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自然死亡与已知死亡日期:关于死亡的在线课程中对自愿协助死亡观点的定性研究

Natural Death Versus Known Date-Of-Death: A Qualitative Study of Views on Voluntary Assisted Dying in an Online Course About Death.

作者信息

Rawlings Deb, Winsall Megan, Miller-Lewis Lauren, Tieman Jennifer

机构信息

Palliative & Supportive Services, Flinders University, Bedford Park, Australia.

School of Health, Medical and Applied Sciences, CQUniversity, Adelaide, Australia.

出版信息

Omega (Westport). 2023 Mar;86(4):1272-1290. doi: 10.1177/00302228211008771. Epub 2021 Apr 11.

DOI:10.1177/00302228211008771
PMID:33840272
Abstract

The study aimed to describe views on Voluntary Assisted Dying (VAD), gleaned through qualitative analysis of participant responses to a set activity, run during the 2018 'Dying2Learn' Massive Open Online Course (MOOC). Data from 508 participants, most of whom identified as health professionals, were analysed using thematic content analysis, and themes generated. A large proportion of participants discussed their personal views related to VAD, specifically around choice, control, dignity, palliative care and dying at home, medical intervention, societal factors, the impact on those left behind, laws and regulations, dying 'naturally', advance care directives, and being in pain. In this study, participants had many different views on the act itself, often divisive, but also with common concepts such as respecting the choices and decisions of others.

摘要

该研究旨在通过对参与者对2018年“临终学习”大规模在线开放课程(MOOC)期间开展的特定活动的回答进行定性分析,来描述对自愿协助死亡(VAD)的看法。对508名参与者的数据进行了分析,其中大多数人将自己认定为卫生专业人员,采用主题内容分析法并生成了主题。很大一部分参与者讨论了他们与VAD相关的个人观点,特别是围绕选择、控制、尊严、姑息治疗、在家中死亡、医疗干预、社会因素、对遗属的影响、法律法规、“自然”死亡、预先护理指示以及处于疼痛之中等方面。在本研究中,参与者对该行为本身有许多不同的看法,这些看法往往存在分歧,但也有一些共同的观念,比如尊重他人的选择和决定。

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