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Decision-making process regarding passive euthanasia: Theory of planned behavior framework.

Ronit Tsemach1,2, Anat Amit Aharon2

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Nursing Ethics
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PubMed
Summary
This summary is machine-generated.

Nurses are more involved in palliative care than non-treatment decisions (NTD) for euthanasia. Enhancing open discussions can encourage nurses' participation in NTD decision-making.

Keywords:
Euthanasiadecision-makingnursespatient caretheory of planned behavior

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Area of Science:

  • Nursing Ethics
  • End-of-Life Care
  • Decision-Making in Healthcare

Background:

  • Nurses play a crucial role in end-of-life patient care.
  • Current nurse involvement in passive euthanasia decision-making, specifically non-treatment decisions (NTD), is suboptimal.

Purpose of the Study:

  • To investigate factors influencing nurses' intention to participate in NTD regarding passive euthanasia.
  • To compare nurses' intention in NTD versus their involvement in palliative care for euthanasia patients.
  • Utilized the Theory of Planned Behavior (TPB) framework.

Main Methods:

  • Cross-sectional study with a random sample of 125 nurses in a large Israeli hospital.
  • Data collected via face-to-face interviews using a structured questionnaire based on TPB.
  • Statistical analyses included paired sample t-tests and multiple hierarchical regressions.

Main Results:

  • Nurses' involvement in palliative care for euthanasia patients was significantly higher than in NTD.
  • Nurses' position and attitudes predicted intention for decision-making involvement.
  • Attitudes and perceived behavioral control predicted intention for palliative care involvement.

Conclusions:

  • Nurses' attitudes are key predictors of their intention to participate in passive euthanasia decision-making.
  • Open dialogue is recommended to increase nurses' willingness to engage in NTD for euthanasia.