Muller M T, Pijnenborg L, Onwuteaka-Philipsen B D, van der Wal G, van Eijk J T
Institute for Research in Extramural Medicine, Amsterdam, The Netherlands.
J Adv Nurs. 1997 Aug;26(2):424-30. doi: 10.1046/j.1365-2648.1997.1997026424.x.
The researchers wanted to obtain insight into the cooperation between physicians and nurses with regard to active euthanasia and physician-assisted suicide (EAS). In study I a stratified random sample of 203 clinical specialists, 152 general practitioners (GPs) and 50 nursing home physicians (NHPs) participated. In study II a random sample of 521 GPs was drawn from the province of North Holland and a random sample of 521 GPs was drawn from the rest of the Netherlands. For study III all NHPs were approached. Data were collected by means of an interview in study I. In studies II and III an anonymous, postal questionnaire was used. Approximately half of the GPs did not consult with nurses about a patient's request for EAS, the intention to administer EAS, and the actual administration. In 5% of cases, the NHPs and the specialists did not consult with nurses concerning these aspects. The GPs and NHPs indicated in 4% and 3% of the cases, respectively, that nurses administered the lethal drug(s) to the patients; the corresponding figure for the specialists was 21%. Almost all GPs and NHPs and about three-quarters of the specialists thought that nurses should never be allowed to administer EAS.
研究人员希望深入了解医生与护士在积极安乐死和医生协助自杀(EAS)方面的合作情况。在研究I中,203名临床专科医生、152名全科医生(GPs)和50名疗养院医生(NHPs)参与了分层随机抽样。在研究II中,从北荷兰省抽取了521名全科医生的随机样本,并从荷兰其他地区抽取了521名全科医生的随机样本。对于研究III,联系了所有疗养院医生。在研究I中,通过访谈收集数据。在研究II和III中,使用了匿名邮寄问卷。大约一半的全科医生没有就患者的EAS请求、实施EAS的意图以及实际实施情况与护士进行协商。在5%的案例中,疗养院医生和专科医生在这些方面没有与护士进行协商。全科医生和疗养院医生分别在4%和3%的案例中表示,护士给患者注射了致命药物;专科医生的相应比例为21%。几乎所有的全科医生和疗养院医生以及大约四分之三的专科医生认为,绝不应该允许护士实施EAS。