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严峻的新世界:围绕非自愿安乐死的沉默阴谋。

Grave new world: The conspiracy of silence surrounding non-voluntary euthanasia.

机构信息

Academic College of Tel Aviv Yaffo, Postal code G161001 Tel Aviv, Israel.

Academic College of Tel Aviv Yaffo, Postal code G161001 Tel Aviv, Israel.

出版信息

Appl Nurs Res. 2020 Apr;52:151245. doi: 10.1016/j.apnr.2020.151245. Epub 2020 Feb 19.

Abstract

The scholarship of euthanasia indicates that in most cases, to date, non-voluntary euthanasia has been studied where euthanasia is legalized. Findings of these studies demonstrate the 'slippery slope' and reveal that non-voluntary euthanasia is pervasive in these countries. The research is aimed at answering two questions: (1) What are the common death hastening methods? (2) Is the acceptance of active non-voluntary euthanasia related to the legal status of euthanasia? A qualitative study was conducted in ICUs with 15 nurses. All of the interviewees refused to take part in the death hastening cases and did not obey any doctor's instruction that could hasten or cause death. Therefore, doctors who conducted NVE did it by themselves. The present study provides evidence of the phenomenon of illegal non-voluntary euthanasia as a routine practice by physicians in palliative care units in Israel. Interviews with 15 nurses employed in these units shed light on the means and methods used by these doctors to hasten terminal patients' death. We conclude that Nurses in various end-of-life care units persist in preserving their professional integrity and refuse to obey doctors' instructions for non-voluntary euthanasia. The slippery slope argument has been refuted in this context.

摘要

安乐死的学术研究表明,迄今为止,大多数情况下研究的都是非自愿安乐死,而且这些国家都已经使安乐死合法化。这些研究的结果表明了“滑坡效应”,并揭示了非自愿安乐死在这些国家非常普遍。这项研究旨在回答两个问题:(1)常见的加速死亡的方法有哪些?(2)接受积极的非自愿安乐死是否与安乐死的法律地位有关?在 ICU 中对 15 名护士进行了一项定性研究。所有接受采访的护士都拒绝参与加速死亡的案例,也不遵守任何可能加速或导致死亡的医生的指示。因此,实施非自愿安乐死的医生都是自行实施的。本研究提供了证据,证明在以色列的姑息治疗病房中,医生将非法的非自愿安乐死作为常规做法。对这些病房中 15 名护士的访谈揭示了这些医生用于加速晚期患者死亡的手段和方法。我们的结论是,各个临终关怀病房的护士坚持维护自己的职业操守,拒绝服从医生进行非自愿安乐死的指示。在这种情况下,“滑坡效应”的论点被反驳了。

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