New Zealanders' Attitudes toward Physician-Assisted Dying

Rae, Nicola; Johnson, Malcolm H.; Malpas, Phillipa

doi:10.1089/jpm.2014.0299

Cited by 21 publications

(34 citation statements)

References 25 publications

(23 reference statements)

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“…In cases of tetraplegia, agreement was even lower (30.8%). This difference of acceptance, depending on the patient's situation, was also found in a survey of 677 New Zealanders, in which 49% of the interviewees understood that euthanasia or assisted suicide were the most appropriate responses for a tetraplegic patient who asks for assistance in dying 14 . However, the percentage of New Zealanders who chose euthanasia or assisted suicide as the most appropriate response for a patient suffering from an incurable disease was higher, reaching 78% 14 .…”

Section: Discussionmentioning

confidence: 57%

Suicídio assistido e eutanásia na perspectiva de profissionais e acadêmicos de um hospital universitário

et al. 2018

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The objective of this study was to identify the attitude of professionals and academics in a university hospital regarding assisted suicide and euthanasia. The study was conducted using a questionnaire and included 354 participants. In cases of patients with terminal illnesses, 68.1% of participants supported the legalization of assisted suicide and 73.2% supported the legalization of euthanasia. The support for legalization of assisted suicide or euthanasia was 46.9% in cases of patients with progressive neurodegenerative diseases and 30.8% in cases of tetraplegia. In cases of terminal illnesses, if those were legalized, 45% of participants would commit assisted suicide, 57% would request euthanasia, 36.5% would aid in assisted suicide and 39.9% would aid in euthanasia. In conclusion, the great support for legalization of euthanasia and assisted suicide among the participants emphasizes the need to broaden the discussion on the subject in the population. Keywords: Suicide assisted. Euthanasia. Right to die. Attitude to death. Bioethics. ResumoSuicídio assistido e eutanásia na perspectiva de profissionais e acadêmicos de um hospital universitário Objetivou-se identificar a atitude de profissionais e acadêmicos de enfermagem, fisioterapia, medicina e psicologia de um hospital universitário perante suicídio assistido e eutanásia. O estudo foi desenvolvido por meio de questionário de autopreenchimento e contou com 354 participantes, entre os quais, 68,1% concordaram com a legalização do suicídio assistido e 73,2% com a legalização da eutanásia para pacientes com doenças terminais. A concordância com a legalização do suicídio assistido ou da eutanásia foi de 46,9% em casos de pacientes com doenças neurodegenerativas progressivas e de 30,8% em casos de tetraplegia. Em casos de doenças terminais, se legalizados, 45% dos participantes cometeriam suicídio assistido, 57% solicitariam eutanásia, 36,5% auxiliariam suicídio assistido e 39,9% auxiliariam eutanásia. Conclui-se que a ampla aceitação da legalização da eutanásia e do suicídio assistido entre os participantes enfatiza a necessidade de se ampliar a discussão sobre o tema entre a população. Palavras-chave: Suicídio assistido. Eutanásia. Direito a morrer. Atitude frente à morte. Bioética. ResumenSuicidio asistido y eutanasia en la perspectiva de profesionales y estudiantes de un hospital universitario Se tuvo como objetivo identificar la actitud de profesionales y estudiantes de enfermería, fisioterapia, medicina y psicología de un hospital universitario ante el suicidio asistido y la eutanasia. El estudio fue desarrollado por medio de un cuestionario de auto-llenado y contó con 354 participantes, entre los cuales el 68,1% concordó con la legalización del suicidio asistido y el 73,2% con la legalización de la eutanasia para pacientes con enfermedades terminales. La concordancia con la legalización del suicidio asistido o de la eutanasia fue del 46,9% en casos de pacientes con enfermedades neurodegenerativas progresivas y del 30,8% en casos de tetraplejia. En...

