Do health service staff support the implementation of voluntary assisted dying at their workplace?

被引:8
作者
Fuscaldo, Giuliana [1 ,2 ]
Gwini, Stella May [1 ,3 ]
Larsen, Richard [1 ]
Venkataramani, Amarita [1 ]
机构
[1] Barwon Hlth, Univ Hosp Geelong, Geelong, Vic, Australia
[2] Monash Univ, Eastern Hlth Clin Sch, Fac Med Nursing & Hlth Sci, Clayton, Vic, Australia
[3] Deakin Univ, Fac Hlth, iMPACT, Melbourne, Vic, Australia
关键词
ATTITUDES; EUTHANASIA; DOCTORS; DEATH;
D O I
10.1111/imj.15285
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Background On 29 November 2017, the Victorian Parliament passed the Voluntary Assisted Dying (VAD) Act 2017, which came into effect on 19 June 2019. Aims To investigate whether staff from a large regional health service support the legalisation of VAD and the implementation of VAD at their workplace. Methods Staff were invited to complete an anonymous online survey comprising both closed- and open-ended questions. Results Thirty-eight percent of the workforce (n = 1624) responded to the survey. Most participants supported the legalisation of VAD (88%), the provision of eligibility assessment and/or the administration of VAD within the health service (80%). There were negligible differences in support for VAD by role; however, specialist doctors were significantly less supportive (65%). Approximately half of the respondents expressed concern about monitoring (49%) or implementation (53%) of VAD. Concerns were also raised about assessment of eligibility, support for staff involved in VAD and pressure on both patients and staff to participate. Nearly three-quarters (71%) of participants agreed that if the health service offers VAD services, a special unit or facility should be available. Conclusions This study found that health workers have concerns about the implementation of VAD at their workplace but are generally supportive. This article provides information for health services considering the implementation of VAD, about staff concerns and issues that need to be addressed for the successful introduction of VAD.
引用
收藏
页码:1636 / 1644
页数:9
相关论文
共 21 条
[1]  
Barwon Health, 2020, 2019 20 ANN REP
[2]  
Castro Mariana Parreiras Reis de, 2016, Rev. Bioét., V24, P355
[3]  
Department of Parliamentary Services, 2017, VOL ASS DYING BILL 2
[4]   UK physicians' attitudes toward active voluntary euthanasia and physician-assisted suicide [J].
Dickinson, GE ;
Lancaster, CJ ;
Clark, D ;
Ahmedzai, SH ;
Noble, W .
DEATH STUDIES, 2002, 26 (06) :479-490
[5]   The intention to hasten death: a survey of attitudes and practices of surgeons in Australia [J].
Douglas, CD ;
Kerridge, IH ;
Rainbird, KJ ;
McPhee, JR ;
Hancock, L ;
Spigelman, AD .
MEDICAL JOURNAL OF AUSTRALIA, 2001, 175 (10) :511-515
[6]   Managing intentions: The end-of-life administration of analgesics and sedatives, and the possibility of slow euthanasia [J].
Douglas, Charles ;
Kerridge, Ian ;
Ankeny, Rachel .
BIOETHICS, 2008, 22 (07) :388-396
[7]   Dealing with requests for euthanasia: a qualitative study investigating the experience of general practitioners [J].
Georges, J-J ;
The, A. M. ;
Onwuteaka-Philipsen, B. D. ;
Van der Wal, G. .
JOURNAL OF MEDICAL ETHICS, 2008, 34 (03) :150-155
[8]   The REDCap consortium: Building an international community of software platform partners [J].
Harris, Paul A. ;
Taylor, Robert ;
Minor, Brenda L. ;
Elliott, Veida ;
Fernandez, Michelle ;
O'Neal, Lindsay ;
McLeod, Laura ;
Delacqua, Giovanni ;
Delacqua, Francesco ;
Kirby, Jacqueline ;
Duda, Stephany N. .
JOURNAL OF BIOMEDICAL INFORMATICS, 2019, 95
[9]   Research electronic data capture (REDCap)-A metadata-driven methodology and workflow process for providing translational research informatics support [J].
Harris, Paul A. ;
Taylor, Robert ;
Thielke, Robert ;
Payne, Jonathon ;
Gonzalez, Nathaniel ;
Conde, Jose G. .
JOURNAL OF BIOMEDICAL INFORMATICS, 2009, 42 (02) :377-381
[10]  
Ipsos MORI, 2015, PUBL ATT ASS DYING