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Pawel Krol, Malek Amiri, Nicolas Vonarx

    Recherche En Soins Infirmiers
    |June 20, 2022
    PubMed
    Summary

    Nursing practices in medical aid in dying (MAID) in Quebec are influenced by ethical shifts and system pressures. Enhanced nursing education is crucial for addressing the complexities of MAID patient care.

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    Area of Science:

    • Medical Ethics
    • Palliative Care Nursing
    • End-of-Life Care

    Background:

    • Medical Aid in Dying (MAID) is a significant medical intervention in Quebec, primarily within palliative care settings.
    • MAID reflects a profound ethical transformation in Quebec's approach to end-of-life care.
    • There is a recognized gap in empirical research concerning nursing practices within the MAID framework.

    Purpose of the Study:

    • To conduct a comprehensive literature review of legal, scientific, and media data.
    • To explore the patient experience of nursing practices for individuals requesting MAID in Quebec palliative care.
    • To analyze the evolution and current state of MAID nursing in Quebec.

    Main Methods:

    • Utilized Burn, Grove, and Sutherland's methodology for data extraction and analysis.
    • Systematically reviewed six empirical studies from the CINAHL database.
    • Analyzed 17 media articles and one legal paper on MAID legalization in Quebec.

    Main Results:

    • MAID has been strictly regulated by law since 2015, with recent social factors contributing to its expansion.
    • Identified two primary themes: the nature of nursing practice in MAID and the necessity for specialized nursing education.
    • Nursing practice in MAID is impacted by the dominance of biomedical perspectives and the strain on Quebec's health system.

    Conclusions:

    • The biomedical narrative and Quebec's collapsing health system pose challenges to effective MAID nursing practice.
    • There is a clear need for enhanced nursing education to equip practitioners for the complexities of MAID.
    • Further empirical research is vital to understand and improve nursing's role in MAID.

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