Culture and Attitudes Towards Euthanasia: An Integrative Review

Karumathil, Anjana; Tripathi, Ritu

doi:10.1177/0030222820984655

Cited by 11 publications

(17 citation statements)

References 127 publications

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“…A complete list of these variables, the rationale for their inclusion, and the data sources for each variable is provided in Table 1 ( Gielen et al, 2009 ; Tanuseputro, 2017 ; Pew Research Center, 2018 ; van Wijngaarden et al, 2019 ; Karumathil and Tripathi, 20202020 ; Hofstede Insights, 2021 ; Inglehart et al, 2021 ; The World Bank, 2021 ; Tran et al, 2021 ).…”

Section: Paradoxical Correlates Of Attitudes Towards Pas: Analyzing the Results Of The World Values Surveymentioning

confidence: 99%

“…Cultural dimensions (power distance, individualism/collectivism, masculinity/femininity, uncertainty avoidance, long-term orientation, indulgence/restraint (2010)(2011)(2012)(2013)(2014) Cultural values and beliefs, and particularly individualism/ collectivism, appear to play a major role in shaping attitudes towards euthanasia and assisted dying. (Karumathil and Tripathi, 20202020) What do these results tell us? Though based on a relatively small number of countries, and not specifically addressing the specific case of dementia, they suggest that economic and cultural factors might play an important role in determining attitudes towards assisted dying, whether through the assistance or direct action of a physician.…”

Section: Rationale For Inclusion In Analysismentioning

confidence: 99%

“…Though some authors have responded to such proposals with a cautious and qualified acceptance, they have also highlighted the ambiguities and ethical dilemmas inherent in such proposals ( Deodhar, 2016 ; Jakhar et al, 2020 ; Mukhopadhyay and Banerjee, 2021 ). Moreover, attitudes towards PAS in dementia are not uniformly positive even in countries where it is legal; rather, they vary according to particular psychological, cultural, religious and economic factors ( Rapp, 2016 ; Karumathil and Tripathi, 20202020 ).…”

Section: Introductionmentioning

confidence: 99%

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Physician-Assisted Suicide in Dementia: Paradoxes, Pitfalls and the Need for Prudence

Rajkumar

2021

Front. Sociol.

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There has been an increasing drive towards the legalization of physician-assisted suicide (PAS) in patients with dementia, particularly in patients with advanced disease and severe cognitive impairment. Advocacy for this position is often based on utilitarian philosophical principles, on appeals to the quality of life of the patient and their caregiver(s), or on economic constraints faced by caregivers as well as healthcare systems. In this paper, two lines of evidence against this position are presented. First, data on attitudes towards euthanasia for twenty-eight countries, obtained from the World Values Survey, is analyzed. An examination of this data shows that, paradoxically, positive attitudes towards this procedure are found in more economically advanced countries, and are strongly associated with specific cultural factors. Second, the literature on existing attitudes towards PAS in cases of dementia, along with ethical arguments for and against the practice, is reviewed and specific hazards for patients, caregivers and healthcare professionals are identified. On the basis of these findings, the author suggests that the practice of PAS in dementia is not one that can be widely or safely endorsed, on both cultural and ethical grounds. Instead, the medical field should work in collaboration with governmental, social welfare and patient advocacy services to ensure optimal physical, emotional and financial support to this group of patients and their caregivers.

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Section: Paradoxical Correlates Of Attitudes Towards Pas: Analyzing the Results Of The World Values Surveymentioning

confidence: 99%

Section: Rationale For Inclusion In Analysismentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Physician-Assisted Suicide in Dementia: Paradoxes, Pitfalls and the Need for Prudence

Rajkumar

2021

Front. Sociol.

