School of Nursing and Midwifery, Griffith University, Nathan, QLD, Australia.
Intensive Care Unit, Princess Alexandra Hospital, Metro South Health and Hospital Service, Woolloongabba, QLD, Australia.
Palliat Med. 2024 Oct;38(9):968-980. doi: 10.1177/02692163241268449. Epub 2024 Aug 10.
Assisted dying, also commonly known as euthanasia and physician-assisted suicide, is legal in many countries. Interest in assisted dying is growing due to evolving societal understandings of a good death and a desire for choice. Ethico-legal perspectives are well-known, but as societies become more heterogenous, a greater understanding of the perspectives of people from diverse racial, ethnic, and cultural backgrounds is needed.
To explore perspectives of people from diverse racial, ethnic and cultural backgrounds about assisted dying.
Scoping review with narrative synthesis. The protocol was registered with Open Science Framework.
Medline, CINAHL Complete, PsycINFO and ProQuest Dissertations & Theses Global were searched from inception to May 2023. Citations were independently assessed against inclusion and exclusion criteria.
Of the 17 included studies, perspectives of assisted dying were presented according to religion, religiosity, spirituality, race, ethnicity and ancestry. Perspectives were diverse, presenting more as a spectrum, with multiple intersections and interconnections. Support and/or opposition for assisted dying differed according to cultural attributes, but even amongst those with similar cultural attributes, perspectives differed according to life experiences and notions of suffering.
Perspectives on assisted dying are dynamic and evolving. Even where assisted dying is legalised, individual's cultural attributes contribute to unique perspectives of assisted dying as an end-of-life option. Thus, understanding a person's culture, beliefs, expectations and choices in illness, treatment goals and care is fundamental, extending beyond what may be already considered as part of clinician-patient care relationships and routine advance care planning.
安乐死，也通常被称为安乐死和医师协助自杀，在许多国家是合法的。由于对美好死亡和选择的理解不断发展，人们对安乐死的兴趣日益增加。伦理法律观点是众所周知的，但随着社会变得更加多样化，需要更多地了解来自不同种族、民族和文化背景的人的观点。
探讨来自不同种族、民族和文化背景的人对安乐死的看法。
范围审查与叙事综合。该方案已在开放科学框架中注册。
从创建到 2023 年 5 月，在 Medline、CINAHL Complete、PsycINFO 和 ProQuest Dissertations & Theses Global 上进行了搜索。引文由独立评估纳入和排除标准。
在纳入的 17 项研究中，根据宗教、宗教信仰、精神信仰、种族、民族和种族背景介绍了安乐死的观点。观点多种多样，呈现出更多的是一个频谱，有多个交叉点和相互关系。支持和/或反对安乐死的观点因文化属性而异，但即使在具有相似文化属性的人中，观点也因生活经历和对痛苦的观念而异。
对安乐死的看法是动态和不断发展的。即使安乐死合法化，个人的文化属性也会对安乐死作为临终选择的独特观点产生影响。因此，了解一个人的文化、信仰、期望和在疾病、治疗目标和护理方面的选择是至关重要的，这超出了临床医生-患者护理关系和常规预立医疗照护计划已经考虑的范围。
