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[Qualitative research about euthanasia concept, between Spanish doctors].

M Á Cuervo Pinna1, M Rubio2, R Altisent Trota3

  • 1Médico Internista, Equipo de Cuidados Paliativos de Badajoz, Badajoz, España.

Revista De Calidad Asistencial : Organo De La Sociedad Espanola De Calidad Asistencial
|November 4, 2015
PubMed
Summary
This summary is machine-generated.

Doctors in Spain exhibit terminological confusion regarding euthanasia and physician-assisted suicide, hindering consensus. Clarifying these end-of-life terms is crucial for consistent medical practice and ethical patient care.

Keywords:
EutanasiaEuthanasiaInvestigación cualitativaQualitative research

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Area of Science:

  • Medical Ethics
  • Palliative Care
  • Clinical Terminology

Background:

  • Decriminalization of euthanasia and assisted suicide sparks ongoing debate.
  • Terminological ambiguity impedes consensus in medical practice.
  • Understanding physician perspectives on end-of-life care terminology is essential.

Purpose of the Study:

  • To assess if doctors in Extremadura, Spain, use 'euthanasia' and 'physician-assisted suicide' interchangeably.
  • To identify specific areas of terminological confusion among physicians regarding end-of-life care.
  • To explore the nuances in understanding concepts like passive euthanasia and hastened death.

Main Methods:

  • Qualitative study utilizing two focus groups with physicians from diverse specialties.
  • Participants included doctors treating a significant number of terminally ill patients.
  • Data analysis employed Atlas.ti software following expert transcription of recorded sessions.

Main Results:

  • Confirmed terminological confusion, including mixing concepts, use of 'passive euthanasia', and conflating euthanasia with physician-assisted suicide.
  • Identified confusion with 'wish to hasten death' and differentiating sedation from euthanasia.
  • Achieved consensus on voluntariness, terminal illness, and unbearable symptoms as core conditions.

Conclusions:

  • Persistent conceptual variability exists regarding euthanasia, particularly the notion of 'passive euthanasia'.
  • Establishing a shared, precise language for end-of-life terms is vital for medical professionals.
  • Standardized terminology will support consistent and ethical clinical practice in end-of-life care.