White Ben P, Jeanneret Ruthie, Holland-Batt Sarah, Miller Evonne
Faculty of Business and Law, Australian Centre for Health Law Research, Queensland University of Technology, Brisbane, Queensland, Australia.
Medical School and TC Beirne School of Law, The University of Queensland, Brisbane, Queensland, Australia.
Australas J Ageing. 2025 Jun;44(2):e70019. doi: 10.1111/ajag.70019.
To undertake the first scholarly examination in Australia of how those involved in seeking voluntary assisted dying (VAD) discuss the concept of gratitude for this new end-of-life choice. The article shares findings through research poetry, an arts-based form of research where poems are developed from data (here, interview transcripts).
Twenty-eight semi-structured qualitative interviews were conducted with 33 participants (32 family caregivers; one patient). Participants were asked about their VAD experience, with caregivers also asked about the experience of their family member. Data were thematically analysed, focusing on expressions of gratitude for VAD. Miller's five-step process was adopted to create the research poetry.
Gratitude for VAD was a significant concept for participants. We identified three gratitude themes relating to what people were grateful for, who people were grateful to and other feelings mixed in with their gratitude, such as ambivalence. We created six poems to illuminate these findings and give voice to the gratitude expressed by patients and family caregivers about VAD.
Gratitude for VAD was emphasised by participants as an important part of their experience and something that can help family caregivers cope after a VAD death. Expressions of gratitude can support health professionals providing VAD and create support for law reform in other jurisdictions. Research poetry reflecting this gratitude can contribute to reducing the stigma attached to VAD and enhance awareness of this relatively new end-of-life choice. More research is needed into the emotional experience of those involved in seeking and receiving VAD in Australia.
在澳大利亚首次进行学术研究,探讨参与寻求自愿协助死亡(VAD)的人如何讨论对这种新的临终选择的感激之情。本文通过研究诗歌分享研究结果,研究诗歌是一种基于艺术的研究形式,诗歌由数据(此处为访谈记录)创作而成。
对33名参与者(32名家庭护理人员;1名患者)进行了28次半结构化定性访谈。询问参与者他们的VAD经历,同时也询问护理人员其家庭成员的经历。对数据进行主题分析,重点关注对VAD的感激之情的表达。采用米勒的五步流程创作研究诗歌。
对VAD的感激对参与者来说是一个重要概念。我们确定了三个与感激相关的主题,分别涉及人们感激的内容、感激的对象以及与感激交织在一起的其他感受,如矛盾心理。我们创作了六首诗来阐明这些发现,并表达患者和家庭护理人员对VAD所表达的感激之情。
参与者强调对VAD的感激是他们经历的重要组成部分,也是帮助家庭护理人员在VAD死亡后应对的因素。感激之情的表达可以支持提供VAD的健康专业人员,并为其他司法管辖区的法律改革提供支持。反映这种感激之情的研究诗歌有助于减少与VAD相关的污名,并提高对这种相对较新的临终选择的认识。在澳大利亚,需要对寻求和接受VAD的人的情感体验进行更多研究。