Davidson Judy E, Bojorquez Genesis, Upvall Michele, Stokes Felicia, Bosek Marcia Sue DeWolf, Turner Martha, Lee Young-Shin
J Hosp Palliat Nurs. 2022 Feb 1;24(1):5-14. doi: 10.1097/NJH.0000000000000820.
The aim of this study was to describe the values and perspectives of nurses regarding medical aid in dying (MAiD). The values of nurses regarding this controversial topic are poorly understood. A cross-sectional electronic survey was sent to American Nurses Association nurse members; 2390 responded; 2043 complete data sets were used for analysis. Most nurses would care for a patient contemplating MAiD (86%) and less during the final act of MAiD (67%). Personally, 49% would support the concept of MAiD, and professionally as a nurse by 57%. Nurses who identified as Christian were less likely to support MAiD. Only 38% felt that patients should be required to self-administer medications; 49% felt MAiD should be allowed by advance directive. The study results provide new insight into the wide range of nurses' values and perceptions regarding MAiD. Health care policy and nursing standards need to be written to accommodate the wide variation in nurses' values.
本研究的目的是描述护士对于临终医疗协助(MAiD)的价值观和观点。护士对于这一有争议话题的价值观尚未得到充分理解。向美国护士协会的护士会员发送了一份横断面电子调查问卷;2390人做出回应;2043份完整数据集用于分析。大多数护士愿意护理考虑接受MAiD的患者(86%),而在MAiD的最后阶段愿意护理的比例较低(67%)。个人方面,49%的护士会支持MAiD的概念,而作为专业护士,这一比例为57%。认定为基督教徒的护士支持MAiD的可能性较小。只有38%的护士认为患者应被要求自行服药;49%的护士认为应允许通过预先指示进行MAiD。研究结果为护士对于MAiD的广泛价值观和认知提供了新的见解。医疗保健政策和护理标准的制定需要适应护士价值观的广泛差异。