Clinician responses to legal requests for hastened death: a systematic review and meta-synthesis of qualitative research.
BMJ Support Palliat Care
; 11(1): 59-67, 2021 Mar.
Article
in En
| MEDLINE
| ID: mdl-32601150
ABSTRACT
BACKGROUND:
The legalisation of medical assistance in dying in numerous countries over the last 20 years represents a significant shift in practice and scope for many clinicians who have had little-to-no training to prepare them to sensitively respond to patient requests for hastened death.AIMS:
Our objective was to review the existing qualitative literature on the experiences of healthcare providers responding to requests for hastened death with the aim of answering the question how do clinicians make sense of, and respond to patients' expressed wishes for hastened death?METHODS:
We performed a systematic review and meta-synthesis of primary qualitative research articles that described the experiences and perspectives of healthcare professionals who have responded to requests for hastened death in jurisdictions where MAiD (Medical Assistance in Dying) was legal or depenalised. A staged coding process was used to identify and analyse core themes.RESULTS:
Although the response to requests for hastened death varied case-by-case, clinicians formulated their responses by considering seven distinct domains. These include policies, professional identity, commitment to patient autonomy, personal values and beliefs, the patient-clinician relationship, the request for hastened death and the clinician's emotional and psychological response.CONCLUSION:
Responding to a request for hastened death can be an overwhelming task for clinicians. An approach that takes into consideration the legal, personal, professional and patient perspectives is required to provide a response that encompasses all the complexities associated with such a monumental request.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Attitude of Health Personnel
/
Health Personnel
/
Suicide, Assisted
Type of study:
Prognostic_studies
/
Qualitative_research
/
Systematic_reviews
Limits:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
Language:
En
Journal:
BMJ Support Palliat Care
Year:
2021
Document type:
Article
Affiliation country:
Canada