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Section: Discussionmentioning

confidence: 57%

Suicídio assistido e eutanásia na perspectiva de profissionais e acadêmicos de um hospital universitário

et al. 2018

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“…Unsurprisingly, the responses of participants toward PAD mirrored that of the wider New Zealand population with some being in favor of legalizing PAD, some being completely opposed, and others vacillating between the 2. 49,50 While some GPs in this study viewed laws guiding PAD as providing security for the doctor and patient, others stated that such laws would be too proscriptive to allow for the best care for the patient, suggesting that the status quo remain. To this end, it has been suggested that it may not be in the best interests of the doctor to endorse transparency in end-of-life decision making in order to preserve maximal wiggle room.…”

Section: Legal and Ethical Imperativesmentioning

confidence: 84%

“Doctors Shouldn’t Underestimate the Power that they Have”: NZ Doctors on the Care of the Dying Patient

Malpas

Mitchell

2015

Am J Hosp Palliat Care

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Rapidly aging populations and increased prevalence of chronic rather than acute illnesses have seen growing public and professional interest in medical decision making at the end of life and greater attention being paid to the factors that influence how individuals make such decisions. This study comprised 2 components: The first, a postal survey, based on the Remmelink questionnaire was sent in May 2013 to 3420 general practitioners (GPs) in New Zealand. Results from this component are reported elsewhere. The second component (reported here) sought information by inviting GPs to ring a free-phone number to be interviewed about their experiences caring for their dying patients. Interviews were recorded then transcribed with identifying information deleted to preserve anonymity. With an aging population, the provision of end-of-life care will increase in general practice. There is no doubt that hospice and specialist palliative care have transformed the quality of care for the dying and their families in New Zealand. However, while respondents in this study seemed realistic about what palliative care can and cannot achieve, patients and their families may have unrealistic expectations of both hospice and palliative medicine. Many GPs appear confused over the legality of the assistance they provide to the terminally ill, concerned that actions such as increasing medication to address refractory symptoms, or stopping food and fluids may put them at risk of legal censure when they foresee that their actions may hasten death.

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“…A belief in the importance of self-determination and autonomy in regard to the patient has been shown to be a reliable predictor of permissiveness toward euthanasia (Fried, Stein, O’Sullivan, Brock, & Novack, 1993; Terkamo-Moisio et al., 2017; Verbakel & Jaspers, 2010). Several studies show that physically ill individuals are perceived to be more autonomous in their decision making than are the mentally ill (e.g., Angermeyer, Matschinger, & Schomerus, 2013), and this perception could lead to the exclusion of mentally ill patients from approval for euthanasia (Rae, Johnson, & Malpas, 2015). Further, symptoms of both schizophrenia and depression could affect decisional capacity (Doernberg et al., 2016) and among the general public, this could result in reluctance/resistance/hesitancy to allow a patient autonomy in making end-of-life decisions, which, in turn, might lead to less permissiveness toward euthanasia in the context of mental illness.…”

Section: Mediators Of the Effects Of Illness Type On Attitudes Toward Euthanasiamentioning

confidence: 99%

Attitudes Toward Euthanasia for Patients Who Suffer From Physical or Mental Illness

2018

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This study examined whether attitudes toward euthanasia vary with type of illness and with the source of the desire to end the patient's life. The study used a 3 (illness type: cancer, schizophrenia, depression) × 2 (euthanasia type: patient-initiated, family-initiated) between-groups experimental design. An online questionnaire was administered to 324 employees and students from a Australian public university following random assignment of participants to one of the six vignette-based conditions. Attitudes toward euthanasia were more positive for patients with a physical illness than a mental illness. For a patient with cancer or depression, but not schizophrenia, approval was greater for patient-, than, family-, initiated euthanasia. Relationships between illness type and attitudes were mediated by perceptions of patient autonomy and illness controllability. Findings have implications for debate, practices, and legislation regarding euthanasia.

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New Zealanders' Attitudes toward Physician-Assisted Dying

Cited by 21 publications

References 25 publications

Suicídio assistido e eutanásia na perspectiva de profissionais e acadêmicos de um hospital universitário

Suicídio assistido e eutanásia na perspectiva de profissionais e acadêmicos de um hospital universitário

“Doctors Shouldn’t Underestimate the Power that they Have”: NZ Doctors on the Care of the Dying Patient

Attitudes Toward Euthanasia for Patients Who Suffer From Physical or Mental Illness

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