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Sustaining the workforce: a qualitative study exploring voluntary assisted dying supports and self-care
Casey M Haining1, Lindy Willmott1, Ben P White1
1Australian Centre for Health Law Research, Faculty of Business and Law, Queensland University of Technology, Brisbane, Queensland, Australia.
Internal Medicine Journal
|May 28, 2025
Summary
The Victorian voluntary assisted dying (VAD) workforce lacks adequate support and self-care practices, raising concerns about system sustainability. New strategies are needed to sustain this essential healthcare sector.
Area of Science:
- Medical Ethics
- Public Health Policy
- Healthcare Workforce Studies
Background:
- Victoria, Australia, pioneered voluntary assisted dying (VAD) legislation.
- The VAD workforce experiences rewarding work but also significant tolls, impacting system sustainability.
- Limited understanding exists regarding self-care and support structures for the VAD workforce.
Purpose of the Study:
- To investigate self-care practices.
- To identify support structures for the Victorian VAD clinical workforce.
Main Methods:
- Conducted semi-structured interviews with 37 VAD 'regulators'.
- Data collected between September 2022 and July 2023.
- Analysis employed reflexive thematic analysis.
Main Results:
- Identified four key themes: challenges of VAD involvement, existing supports, difficulties in workforce support and sustainability, and the need for new approaches.
- The VAD workforce faces significant challenges.
- Current support systems and self-care practices are limited.
Conclusions:
- The Victorian VAD clinical workforce has insufficient support systems and self-care practices.
- Enhancing current structures and implementing new strategies is crucial.
- Addressing these needs is vital for workforce well-being and system sustainability.
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