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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.

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|April 16, 2025
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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.

Keywords:
Assisted dyingeuthanasianursingphenomenology qualitative research

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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.