Beuthin Rosanne, Bruce Anne
University of Victoria, Victoria, BC.
Nurs Leadersh (Tor Ont). 2018 Dec;31(4):74-81. doi: 10.12927/cjnl.2019.25753.
The provision of MAiD will be in flux for a few years, as legislative challenges are underway. This article addresses what leaders need to know and do to support nurses today and in the future regarding care of patients choosing MAiD. Drawing on complexity leadership theory and research into nurses' experiences in caring for persons choosing MAiD, we share 10 simple yet foundational things a leader must know. Underpinning our key messages are current evidence and familiar nursing concepts such as end-of-life care, death trajectories, conscientious objection, scope of practice, ethics, sense-making and care cultures. These key messages are embedded in a framework of leadership practices where attention to inter-relationships, emergence and innovation are highlighted. They provide nurse leaders with concrete actions to inspire a team dynamic for creating inclusive cultures of quality care. Leadership is needed across healthcare settings where MAiD is being enacted.
由于立法挑战正在进行中，医疗协助死亡（MAiD）的相关规定在未来几年将会不断变化。本文探讨了领导者在当下及未来支持护士护理选择MAiD的患者时需要了解和采取的措施。借鉴复杂性领导理论以及对护士护理选择MAiD患者经历的研究，我们分享领导者必须知道的10件简单却基础的事情。支撑我们关键信息的是当前证据以及诸如临终关怀、死亡轨迹、良心拒服、执业范围、伦理、意义建构和护理文化等常见的护理概念。这些关键信息融入了一个领导实践框架，该框架突出了对相互关系、涌现和创新的关注。它们为护士领导者提供了具体行动，以激发团队活力，营造包容的优质护理文化。在实施MAiD的所有医疗环境中都需要领导力。
