Tremblay-Huet Sabrina, McMorrow Thomas, Wiebe Ellen, Kelly Michaela, Hennawy Mirna, Sum Brian
Faculty of Law, University of Sherbrooke, Sherbrooke, Quebec, Canada.
Faculty of Social Science and Humanities, Ontario Tech University, Oshawa, Ontario, Canada.
J Law Biosci. 2020 Dec 11;7(1):lsaa087. doi: 10.1093/jlb/lsaa087. eCollection 2020 Jan-Jun.
Drawing on interviews we conducted with 15 medical assistance in dying (MAiD) providers from across Canada, we examine how physicians and nurse practitioners reconcile respect for the new, changing rules brought upon by the coronavirus disease 2019 (COVID-19) pandemic, along with their existing legal obligations and ethical commitments as health care professionals and MAiD providers. Our respondents reported situations where they did not follow or did not insist on others following the applicable public health rules. We identify a variety of techniques that they deployed either to minimize, rationalize, justify or excuse deviations from the relevant public health rules. They implicitly invoked the exceptionality and emotionality of the MAiD context, especially in the time of COVID, when offering their accounts and explanations. What respondents relate about their experiences providing MAiD during the COVID pandemic offers occasion to reflect on the role actors themselves play in giving meaning (if not coherence) to the potentially conflicting normative expectations to which they are subject.
基于我们对来自加拿大各地的15名协助死亡（MAiD）提供者进行的访谈，我们研究了医生和执业护士如何在尊重2019冠状病毒病（COVID-19）大流行带来的新的、不断变化的规则的同时，履行他们作为医疗保健专业人员和MAiD提供者的现有法律义务和道德承诺。我们的受访者报告了他们不遵守或不坚持让他人遵守适用的公共卫生规则的情况。我们确定了他们采用的各种技巧，这些技巧要么是为了尽量减少、合理化、证明或原谅偏离相关公共卫生规则的行为。在讲述他们的经历和解释时，他们含蓄地援引了MAiD背景的特殊性和情感性，尤其是在COVID期间。受访者讲述的他们在COVID大流行期间提供MAiD的经历，促使我们反思行为者自身在赋予他们所面临的潜在冲突的规范性期望以意义（即便不是连贯性）方面所起的作用。
