Chapter Eleven: Nietzsche and the Right to Die: A Critical Dialectic of Access to Euthanasia or Medical Aid in Dying

Król, Paweł

doi:10.14220/9783737005128.229

Cited by 2 publications

(3 citation statements)

References 24 publications

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“…Although the realisations of Canadian and Quebec's various legal and professional authorities are a worthy step forward the quality of humanistic practices for patients receiving EoLC in palliative care, questions remain on the project for the forthcoming Quebec's SPNs who could practise MAiD considering that Quebec's health system is understaffed and overwhelmed. [2,10] To that end, we conducted a literature review following Grove & al. methodology [11] to identify, analyse the developments and difficulties, and perhaps synthesise explicit and revealing themes to provide a deeper understanding of the phenomenon assessed and therefore give some directions aimed at the promotion of high quality and evidence-informed nursing/NPs/SPNs practice at EoLC and MAiD for the patients and thief families.…”

Section: Methodsmentioning

confidence: 99%

“…[35] In this situation, interdisciplinary practice can significantly contribute to the accessibility and quality of EoLC, but it involves some operational difficulties: mainly coordination and involvement in interdisciplinary practices for EoLC patients. Indeed, the MAiD process must be considered in a professional/responsible and impartial manner by all health personnel receiving a request for MAiD, official or not: [10] as it is the basis of interdisciplinary collaboration. Interdisciplinarity consists in valuing and integrating the voice of the patient as much as that of the physiotherapist, social worker or any other personnel involved in the care provided to patients at the end of life who request MAiD.…”

Section: The Need For Interdisciplinary Collaborationmentioning

confidence: 99%

“…The legal and bureaucratic procedures associated with MAiD should be initiated and continued within the most reasonable time. [10] In the end, interdisciplinarity integrates various voices and rich expertise which makes it possible to promptly initiate medico-legal procedures for MAiD, consisting in Quebec's legislation of an assessment by two physicians -or a possible forthcoming interdisciplinary collaboration with SNPs. Now in Quebec, these assessments must be carried out "promptly" by two independent physicians, otherwise those responsible for these assessments could face an investigation on their practice behavior by the Quebec physicians' college (CMQ, 2020).…”

Section: The Need For Interdisciplinary Collaborationmentioning

confidence: 99%

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Medical aid in dying: A foreseen decisive role for the specialized nurse practitioner in Quebec

Król

Hudon²,

Paquet³

2022

JNEP

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The legalisation of the practice of euthanasia is gaining momentum worldwide. This paper dresses the evolution of the legalisation and development of the practice of euthanasia – medical aid in dying (MAiD) – in Canada and especially in the province of Quebec to provide understanding and guidance for health care practitioners, administrators and a larger audience. This literature review explores the phenomenon of the increasing practice of MAiD in the province of Quebec (Canada) and its possible extension into practice by specialised nurse practitioners (SNPs), it also addresses the history and issues of the practice of MAiD in this context. The analysis made it possible to define three themes that make up this phenomenon, namely a) MAiD in Canada: Implementation of the Role of NPs; b) Growing demand for MAiD in Quebec’s province; c) Issues Related to a Possible Practice of MAiD by SPNs in Quebec. Results show the rising of MAiD practised in Canada and, in Quebec, especially for an aging population and those struggling with terminal illness in order to avoid undue prolongation of suffering at the end of life. However, access to end-of-life care (EoLC) and MAiD is undermined by a shortage of doctors, bureaucratic debacles, a lack of interdisciplinary cohesion and practice and, the geographical remoteness of patients. This study also highlights the modest field of research and investigation in this specific area of practice and the need for explicit teaching about the topic of the practice of MAiD for health professionals. Finally, results show that in order to remedy this problems, the governments of Canada and Quebec and various professional orders, namely those of nurses, physicians and pharmacists, have come together to promote access to MAiD by proposing a practice project for SNPs duly trained at Master degree.

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Section: Methodsmentioning

confidence: 99%

Section: The Need For Interdisciplinary Collaborationmentioning

confidence: 99%

Section: The Need For Interdisciplinary Collaborationmentioning

confidence: 99%

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Medical aid in dying: A foreseen decisive role for the specialized nurse practitioner in Quebec

Król

Hudon²,

Paquet³

2022

JNEP

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De l’aide médicale à mourir au Québec : une analyse du contexte et de la pratique infirmière en soins palliatifs

Król¹,

Amiri²,

Vonarx³

2022

Recherche en Soins Infirmiers

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Contexte : la pratique de l’aide médicale à mourir (AMM) au Québec est un acte médical pratiqué principalement aux soins palliatifs. Il découle d’une révolution éthique de la société québécoise face aux enjeux de la fin de vie. Toutefois, il existe très peu de données empiriques sur la pratique des infirmières en regard de l’AMM. But : produire une revue des écrits légaux, scientifiques et médiatiques abordant les phénomènes entourant l’expérience de la pratique des infirmières en soins palliatifs auprès des patients ayant demandé l’AMM au Québec. Méthode : la méthode de Burns, Grove, et Sutherland a permis d’analyser six études empiriques sur l’AMM au Québec, identifiées dans la base de données CINAHL, un texte législatif et 17 articles médiatiques documentant l’adoption de la loi encadrant l’AMM. Résultats : une loi stricte encadre cette pratique au Québec depuis 2015, et certains enjeux et événements sociaux ont récemment favorisé son élargissement. L’analyse de littérature empirique a permis d’identifier deux thématiques : 1). les dispositions des infirmières en regard de l’AMM et 2). leurs besoins de formation au sujet de celle-ci. Discussion et conclusion : on soulève la domination du modèle biomédical et l’effondrement du système sanitaire québécois, qui influent négativement sur les pratiques infirmières entourant l’AMM.

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Chapter Eleven: Nietzsche and the Right to Die: A Critical Dialectic of Access to Euthanasia or Medical Aid in Dying

Cited by 2 publications

References 24 publications

Medical aid in dying: A foreseen decisive role for the specialized nurse practitioner in Quebec

Medical aid in dying: A foreseen decisive role for the specialized nurse practitioner in Quebec

De l’aide médicale à mourir au Québec : une analyse du contexte et de la pratique infirmière en soins palliatifs

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