Evidence map›Paper›PMID 26052600›Full record

ArticleCanadian family physician Medecin de famille canadien2015

Health care professionals' comprehension of the legal status of end-of-life practices in Quebec: study of clinical scenarios.

Isabelle Marcoux, Antoine Boivin, Claude Arsenault, Mélanie Toupin, Joseph Youssef

Abstract read
In one paragraph

Article in Canadian family physician Medecin de famille canadien, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Isabelle Marcoux
Antoine Boivin
Claude Arsenault
Mélanie Toupin
Joseph Youssef

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine health care professionals' understanding of the current legal status of different end-of-life practices and their future legal status if medical aid in dying were legalized, and to identify factors associated with misunderstanding surrounding the current legal status.

designCross-sectional survey using 6 clinical scenarios developed from a validated European questionnaire and from a validated classification of end-of-life practices.

settingQuebec.

participantsHealth care professionals (physicians and nurses).

main outcome measuresPerceptions of the current legal status of the given scenarios and whether or not the practices would be authorized in the event that medical aid in dying were legalized.

resultsAmong the respondents (n = 271, response rate 88.0%), more than 98% knew that the administration or prescription of lethal medication was currently illegal. However, 45.8% wrongly thought that it was not permitted to withdraw a potentially life-prolonging treatment at the patient's request, and this misconception was more common among nurses and professionals who had received their diplomas longer ago. Only 39.5% believed that, in the event that medical aid in dying were legalized, the use of lethal medication would be permitted at the patient's request, and 34.6% believed they would be able to give such medication to an incompetent patient upon a relative's request.

conclusionHealth care professionals knew which medical practices were illegal, but some wrongly believed that current permitted practices were not legal. There were various interpretations of what would or would not be allowed if medical aid in dying were legalized. Education on the clinical implications of end-of-life practice legislation should be promoted.

Indexed as

Attitude of Health PersonnelHealth Knowledge, Attitudes, PracticeAdultAgedCross-Sectional StudiesEthics, MedicalEuthanasiaFemaleHumansLife Support CareMaleMiddle AgedNursesPhysiciansQuebecRight to Die

Identifiers

PMID26052600
PMCPMC4396778

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.