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护士与自愿协助死亡:澳大利亚首都地区的法律如何改变澳大利亚的监管格局。

Nurses and Voluntary Assisted Dying: How the Australian Capital Territory's Law Could Change the Australian Regulatory Landscape.

作者信息

Jeanneret R, Prince S

机构信息

Medical School and T. C. Beirne School of Law, University of Queensland, 288 Herston Rd, Herston, QLD, 4006, Australia.

Australian Centre for Health Law Research, Queensland University of Technology, 2 George Street, Brisbane, QLD, 4000, Australia.

出版信息

J Bioeth Inq. 2024 Sep;21(3):393-399. doi: 10.1007/s11673-024-10370-y. Epub 2024 Jun 13.

Abstract

On June 5, 2024, the Australian Capital Territory passed a law to permit voluntary assisted dying ("VAD"). The Australian Capital Territory became the first Australian jurisdiction to permit nurse practitioners to assess eligibility for VAD. Given evidence of access barriers to VAD in Australia, including difficulty finding a doctor willing to assist, the Australian Capital Territory's approach should prompt consideration of whether the role of nurses in VAD should be expanded in other Australian jurisdictions. Drawing on lessons from Canada, which currently permits nurse practitioners to assess patient eligibility, we argue that the time has come for Australian jurisdictions to expand the role of nurses in VAD systems. This would be an important step in ensuring access to VAD for patients in practice. Attention, however, must also be paid to ensuring adequate remuneration of nurses (and doctors) if this goal of promoting access is to be achieved in practice.

摘要

2024年6月5日,澳大利亚首都地区通过了一项允许自愿协助死亡(“VAD”)的法律。澳大利亚首都地区成为澳大利亚首个允许执业护士评估VAD资格的司法管辖区。鉴于澳大利亚存在VAD获取障碍的证据,包括难以找到愿意提供协助的医生,澳大利亚首都地区的做法应促使人们思考在澳大利亚其他司法管辖区是否应扩大护士在VAD中的作用。借鉴目前允许执业护士评估患者资格的加拿大的经验教训,我们认为澳大利亚各司法管辖区扩大护士在VAD系统中的作用的时机已经到来。这将是确保患者在实际中能够获得VAD的重要一步。然而,如果要在实际中实现促进获取这一目标,还必须注意确保护士(和医生)获得足够的报酬。

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