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“…Since a significant number of participants in the present study reported a history of COVID-19, a possible reason for this finding could be the severe physical disability and weak cardiopulmonary function in the later stages of life in COVID-19 patients. Intercultural studies indicated that the unique characteristics of each culture play an important role in shaping attitudes toward euthanasia ( Karumathil & Tripathi, 2020 ). It should be noted that, from an Islamic point of view, euthanasia and DNR order have significant differences.…”

Section: Discussionmentioning

confidence: 99%

Health Care Providers’ Attitudes Toward Do-Not-Resuscitate Order in COVID-19 Patients: An Ethical Dilemma in Iran

et al. 2022

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This study aimed to investigate the health care providers’ attitudes toward the Do-Not-Resuscitate order (DNR) in COVID-19 patients. This study was conducted on 332 health care providers (HCPs) at the COVID-19 referral hospital in Shahroud, Iran by convenience sampling method. The study tools included a demographic information form and the DNR attitude questionnaire. Significance level was considered 0.05 for all tests. The mean scores of attitudes toward DNR order, the procedure of DNR, some aspects of passive euthanasia, and religious and cultural factors were 25.27 ± 2.78, 40.61 ± 5.99, 11.26 ± 2.51, and 6.12 ± 1.27, respectively. The death of relatives due to COVID-19 and female gender were associated with high and low scores of attitudes toward DNR order, respectively. Extended working hours and more work experience were correlated with high scores of DNR procedure. The history of COVID-19 increased the mean score of attitudes toward some aspects of passive euthanasia. In addition, an increase in following COVID-19 news decreased the score of religious and cultural factors affecting DNR order. Despite the legal ban on implementation of the DNR in Iran, the attitude of Iranian HCPs toward this was positive in COVID-19 patients.

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“…Following the screening process, 39 of the 996 identi ed studies were considered potential candidates for inclusion in the systematic review. Fourteen studies were excluded because they were not related to advance care planning (13,14,15,16,17,18,19,20,21,22,23,24,25,26). Additionally, 18 studies were excluded because they were different article types (27,28,29,30,31,32,33,34,35,36,37,38,39,40,41,42,43,44).…”

Section: Study Selectionmentioning

confidence: 99%

Barriers to and facilitators of advance care planning implementation for medical staff after the coronavirus disease 2019 pandemic: An overview of reviews

Inokuchi

Hanari

Shimada

et al. 2023

Preprint

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Background: The coronavirus disease 2019 (COVID-19) pandemic has impacted the capacity for advance care planning between patients, families, and healthcare teams. The barriers to and facilitators of advance care planning vary with settings. This study sought to identify and review the barriers to and facilitators of advance care planning implementation for medical staff in different settings (e.g., hospitals, outpatients, care and nursing homes) during the COVID-19 pandemic. Methods: This study followed an overview of review design and was registered in the International Prospective Register of Systematic Reviews (CRD42022351362). A search of MEDLINE, CENTRAL, Web of Science, and Embase databases was performed through November 14, 2022. AMSTAR 2 was used to assess the risk of bias. Results: The final analyses included seven studies. Common barriers to advance care planning implementation included visitation restrictions, limited resources and personnel, and lack of coordination among health professionals. In care and nursing homes, the lack of palliative care physicians and the psychological burden on staff were identified as barriers. Using telemedicine for information-sharing was a common facilitator. In hospitals, facilitators were short-term training in palliative care and palliative care physicians joining the acute care team; in care homes and nursing homes, they were advance care planning education and emotional support for staff. Conclusions: Although inadequate staff education regarding advance care planning in hospitals and facilities and the lack of community-level information-sharing have long been noted, the pandemic highlighted these issues. Short-term training programs for staff and immediate information-sharing could facilitate advance care planning.

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Culture and Attitudes Towards Euthanasia: An Integrative Review

Cited by 11 publications

References 127 publications

Physician-Assisted Suicide in Dementia: Paradoxes, Pitfalls and the Need for Prudence

Physician-Assisted Suicide in Dementia: Paradoxes, Pitfalls and the Need for Prudence

Health Care Providers’ Attitudes Toward Do-Not-Resuscitate Order in COVID-19 Patients: An Ethical Dilemma in Iran

Barriers to and facilitators of advance care planning implementation for medical staff after the coronavirus disease 2019 pandemic: An overview of reviews

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