Constructing Good Nursing Practice for Medical Assistance in Dying in Canada: An Interpretive Descriptive Study.

MAiD euthanasia interpretive description medical assistance in dying nursing practice physician-assisted death qualitative

Journal

Global qualitative nursing research
ISSN: 2333-3936
Titre abrégé: Glob Qual Nurs Res
Pays: United States
ID NLM: 101666563

Informations de publication

Date de publication:
Historique:
received: 02 01 2020
revised: 05 06 2020
accepted: 10 06 2020
entrez: 4 8 2020
pubmed: 4 8 2020
medline: 4 8 2020
Statut: epublish

Résumé

Nurses play a central role in Medical Assistance in Dying (MAiD) in Canada. However, we know little about nurses' experiences with this new end-of-life option. The purpose of this study was to explore how nurses construct good nursing practice in the context of MAiD. This was a qualitative interview study using Interpretive Description. Fifty-nine nurses participated in semi-structured telephone interviews. Data were analyzed inductively. The findings illustrated the ways in which nurses constructed artful practice to humanize what was otherwise a medicalized event. Registered nurses and nurse practitioners described creating a person-centered MAiD process that included establishing relationship, planning meticulously, orchestrating the MAiD death, and supporting the family. Nurses in this study illustrated how a nursing gaze focused on relationality crosses the moral divides that characterize MAiD. These findings provide an in-depth look at what constitutes good nursing practice in MAiD that can support the development of best practices.

Identifiants

pubmed: 32743024
doi: 10.1177/2333393620938686
pii: 10.1177_2333393620938686
pmc: PMC7377599
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2333393620938686

Informations de copyright

© The Author(s) 2020.

Déclaration de conflit d'intérêts

Declaration of Conflicting Interests: The authors declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: Roussel is employed by a policy and advocacy body for nursing in Canada.

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Auteurs

Barbara Pesut (B)

The University of British Columbia, Kelowna, British Columbia, Canada.

Sally Thorne (S)

The University of British Columbia, Vancouver, British Columbia, Canada.

Catharine Schiller (C)

University of Northern British Columbia, Prince George, British Columbia, Canada.

Madeleine Greig (M)

The University of British Columbia, Kelowna, British Columbia, Canada.

Josette Roussel (J)

Canadian Nurses Association, Ottawa, Ontario, Canada.

Carol Tishelman (C)

Karolinska Institute, Stockholm, Sweden.
Stockholm Health Care Services, Stockholm, Sweden.

Classifications MeSH