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加拿大医院药房工作人员对医疗协助死亡(MAiD)的认知与态度。

Knowledge and Attitudes of Hospital Pharmacy Staff in Canada Regarding Medical Assistance in Dying (MAiD).

作者信息

Gallagher Adrienne, Gould Odette, LeBlanc Michael, Manuel Leslie, Brideau-Laughlin Diane

机构信息

, BSc(Bio/Psych), BSc(Pharm), ACPR, was, at the time of this study, a Pharmacy Resident at Horizon Health Network, Moncton, New Brunswick. She is now a pharmacist with the Nova Scotia Health Authority, Sydney, Nova Scotia.

, PhD, is a full professor in the Department of Psychology, Mount Allison University, Sackville, New Brunswick, and an Adjunct Research Scientist with Horizon Health Network.

出版信息

Can J Hosp Pharm. 2019 Jan-Feb;72(1):16-26. Epub 2018 Feb 28.

PMID:30828090
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6391242/
Abstract

BACKGROUND

In February 2015, the Supreme Court of Canada ruled that it was unconstitutional to prohibit physicians from assisting in a patient's consensual death, thereby setting the groundwork for the legalization of medical assistance in dying (MAiD). Much of the research on this topic has focused on physicians, although other health care professionals will be involved in the process, including pharmacists, pharmacy technicians, and pharmacy assistants. In many provinces, the medications required for MAiD will be dispensed from hospital pharmacies, which will result in direct involvement of hospital pharmacy staff.

OBJECTIVES

The primary objective was to investigate the knowledge and attitudes of hospital pharmacy staff in Canada regarding MAiD. The secondary objective was to determine the factors that might influence those opinions.

METHODS

A 34-question web-based survey was available for 6 weeks during early 2017 to hospital pharmacy staff throughout Canada. For most questions, responses were based on a 5-point Likert scale, ranging from "strongly agree" to "strongly disagree". Descriptive and inferential statistics were used to analyze the data.

RESULTS

A total of 1040 valid survey responses were received: 607 from pharmacists, 273 from pharmacy technicians, and 160 from pharmacy assistants. Most respondents were supportive of MAiD; however, nearly all respondents (99% [601/607] of pharmacists, 73% [315/431] of technicians and assistants]) reported lacking comprehensive education on the topic. Despite high levels of overall support, pharmacists tended to be less supportive of MAiD than pharmacy technicians or assistants. Factors that influenced opinions included strong religious beliefs, region, and knowledge of provincial and federal legislation.

CONCLUSIONS

The majority of respondents, particularly technicians and assistants, were supportive of MAiD, but most respondents lacked education about the topic.

摘要

背景

2015年2月,加拿大最高法院裁定,禁止医生协助患者自愿死亡是违宪的,从而为医疗协助死亡(MAiD)合法化奠定了基础。关于这一主题的许多研究都集中在医生身上,尽管其他医疗保健专业人员也将参与这一过程,包括药剂师、药房技术员和药房助理。在许多省份,MAiD所需的药物将从医院药房配发,这将导致医院药房工作人员直接参与其中。

目的

主要目的是调查加拿大医院药房工作人员对MAiD的知识和态度。次要目的是确定可能影响这些观点的因素。

方法

2017年初,一项包含34个问题的网络调查在6周内面向加拿大各地的医院药房工作人员开放。对于大多数问题,回答基于从“强烈同意”到“强烈不同意”的5级李克特量表。使用描述性和推断性统计分析数据。

结果

共收到1040份有效调查问卷回复:药剂师607份,药房技术员273份,药房助理160份。大多数受访者支持MAiD;然而,几乎所有受访者(药剂师中的99%[601/607]、技术员和助理中的73%[315/431])报告称缺乏关于该主题的全面教育。尽管总体支持率较高,但药剂师对MAiD的支持倾向低于药房技术员或助理。影响观点的因素包括强烈的宗教信仰、地区以及对省级和联邦立法的了解。

结论

大多数受访者,尤其是技术员和助理,支持MAiD,但大多数受访者缺乏关于该主题的教育。

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本文引用的文献

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Medical assistance in dying: Examining Canadian pharmacy perspectives using a mixed-methods approach.医疗协助死亡:采用混合方法探讨加拿大药房的观点。
Can Pharm J (Ott). 2018 Feb 9;151(2):121-132. doi: 10.1177/1715163518754917. eCollection 2018 Mar-Apr.
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Community pharmacists' attitudes on suicide: A preliminary analysis with implications for medical assistance in dying.社区药剂师对自杀的态度:对医疗协助死亡影响的初步分析。
Can Pharm J (Ott). 2017 Dec 1;151(1):17-23. doi: 10.1177/1715163517744225. eCollection 2018 Jan-Feb.
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Attitudes and Practices of Euthanasia and Physician-Assisted Suicide in the United States, Canada, and Europe.美国、加拿大和欧洲的安乐死和医师协助自杀态度和实践。
JAMA. 2016 Jul 5;316(1):79-90. doi: 10.1001/jama.2016.8499.
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Opinions of Hospital Pharmacists in Canada Regarding Marijuana for Medical Purposes.加拿大医院药剂师对医用大麻的看法。
Can J Hosp Pharm. 2016 Mar-Apr;69(2):122-30. doi: 10.4212/cjhp.v69i2.1539. Epub 2016 Apr 29.
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Physician-assisted death: attitudes and practices of community pharmacists in East Flanders, Belgium.医师协助自杀:比利时东佛兰德省社区药剂师的态度与做法
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"Death was a blessing"--should it ever be pharmaceutically hastened? British pharmacists' views.“死亡是一种幸事”——是否应该通过药物加速死亡?英国药剂师的观点。
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Physician-assisted suicide and euthanasia: the pharmacist's perspective.医生协助自杀与安乐死:药剂师的观点
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Assisted suicide and euthanasia in Switzerland: allowing a role for non-physicians.瑞士的协助自杀与安乐死:允许非医生参与其中。
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A nation-wide study on the practice of euthanasia and physician-assisted suicide in community and hospital pharmacies in The Netherlands.荷兰一项关于社区和医院药房实施安乐死及医生协助自杀情况的全国性研究。
Pharm World Sci. 2000 Feb;22(1):3-9. doi: 10.1023/a:1008705223595.