Nursing staff and euthanasia in the Netherlands. A nation-wide survey on attitudes and involvement in decision making and the performance of euthanasia

被引:33
作者
Francke, Anneke L. [1 ,2 ,3 ]
Albers, Gwenda [4 ]
Bilsen, Johan [5 ]
de Veer, Anke J. E. [1 ]
Onwuteaka-Philipsen, Bregje D. [2 ,3 ]
机构
[1] NIVEL Netherlands Inst Hlth Serv Res, Utrecht, Netherlands
[2] Vrije Univ Amsterdam Med Ctr, EMGO Inst Hlth & Care Res, Dept Publ & Occupat Hlth, Amsterdam, Netherlands
[3] Vrije Univ Amsterdam Med Ctr, Expertise Ctr Palliat Care Amsterdam, Amsterdam, Netherlands
[4] Federat Palliat Care Flanders, Vilvoorde, Belgium
[5] Vrije Univ Brussel, Dept Publ Hlth, Mental Hlth & Wellbeing Res Grp, Brussels, Belgium
关键词
Euthanasia; Decisions; Palliative care; Nursing; OF-THE-LITERATURE; PHYSICIAN-ASSISTED SUICIDE; NURSES ATTITUDES; LIFE DECISIONS; DUTCH; COMPLEXITY; LAW;
D O I
10.1016/j.pec.2015.11.008
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Objectives: To give insight into Dutch nursing staff's attitudes and involvement regarding euthanasia. Methods: The sample was recruited from a nation-wide existent research panel of registered nurses and certified nursing assistants. Descriptive analyses and multivariate logistic regression analyses were performed. Results: 587 respondents (response of 65%) completed the questionnaire. The majority (83%) state that physicians have to discuss the decision about euthanasia with the nurses involved. Besides, 69% state that a physician should discuss a euthanasia request with nurses who have regular contact with a patient. Nursing staff who have religious or other beliefs that they consider important for their attitude towards end-of-life decisions, and staff working in a hospital or home care, are most likely to have this opinion. Being present during the euthanasia is quite unusual: only a small group (7%) report that this has ever been the case in their entire working life. Seven% (incorrectly) think they are allowed to administer the lethal drugs. Conclusion: The majority want to be involved in decision-making processes about euthanasia. Not all are aware that they are not legally allowed to administer the lethal drugs. Practice implications: Nursing staff should be informed of relevant existing legislation and professional guidelines. (C) 2015 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:783 / 789
页数:7
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