학술논문

Common dedication to facilitating good dying experiences: Qualitative study of end-of-life care professionals' attitudes towards voluntary assisted dying.
Document Type
Article
Source
Palliative Medicine. Jun2019, Vol. 33 Issue 6, p562-569. 8p. 1 Chart.
Subject
*ASSISTED suicide laws
*ASSISTED suicide
*ATTITUDE (Psychology)
*INTERVIEWING
*RESEARCH methodology
*MEDICAL quality control
*MEDICAL personnel
*PHILOSOPHY of medicine
*PALLIATIVE treatment
*PUBLIC opinion
*UNCERTAINTY
*QUALITATIVE research
*JUDGMENT sampling
*ATTITUDES toward death
*DESCRIPTIVE statistics
Language
ISSN
0269-2163
Abstract
Background: Debate about appropriate and ethically acceptable end-of-life choices is ongoing, which includes discussion about the legalization of voluntary assisted dying. Given health professionals' role in caring for patients at the end life, their stance towards assisting a person with dying can have implications for policy development and implementation in jurisdictions where law changes are being considered. Aim: To explore end-of-life care professionals' attitudes towards voluntary assisted dying 6 months prior to vote on legalization. Design: Qualitative study using textual data collected through semi-structured interviews. Purposive sampling strategy used to collect a broad representation of perspectives. Audio-recorded interviews were transcribed verbatim and subjected to qualitative descriptive analysis techniques. Participants: A total of 16 health professionals with experience in caring for people with life-limiting illness. Results: Participants reported two overarching positions grounded in differing moral philosophies with compelling arguments both for and against legalization of voluntary assisted dying. A third and common line of argument emerged from areas of shared concern and uncertainty about the practical consequences of introducing voluntary assisted dying. While a diversity of opinion was evident, all participants advocated for more public education and funding into end-of-life care services to make high-quality care equitable and widely available. Conclusion: Common dedication to reducing suffering and facilitating good dying experiences exists among experts despite their divergent views on voluntary assisted dying. Ongoing engagement with stakeholders is needed for practical resolution in the interest of developing health policy for best patient care. [ABSTRACT FROM AUTHOR]