• Palliative medicine · Jun 2019

    Common dedication to facilitating good dying experiences: Qualitative study of end-of-life care professionals' attitudes towards voluntary assisted dying.

    • Sarah-May Blaschke, Penelope Schofield, Keryn Taylor, and Anna Ugalde.
    • 1 Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
    • Palliat Med. 2019 Jun 1; 33 (6): 562-569.

    BackgroundDebate about appropriate and ethically acceptable end-of-life choices is ongoing, which includes discussion about the legalization of voluntary assisted dying. Given health professionals' role in caring for patients at the end life, their stance towards assisting a person with dying can have implications for policy development and implementation in jurisdictions where law changes are being considered.AimTo explore end-of-life care professionals' attitudes towards voluntary assisted dying 6 months prior to vote on legalization.DesignQualitative study using textual data collected through semi-structured interviews. Purposive sampling strategy used to collect a broad representation of perspectives. Audio-recorded interviews were transcribed verbatim and subjected to qualitative descriptive analysis techniques.ParticipantsA total of 16 health professionals with experience in caring for people with life-limiting illness.ResultsParticipants reported two overarching positions grounded in differing moral philosophies with compelling arguments both for and against legalization of voluntary assisted dying. A third and common line of argument emerged from areas of shared concern and uncertainty about the practical consequences of introducing voluntary assisted dying. While a diversity of opinion was evident, all participants advocated for more public education and funding into end-of-life care services to make high-quality care equitable and widely available.ConclusionCommon dedication to reducing suffering and facilitating good dying experiences exists among experts despite their divergent views on voluntary assisted dying. Ongoing engagement with stakeholders is needed for practical resolution in the interest of developing health policy for best patient care.

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