Aging Ment Health. 2021 Jan 12;1-7. doi: 10.1080/13607863.2020.1870205. Epub 2021 Jan 12.
Flemish healthcare providers' attitude towards tiredness of life and euthanasia: a survey study.
Aging & mental health
Liesbeth Van Humbeeck, Ruth Piers, Reine De Bock, Nele Van Den Noortgate
Affiliations
Affiliations
- Department of Geriatric Medicine, Ghent University Hospital, Ghent, Belgium.
PMID: 33432838
DOI: 10.1080/13607863.2020.1870205
Abstract
OBJECTIVES: To explore the legal understanding and attitudes of nurses and physicians in both acute and chronic geriatric care (Flanders, Belgium) regarding euthanasia in the context of tiredness of life in older people.
METHOD: Healthcare providers employed in acute care (59 geriatricians and 75 nurses of acute geriatric wards), as well as chronic care (135 general practitioners (GPs) and 76 nurses employed in nursing homes and home care services) were sent a survey with four case vignettes. For each case vignette, respondents were asked the following questions: (1) 'Does this case fit the due-care criteria of the euthanasia law?', (2) 'Do you consider this person to be tired of life?', (3) 'Can you comprehend this person's euthanasia request?'.
RESULTS: In cases of severe and life-limiting physical suffering, where the patient meets the legal criteria for euthanasia in Belgium, only 50% of physicians and nurses are aware of this legal basis. In case of tiredness of life without underlying pathology, nurses showed more comprehension for the euthanasia request compared to physicians (43.0% vs. 10.8%,
CONCLUSION: The legal understanding and attitude of Flemish physicians and nurses towards tiredness of life and euthanasia in older patients differed to a great extent. This study showed (1) a lack of awareness of the legal basis for euthanasia in the context of ToL among all HCPs, (2) differences in the extent of comprehension between nurses and physicians and (3) differences in willingness to actually perform euthanasia between geriatricians and GPs. So even with the formulation of strict due-care criteria there is still room for interpretation. This creates a gray area and a discussion point between healthcare providers.
Keywords: Euthanasia; attitude; nurses; physicians; survey; tiredness of life
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