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Nursing care in assisted dying: Plasticity and relational commitment.
Maria Feijoo-Cid1,2, Maria Verdaguer3, Xavier Busquet-Duran3,2,4
1Autonomous University of Barcelona.
Nursing Ethics
|April 16, 2025
Summary
Spanish nurses adapt their care and manage complex emotions during the euthanasia process, highlighting the need for legal recognition of their full role beyond drug administration.
Area of Science:
- Nursing Practice
- Bioethics
- End-of-Life Care
Background:
- Spain's Euthanasia Law enacted in 2021.
- Nurses' involvement extends beyond the legally recognized role of drug administration.
Purpose of the Study:
- To explore nurses' experiences and practices within the euthanasia process.
- To understand the challenges and adaptations in nursing care for assisted dying.
Main Methods:
- Qualitative study employing interpretative phenomenological analysis.
- Data collected through 6 in-depth interviews and 3 focus groups with nurses in Catalonia.
Main Results:
- Nurses demonstrate significant adaptability ('plasticity') in care delivery, addressing regulatory gaps.
- Emotional self-management strategies, including rationalization and team support, are crucial for nurses.
- Tension exists between respecting patient autonomy and the professional duty to prevent harm.
Conclusions:
- Nurses play a vital, comprehensive role throughout the euthanasia process, requiring greater legal acknowledgment.
- The complexity of euthanasia care necessitates strong relational dynamics among healthcare professionals, patients, and families.
- Current legislation should be revised to fully define and support the multifaceted role of nurses in assisted dying.
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