Understanding Of the Act And Support For Admentioning

confidence: 99%

mentioning

confidence: 99%

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Health professionals' understanding and attitude towards the End of Life Choice Act 2019: a secondary analysis of Manatū Hauora – Ministry of Health workforce surveys

Cheung,

Dehkhoda,

Frey

et al. 2023

NZMJ

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Decision-making capacity assessments in New Zealand and Australia: a systematised review

Mooney

McCann

Tippett

et al. 2023

Psychiatry, Psychology and Law

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What do health care professionals want to know about assisted dying? Setting the research agenda in New Zealand

et al. 2023

Self Cite

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Background New Zealand recently introduced law permitting terminally ill people to request and receive assisted dying (AD) in specified circumstances. Given the nature and complexity of this new health service, research is vital to determine how AD is operating in practice. Objective To identify research priorities regarding the implementation and delivery of AD in New Zealand. Methods Using an adapted research prioritisation methodology, the researchers identified 15 potential AD research topics. A mixed-methods survey of health professionals was undertaken where respondents were asked to rate the 15 topics according to the relative importance for research to be conducted on each issue. Respondents could also suggest additional research areas, and were invited to participate in a follow-up interview. Results One hundred and nineteen respondents completed the survey. 31% had some experience with AD. The highest rated research topic was the ‘effectiveness of safeguards in the Act to protect people’; the lowest rated topic was research into the ‘experiences of non-provider (e.g., administrative, cleaning) staff where assisted dying is being provided’. Respondents suggested 49 other research topics. Twenty-six interviews were conducted. Thematic analysis of interview data and open-ended survey questions was undertaken. Six research themes were identified: general factors related to the wider health system; the experiences of health care providers at the bedside; medico-legal issues; the impact of AD; experiences on the day of dying; and the overall effectiveness of the AD system. Key issues for stakeholders included safety of the AD service; ensuring access to AD; achieving equity for ‘structurally disadvantaged’ groups; and ensuring the well-being of patients, families/whānau, providers and non-providers. Conclusions Based on early experiences of the implementation of the AD service, health professionals provide important insights into what research should be prioritised post-legalisation of AD. These findings can be used to shape the research agenda so that research may inform law, policy and best practice.

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Voluntary assisted dying: The expanded role of psychiatrists in Australia and New Zealand

Cited by 3 publications

References 6 publications

Health professionals' understanding and attitude towards the End of Life Choice Act 2019: a secondary analysis of Manatū Hauora – Ministry of Health workforce surveys

Health professionals' understanding and attitude towards the End of Life Choice Act 2019: a secondary analysis of Manatū Hauora – Ministry of Health workforce surveys

Decision-making capacity assessments in New Zealand and Australia: a systematised review

What do health care professionals want to know about assisted dying? Setting the research agenda in New Zealand

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