University of Iceland, Faculty of Medicine, Reykjavik, Iceland.
Landspitali University Hospital, Reykjavik, Iceland.
BMC Med Ethics. 2024 Nov 25;25(1):137. doi: 10.1186/s12910-024-01138-5.
In 2021, a survey was conducted among doctors and nurses at Landspítali Iceland University Hospital (LIUH) regarding their views on medical assistance in dying (MAID) and the underlying arguments, the inclusion criteria and modality of implementation. Surveys on identically defined study groups in 1995 and 2010 were used for comparison.
The survey was sent to 357 doctors and 516 nurses working at LIUH. It included seven questions and several subquestions. Participants' answers were compared by profession, age group, and specialisation status. Descriptive and inferential statistics were used.
A total of 135 doctors (38% response rate) and 103 nurses (20% response rate) answered the survey, representing 27% of the study group. A total of 145 (61%) participants were positive about MAID, with the most common argument being patient autonomy. The 95% margin of error for this view was ± 6.2%. Compared to 19% in 2010, support for MAID had tripled in 2021 (p < 0.05). Approximately 18% of participants did not support MAID of any kind, mostly due to arguments regarding preserving life or inconsistencies with the role of health care professionals. Finally, 19% of participants were uncertain of their views towards MAID, mostly due to the high level of complexity of the matter.
Compared to previous surveys, a large increase in positive attitudes towards MAID was observed among this study population. The results revealed the reasons for participants' attitudes; weighing patients' dignity/autonomy against professionals' duty to "not to kill"/palliate and showing some differences between professions.
2021 年，对冰岛大学附属医院（LIUH）的医生和护士进行了一项关于他们对医疗协助死亡（MAID）的看法以及潜在论点、纳入标准和实施方式的调查。调查使用了 1995 年和 2010 年相同定义的研究组进行比较。
这项调查被发送给在 LIUH 工作的 357 名医生和 516 名护士。它包括七个问题和几个子问题。根据专业、年龄组和专业状况比较参与者的回答。使用描述性和推断性统计。
共有 135 名医生（回应率 38%）和 103 名护士（回应率 20%）回答了调查，占研究组的 27%。共有 145 人（61%）对 MAID 持肯定态度，最常见的论点是患者自主权。这种观点的 95%置信区间误差幅度为±6.2%。与 2010 年的 19%相比，2021 年对 MAID 的支持增加了两倍（p<0.05）。约 18%的参与者不支持任何形式的 MAID，主要是因为有关于保护生命或与医疗保健专业人员角色不一致的论点。最后，19%的参与者对他们对 MAID 的看法不确定，主要是因为这件事的复杂性很高。
与之前的调查相比，研究人群对 MAID 的积极态度大幅增加。结果揭示了参与者态度的原因；权衡患者的尊严/自主权与专业人员的“不杀人”/缓解的责任，并显示出不同专业之间的一些差异。
