Objections to assisted dying within institutions: systemic solutions for rapprochement

Area of Science:

• Medical Ethics
• Healthcare Management
• Palliative Care

Background:

• This article examines the practical implementation of Voluntary Assisted Dying (VAD) in a large Australian public health setting.
• It addresses how institutional objections, arising from within the healthcare system, impact patient care and caregiver experiences.
• The study builds upon previous research (White et al., 2023) that highlighted harms associated with institutional objections to VAD.

Discussion:

• Discusses the complexities arising from diverse health professional views on VAD.
• Explores ethical tensions encountered, particularly within specific medical specialties.
• Details the development of systemic strategies to support patients, caregivers, and healthcare staff during VAD implementation.

Key Insights:

• Institutional objections to VAD can create significant risks and harms for patients and their families.
• A shift in approach is needed from questioning healthcare professionals' support for VAD to actively supporting their integration of VAD into practice.
• Systemic strategies are crucial for navigating ethical complexities and ensuring safe, compliant VAD practices.

Outlook:

• Recommends a proactive, supportive framework for healthcare professionals to integrate VAD.
• Emphasizes the need for VAD implementation strategies that align with legislation, patient needs, and caregiver support.
• Suggests that addressing moral stances and ensuring staff safety are paramount for successful VAD programs.