New Zealand doctors' and nurses' views on legalising assisted dying in New Zealand

Show simple item record Oliver, P en Wilson, M en Malpas, Phillipa en
dc.coverage.spatial New Zealand en 2019-10-01T20:54:58Z en 2017-06-02 en
dc.identifier.citation New Zealand Medical Journal 130(1456):10-26 02 Jun 2017 en
dc.identifier.issn 0028-8446 en
dc.identifier.uri en
dc.description.abstract BACKGROUND: Assisted dying (AD) has been legalised by statute or court decisions in at least 15 jurisdictions internationally. Nonetheless, only three medical professional bodies (and none in nursing) across those jurisdictions have proactively developed authorised policy, practice standards, guidelines or protocols, or other professional supports for health practitioners who may legally participate in AD services, and the majority internationally remain formally opposed to AD. There is a perceived likelihood that AD may be legalised in New Zealand soon. AIM: This study explored the views of doctors and nurses as to support for or opposition to legalising AD, including reasons for those views, what might deter generally willing doctors and nurses from providing AD services and what professional supports were perceived as essential or desirable to enable willing engagement in AD service provision. RESULTS: While only 37% of doctors supported legalising AD in New Zealand, 67% of nurses were supportive. Of those respondents who were willing in principle to provide AD services, large majorities identified a range of practical and ethical professional supports as essential to safe practitioner engagement. Those respondents overwhelmingly saw the provision of most of those supports as the responsibility of the medical and nursing professional bodies. CONCLUSION: There is a substantial cohort of doctors and nurses in New Zealand who support legalising AD, potentially sufficient for reasonable seeker access to AD services once legalised. However, many doctors in particular still oppose AD, and international research shows that the main barrier to access to legal AD is a lack of capacity and capability among health professionals, due in large part to several related factors, in particular: a lack of either accredited training and education for the AD provider tasks and roles; inadequate immunities within the legislation to protect participating professionals; and most importantly, a lack of practice standards and guidelines authorised by the relevant medical and nursing professional bodies. The challenge is for such protections to be available well in advance of legalisation, so that health practitioners are not at risk ethically or otherwise in early participation. en
dc.language eng en
dc.publisher New Zealand Medical Association en
dc.relation.ispartofseries New Zealand Medical Journal en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri en
dc.rights.uri en
dc.subject Adult en
dc.subject Attitude of Health Personnel en
dc.subject Female en
dc.subject Humans en
dc.subject Male en
dc.subject Middle Aged en
dc.subject New Zealand en
dc.subject Nurses en
dc.subject Physicians en
dc.subject Suicide, Assisted en
dc.title New Zealand doctors' and nurses' views on legalising assisted dying in New Zealand en
dc.type Journal Article en
pubs.issue 1456 en
pubs.begin-page 10 en
pubs.volume 130 en
dc.rights.holder Copyright: NZMA en
dc.identifier.pmid 28571045 en en
pubs.end-page 26 en
pubs.publication-status Published online en
dc.rights.accessrights en
pubs.subtype Article en
pubs.elements-id 628406 en Medical and Health Sciences en School of Medicine en Psychological Medicine Dept en
dc.identifier.eissn 1175-8716 en
pubs.record-created-at-source-date 2019-10-10 en 2017-06-02 en
pubs.dimensions-id 28571045 en

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