"I Am Okay With It, But I Am Not Going to Do It": The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying

Overview

Journal Qual Health Res

Publisher Sage Publications

Specialty Health Services

Date 2021 Jul 9

PMID 34238079

Citations 13

Authors

Janine Brown

Donna Goodridge

Lilian Thorpe

Alexander Crizzle

Affiliations

Soon will be listed here.

Abstract

Medical assistance in dying (MAID) processes are complex, shaped by legislated directives, and influenced by the discourse regarding its emergence as an end-of-life care option. Physicians and nurse practitioners (NPs) are essential in determining the patient's eligibility and conducting MAID provisions. This research explored the exogenous factors influencing physicians' and NPs' non-participation in formal MAID processes. Using an interpretive description methodology, we interviewed 17 physicians and 18 NPs in Saskatchewan, Canada, who identified as non-participators in MAID. The non-participation factors were related to (a) the health care they work within, (b) the where they live, (c) their current context, (d) how their participation choices were to others, (e) the of participation to themselves and others, (f) factors, (g) the impact of participation on the , and (h) relationship, and contextual factors. Practice considerations to support the evolving social contact of care were identified.

Citing Articles

The moral web of accessibility to medical assistance in dying: Reflections from the Canadian context.

Pesut B, Thorne S Nurs Ethics. 2025; 32(2):360-372.

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Contextualizing attitudes toward medical aid in dying in a national sample of interdisciplinary US hospice clinicians: hospice philosophy of care, patient-centered care, and professional exposure.

Becker T, Cagle J, Cain C, Davitt J, Kusmaul N, Sacco P Palliat Care Soc Pract. 2024; 18:26323524241302097.

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Factors That Influence Access to Medical Assistance in Dying Services: An Integrative Review.

Hewitt J, Wilson M, Bonner A, Bloomer M Health Expect. 2024; 27(5):e70058.

PMID: 39415630 PMC: 11483748. DOI: 10.1111/hex.70058.

Developing a survey to measure nursing students' knowledge, attitudes and beliefs, influences, and willingness to be involved in Medical Assistance in Dying (MAiD): a mixed method modified e-Delphi study.

Schroeder J, Pesut B, Olsen L, Oelke N, Sharp H BMC Nurs. 2024; 23(1):326.

PMID: 38745233 PMC: 11092000. DOI: 10.1186/s12912-024-01984-z.

Rural healthcare professionals' participation in Medical Assistance in Dying (MAiD): beyond a binary decision.

Sedgwick M, Brassolotto J, Manduca-Barone A BMC Palliat Care. 2024; 23(1):107.

PMID: 38664675 PMC: 11044390. DOI: 10.1186/s12904-024-01440-4.

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