芬兰护士对自己在安乐死过程中所扮演角色的态度。

PubMed ID
发表日期 2019年May月

原始出处 护理伦理
Nursing ethics
作者 Terkamo-Moisio  Anja  Gastmans  Chris  Ryynänen  Olli-Pekka  Pietilä  Anna-Maija 

文献标题 芬兰护士对自己在安乐死过程中所扮演角色的态度。
Finnish nurses' attitudes towards their role in the euthanasia process.

文献摘要 BACKGROUND

在大多数关于安乐死的辩论中,护士的声音仍然是闻所未闻的,尽管他们在安乐死过程中的关键作用已得到广泛承认。此外,在加拿大安乐死法中,护士的作用更为积极,这进一步突显了需要了解护士对其在安乐死过程中的作用的态度。

RESEARCH QUESTIONS

芬兰护士对自己在安乐死过程中的潜在作用持什么态度?哪些特征与这些态度有关?

RESEARCH DESIGN

基于网络的横断面调查。

PARTICIPANTS AND RESEARCH CONTEXT

1003名护士,通过社交媒体和芬兰护士协会会员公告招募。

ETHICAL CONSIDERATIONS

获得了第一作者所属大学研究伦理委员会的伦理批准。

FINDINGS

绝大多数(85.2%)的护士认为在安乐死相关的决策中应该考虑他们的观点。此外,大多数参与者(74.7%)表示,如果安乐死合法,愿意参与安乐死过程,88.6%的人同意,如果患者愿意,在实施安乐死时应该有护士在场。此外,半数以上的人同意,一些准备工作是他们工作描述的一部分。然而,少数人(32.9%)同意根据他们的职业可能有参与义务。护士的年龄、宗教信仰和文化程度影响了他们对当前结果的态度。

DISCUSSION

尽管在安乐死决策和参与安乐死过程方面达成了强有力的共识,但大多数参与者拒绝了基于职业的参与义务。护士认为自己是决策过程中的顾问,这可能表明他们不愿意分担决策本身的责任。

CONCLUSION

应考虑制定具体的安全机制,以保护因非自愿参与可能造成伤害而拒绝参与安乐死过程的护士。


BACKGROUND

Nurses' voices remain unheard in most debates about euthanasia, although their crucial role in the euthanasia process is widely acknowledged. Moreover, in Canadian euthanasia law, nurses have a more active role, which further highlights the need for knowledge about nurses' attitudes towards their role in the euthanasia process.

RESEARCH QUESTIONS

What are Finnish nurses' attitudes towards their potential role in the euthanasia process? Which characteristics are associated with those attitudes?

RESEARCH DESIGN

Cross-sectional web-based survey.

PARTICIPANTS AND RESEARCH CONTEXT

1003 nurses, recruited via social media and the members' bulletin of the Finnish Nurses Association.

ETHICAL CONSIDERATIONS

Ethical approval was obtained from the Committee on Research Ethics of the university to which the first author was affiliated.

FINDINGS

The great majority (85.2%) of nurses felt that their perspective should be considered in decision-making related to euthanasia. Furthermore, most of the participants (74.7%) reported willingness to participate in the euthanasia process if it were legal, and 88.6% agreed that a nurse should be present when euthanasia is performed if the patient wishes so. Furthermore, over half agreed that some of the preparatory tasks were part of their job description. However, a minority (32.9%) agreed with a possible obligation to participate based on their profession. Nurses' age, religiosity and educational level influenced their attitudes in the current results.

DISCUSSION

Despite the strong agreement on decision-making concerning euthanasia and participation in the euthanasia process, obligation to participate based on the profession was rejected by most participants. Nurses regarded themselves as consultants in the decision-making process, which may indicate their unwillingness to share the responsibility for the decision itself.

CONCLUSION

Specific safety mechanisms should be considered to protect nurses who refuse to be involved in the euthanasia process due to harm that involuntary participation might cause.


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