Navigating medical assistance in dying from Bill C-14 to Bill C-7: a qualitative study
department or school: Applied Science, Faculty of
department or school: Health and Social Development, Faculty of (Okanagan)
department or school: Non UBC
department or school: Nursing, School of
department or school: Nursing, School of (Okanagan)
data provider: DSpace
identifier citation: BMC Health Services Research. 2021 Nov 04;21(1):1195
rights copyright: The Author(s)
creator: Pesut, Barbara
creator: Thorne, Sally E. (Sally Elizabeth), 1951-
creator: Wright, David Kenneth
creator: Schiller, Catharine
creator: Huggins, Madison
creator: Puurveen, Gloria
creator: Chambaere, Kenneth
issued: 2021-11-19T21:17:05Z
issued: 2021-11-04
description: Background Even as healthcare providers and systems were settling into the processes required for Medical Assistance in Dying (MAID) under Bill C-14, new legislation was introduced (Bill C-7) that extended assisted death to persons whose natural death is not reasonably foreseeable. The purpose of this paper is to describe the experiences of nurses and nurse practitioners with the implementation and ongoing development of this transition. Methods This qualitative longitudinal descriptive study gathered data through semi-structured telephone interviews with nurses from across Canada; cross sectional data from 2020 to 2021 is reported here. The study received ethical approval and all participants provided written consent. Findings Participants included nurses (n = 34) and nurse practitioners (n = 16) with significant experience with MAID. Participants described how MAID had transitioned from a new, secretive, and anxiety-producing procedure to one that was increasingly visible and normalized, although this normalization did not necessarily mitigate the emotional impact. MAID was becoming more accessible, and participants were learning to trust the process. However, the work was becoming increasingly complex, labour intensive, and often poorly remunerated. Although many participants described a degree of integration between MAID and palliative care services, there remained ongoing tensions around equitable access to both. Participants described an evolving gestalt of determining persons’ eligibility for MAID that required a high degree of clinical judgement. Deeming someone ineligible was intensely stressful for all involved and so participants had learned to be resourceful in avoiding this possibility. The required 10-day waiting period was difficult emotionally, particularly if persons worried about losing capacity to give final consent. The implementation of C-7 was perceived to be particularly challenging due to the nature of the population that would seek MAID and …
aggregated CHO: https://circle.library.ubc.ca/rest/handle/2429/80234
note: RESEARCH Open AccessNavigating medical assistance in dyingfrom Bill C-14 to Bill C-7: a qualitative studyBarbara Pesut1*, Sally Thorne2, David Kenneth Wright3, Catharine Schiller4, Madison Huggins5,Gloria Puurveen5 and Kenneth Chambaere6AbstractBackground: Even as healthcare providers and systems were settling into the processes required for Medical Assistance inDying (MAID) under Bill C-14, new legislation was introduced (Bill C-7) that extended assisted death to persons whosenatural death is not reasonably foreseeable. The purpose of this paper is to describe the experiences of nurses and nursepractitioners with the implementation and ongoing development of this transition.Methods: This qualitative longitudinal descriptive study gathered data through semi-structured telephone interviews withnurses from across Canada; cross sectional data from 2020 to 2021 is reported here. The study received ethical approval andall participants provided written consent.Findings: Participants included nurses (n = 34) and nurse practitioners (n = 16) with significant experience with MAID.Participants described how MAID had transitioned from a new, secretive, and anxiety-producing procedure to one that wasincreasingly visible and normalized, although this normalization did not necessarily mitigate the emotional impact. MAID wasbecoming more accessible, and participants were learning to trust the process. However, the work was becomingincreasingly complex, labour intensive, and often poorly remunerated. Although many participants described a degree ofintegration between MAID and palliative care services, there remained ongoing tensions around equitable access to both.Participants described an evolving gestalt of determining persons’ eligibility for MAID that required a high degree of clinicaljudgement. Deeming someone ineligible was intensely stressful for all involved and so participants had learned to beresourceful in avoiding this possibility. The required 10-day waiting period was…
has type: Article
is shown at: 10.14288/1.0403793
language: eng
peer review status: Reviewed
provider: Vancouver : University of British Columbia Library
publisher: BioMed Central
publisher DOI: 10.1186/s12913-021-07222-5
rights: Attribution 4.0 International (CC BY 4.0)
rights URI: http://creativecommons.org/licenses/by/4.0/
scholar level: Faculty
scholar level: Researcher
subject: Medical assistance in dying
subject: End of life
subject: Nursing
subject: Qualitative
subject: Legislation
subject: Healthcare systems
type: Text
identifier URI: http://hdl.handle.net/2429/80234