scholarly journals Riding an elephant: A qualitative study of nurses' moral journeys in the context of Medical Assistance in Dying (MAiD)

2020 ◽  
Author(s):  
Barbara Pesut ◽  
Sally Thorne ◽  
Janet Storch ◽  
Kenneth Chambaere ◽  
Madeleine Greig ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Medical Assistance ◽  
Medical Assistance In Dying

scholarly journals Exploring Canadian Physicians' Experiences Providing Medical Assistance in Dying: A Qualitative Study

2018 ◽  
Vol 56 (2) ◽  
pp. 222-229.e1 ◽  
Author(s):  
Narges Khoshnood ◽  
Marie-Clare Hopwood ◽  
Bhadra Lokuge ◽  
Allison Kurahashi ◽  
Anastasia Tobin ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Medical Assistance ◽  
Medical Assistance In Dying

scholarly journals Irremediable psychiatric suffering in the context of medical assistance in dying: a qualitative study

2021 ◽  
Author(s):  
Sisco M.P. van Veen ◽  
Andrea Ruissen ◽  
Aartjan Beekman ◽  
Natalie Evans ◽  
Guy Widdershoven
Keyword(s):  
Qualitative Study ◽  
Psychiatric Disorder ◽  
Diagnosis And Treatment ◽  
Medical Assistance ◽  
Clinical Criteria ◽  
Medical Assistance In Dying ◽  
Main Challenge ◽  
Prospective Assessment ◽  
History Of ◽  
Patient’S Perception

Background: Establishing irremediability is a central challenge in determining the appropriateness of medical assistance in dying (MAID) for patients with a psychiatric disorder. The objective of this study is to learn how experienced psychiatrists define irremediable psychiatric suffering (IPS) in the context of MAID and what challenges they face while establishing IPS. Methods: In a qualitative study, we performed 11 in-depth interviews with psychiatrists who have experience assessing IPS in the context of MAID. Results: Although determining IPS is, essentially, a prospective assessment, psychiatrists mostly rely on retrospective dimensions, such as the history of failed treatments, when defining IPS. When establishing IPS, psychiatrists face diagnosis and treatment challenges. The main challenge regarding diagnosis is that patients requesting MAID are often diagnosed with more than one psychiatric disorder. Important treatment related challenges are: assessing the quality of past treatments, establishing the limits of approaches that aim to alter the patient's perception, and managing 'treatment fatigue' and treatment refusal. Interpretation: IPS is mostly defined in terms of failed past treatments. Challenges regarding diagnosis and treatment complicate the process of establishing IPS. The finding that most patients are diagnosed with more than one psychiatric disorder calls for a critical appraisal of the due diligence procedure for MAID. In response to the challenges related to treatment, intersubjective clinical criteria for IPS in the context of MAID should be developed. Also, further investigation of the concept of 'treatment fatigue' in psychiatry may provide insight into why patients requesting MAID. Registration: this study was preregistered under osf.io/2jrnd.

scholarly journals Information needs of francophone health care professionals and the public with regard to medical assistance in dying in Quebec: a qualitative study

CMAJ Open ◽  
2019 ◽  
Vol 7 (2) ◽  
pp. E190-E196
Author(s):  
Antoine Boivin ◽  
François-Pierre Gauvin ◽  
Geneviève Garnon ◽  
Agustina Gancia ◽  
Ghislaine Rouly ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Information Needs ◽  
Medical Assistance ◽  
The Public ◽  
Medical Assistance In Dying

scholarly journals Exploring key stakeholders’ attitudes and opinions on medical assistance in dying and palliative care in Canada: a qualitative study protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e055789
Author(s):  
Gilla K Shapiro ◽  
Eryn Tong ◽  
Rinat Nissim ◽  
Camilla Zimmermann ◽  
Sara Allin ◽  
...  
Keyword(s):  
Palliative Care ◽  
Qualitative Study ◽  
Policy Development ◽  
Qualitative Interview ◽  
Medical Assistance ◽  
Medical Assistance In Dying ◽  
Key Stakeholders ◽  
The Government ◽  
The Impact ◽  
The Relationship

IntroductionCanadians have had legal access to medical assistance in dying (MAiD) since 2016. However, despite substantial overlap in populations who request MAiD and who require palliative care (PC) services, policies and recommended practices regarding the optimal relationship between MAiD and PC services are not well developed. Multiple models are possible, including autonomous delivery of these services and formal or informal coordination, collaboration or integration. However, it is not clear which of these approaches are most appropriate, feasible or acceptable in different Canadian health settings in the context of the COVID-19 pandemic and in the post-pandemic period. The aim of this qualitative study is to understand the attitudes and opinions of key stakeholders from the government, health system, patient groups and academia in Canada regarding the optimal relationship between MAiD and PC services.Methods and analysisA qualitative, purposeful sampling approach will elicit stakeholder feedback of 25–30 participants using semistructured interviews. Stakeholders with expertise and engagement in MAiD or PC who hold leadership positions in their respective organisations across Canada will be invited to provide their perspectives on the relationship between MAiD and PC; capacity-building needs; policy development opportunities; and the impact of the COVID-19 pandemic on the relationship between MAiD and PC services. Transcripts will be analysed using content analysis. A framework for integrated health services will be used to assess the impact of integrating services on multiple levels.Ethics and disseminationThis study has received ethical approval from the University Health Network Research Ethics Board (No 19-5518; Toronto, Canada). All participants will be required to provide informed electronic consent before a qualitative interview is scheduled, and to provide verbal consent prior to the start of the qualitative interview. Findings from this study could inform healthcare policy, the delivery of MAiD and PC, and enhance the understanding of the multilevel factors relevant for the delivery of these services. Findings will be disseminated in conferences and peer-reviewed publications.

scholarly journals How the experience of medical assistance in dying changed during the COVID-19 pandemic in Canada: a qualitative study of providers

CMAJ Open ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. E400-E405
Author(s):  
Ellen Wiebe ◽  
Michaela Kelly ◽  
Thomas McMorrow ◽  
Sabrina Tremblay-Huet ◽  
Brian Sum ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Medical Assistance ◽  
Medical Assistance In Dying

scholarly journals Assessment of capacity to give informed consent for medical assistance in dying: a qualitative study of clinicians’ experience

CMAJ Open ◽  
2021 ◽  
Vol 9 (2) ◽  
pp. E358-E363
Author(s):  
Ellen Wiebe ◽  
Michaela Kelly ◽  
Thomas McMorrow ◽  
Sabrina Tremblay-Huet ◽  
Mirna Hennawy
Keyword(s):  
Informed Consent ◽  
Qualitative Study ◽  
Medical Assistance ◽  
Medical Assistance In Dying
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