Comparison of attitude of nurses and nursing students toward euthanasia

Khatony, Alireza; Fallahi, Masoud; Rezaei, Mansour; Mahdavikian, Somayeh

doi:10.1177/0969733021999751

Cited by 9 publications

(11 citation statements)

References 27 publications

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“…The results obtained are similar to previously published studies (Crusat-Abelló and Fernández-Ortega, 2021;Khatony et al, 2022;Kim, 2019;Terkamo-Moisio et al, 2017;Naseh and Heidari 2017;Yildirim, 2020). However, this study provides new ways of thinking that have a number of implications for policy, education, clinical practice, and future studies on the topic.…”

Section: Discussionsupporting

confidence: 90%

Nursing students' perceptions of euthanasia legislation: A qualitative study

Ortega‐Galán

Fernández

Alcaráz-Córdoba

et al. 2022

Nurse Education Today

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Section: Discussionsupporting

confidence: 90%

Nursing students' perceptions of euthanasia legislation: A qualitative study

Ortega‐Galán

Fernández

Alcaráz-Córdoba

et al. 2022

Nurse Education Today

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“…They, therefore, place more weight on how life is lived rather than the concept of being alive and also on the autonomy of their patients. This is the main objective of the profession in Western societies: to provide care within the framework of the patient's personal autonomy (García, 2020; Khatony et al, 2022; Rodríguez‐Calvo et al, 2019).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the majority of working and student nurses at present report being in favour of the application of euthanasia in various clinical settings (Ortega‐Galán et al, 2022; Velasco et al, 2021). Younger nurses have a general tendency to value euthanasia in a positive way (Green, 2021; Khatony et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

The paradoxical position of nurses regarding euthanasia and its legalisation: A descriptive quantitative study

Ortega‐Galán,

Ibáñez‐Masero,

Fernández‐Martínez

et al. 2023

Journal of Clinical Nursing

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Aims and ObjectivesTo learn about the attitudes of nurses working in the Andalusian Public Health System regarding euthanasia and its legalisation.BackgroundEuthanasia often finds itself in the crosshairs of ethical and political debate on an international scale. Currently, the Spanish Organic Law 3/2021 of 24 March, 2021, recognises euthanasia as a fundamental right in Spain. It is of particular interest to know about the views, attitudes and stances that Andalusian nurses have of euthanasia as they are key players within the framework of euthanasia and administration of life‐ending drugs. They play a central role in guiding patients through the euthanasia application process.DesignObservational descriptive study.MethodsA study of Andalusian Public Health System nurses was carried out using non‐probability convenience sampling. 518 nurses with an average age of 44.75 years answered in a questionnaire that was distributed on an online platform. Socio‐demographic and occupational variables were assessed, together with the Death Anxiety Scale and the Euthanasia Attitude Scale. A bivariate analysis and a multivariate linear regression model were performed. The STROBE checklist was used.ResultsThe mean score obtained on the Euthanasia Attitude Scale was 75.95 (SD = 16.53). The mean score obtained on the Death Anxiety Scale was 7.56 (SD = 3.05). The variables age and work experience were negatively correlated with the total scores of the Euthanasia Attitude Scale and the categories ‘Ethical considerations’, ‘Practical considerations’ and ‘Treasuring life’. On the other hand, there was a significant positive correlation between age and work experience and ‘Spiritual beliefs’ category.ConclusionsThe current situation shows a worrying paradox. There is a stark difference between positive professional attitudes towards euthanasia and the desire to participate in its application.Relevance to Clinical PracticeIt is vital that educational and healthcare institutions make the necessary efforts to ensure that nurses develop sound moral judgement, displaying the moral conscience and ethical commitment required of this established profession.Patient or Public ContributionNo patient or public contribution.

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“…However, many patients are unconscious and fail to discuss and make medical decisions and sign a Do-Not-Resuscitate (DNR) order regarding the refusal of resuscitation practices and non-beneficial life-sustaining treatments [ 5 , 6 ], or family members may not be able to complete an advanced consent DNR order for their patient because they cannot understand the actual illness situation, and may even act against the patient’s prior will [ 7 ]. Furthermore, sometimes DNR is misunderstood as a form of passive euthanasia [ 8 , 9 ], and euthanasia is still under debate with regard to clinical ethics and principles [ 4 ], and is incompatible with the healer role of the physician. Therefore, physicians might not actively discuss and complete DNR documentation.…”

Section: Introductionmentioning

confidence: 99%

The Impact of Signing Do-Not-Resuscitate Orders on the Use of Non-Beneficial Life-Sustaining Treatments for Intensive Care Unit Patients: A Retrospective Study

Shiu

Lee

Yeh

et al. 2022

IJERPH

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Background: Intensive care medical technology increases the survival rate of critically ill patients. However, life-sustaining treatments also increase the probability of non-beneficial medical treatments given to patients at the end of life. Objective: This study aimed to analyse whether patients with a do-not-resuscitate (DNR) order were more likely to be subject to the withholding of cardiac resuscitation and withdrawal of life-sustaining treatment in the ICU. Methods: This retrospective study collected data regarding the demographics, illness conditions, and life-sustaining treatments of ICU patients who were last admitted to the ICU between 1 January 2016 and 31 December 2017, as determined by the hospital’s electronic medical dataset. Results: We identified and collected data on 386 patients over the two years; 319 (82.6%) signed a DNR before the end. The study found that DNR patients were less likely to receive cardiac resuscitation before death than non-DNR patients. The cardiac resuscitation treatments included chest compressions, electric shock, and cardiotonic drug injections (p < 0.001). However, the life-sustaining treatments were withdrawn for only a few patients before death. The study highlights that an early-documented DNR order is essential. However, it needs to be considered that promoting discussions of time-limited trials might be the solution to helping ICU terminal patients withdraw from non-beneficial life-sustaining treatments.

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Comparison of attitude of nurses and nursing students toward euthanasia

Cited by 9 publications

References 27 publications

Nursing students' perceptions of euthanasia legislation: A qualitative study

Nursing students' perceptions of euthanasia legislation: A qualitative study

The paradoxical position of nurses regarding euthanasia and its legalisation: A descriptive quantitative study

The Impact of Signing Do-Not-Resuscitate Orders on the Use of Non-Beneficial Life-Sustaining Treatments for Intensive Care Unit Patients: A Retrospective Study

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