Evidence map›Paper›PMID 31060478›Full record

ArticlePolicy, politics & nursing practice2019

Medical Assistance in Dying: A Review of Canadian Nursing Regulatory Documents.

Barbara Pesut, Sally Thorne, Megan L Stager, Catharine J Schiller, Christine Penney, Carolyn Hoffman, Madeleine Greig, Josette Roussel

Abstract read
In one paragraph

Article in Policy, politics & nursing practice, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
–field-weighted citation impact
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Article
  2. Review
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  8. The Evolving Context of MAID-Related Communications for Registered Nurses in Canada.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2024
    Article
  9. Patients' and Caregivers' Suggestions for Improving Assisted Dying Regulation: A Qualitative Study in Australia and Canada.Health expectations : an international journal of public participation in health care and health policy · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Barbara PesutSchool of Nursing and Health, Ethics, and Diversity Lab, University of British Columbia, Kelowna, BC, Canada.ORCID https://orcid.org/0000-0002-1063-7190
Sally ThorneSchool of Nursing, University of British Columbia, Vancouver, BC, Canada.
Megan L Stager1112 NW Blvd, Creston, BC, Canada.
Catharine J SchillerSchool of Nursing, University of Northern British Columbia, Prince George, BC, Canada.ORCID https://orcid.org/0000-0003-3656-2171
Christine PenneyRegulatory Policy, British Columbia College of Nursing Professionals, Vancouver, BC, Canada.
Carolyn HoffmanInstitute for Safe Medication Practices Canada, Toronto, ON, Canada.
Madeleine GreigUniversity of British Columbia, Kelowna, BC, Canada.
Josette RousselNursing Practice and Policy, Canadian Nurses Association, Ottawa, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Canada's legalization of Medical Assistance in Dying (MAiD) in 2016 has had important implications for nursing regulators. Evidence indicates that registered nurses perform key roles in ensuring high-quality care for patients receiving MAiD. Further, Canada is the first country to recognize nurse practitioners as MAiD assessors and providers. The purpose of this article is to analyze the documents created by Canadian nursing regulatory bodies to support registered nurse and nurse practitioner practice in the political context of MAiD. A search of Canadian provincial and territorial websites retrieved 17 documents that provided regulatory guidance for registered nurses and nurse practitioners related to MAiD. Responsibilities of registered nurses varied across all documents reviewed but included assisting in assessment of patient competency, providing information about MAiD to patients and families, coordinating the MAiD process, preparing equipment and intravenous access for medication delivery, coordinating and informing health care personnel related to the MAiD procedure, documenting nursing care provided, supporting patients and significant others, and providing post death care. Responsibilities of nurse practitioners were identified in relation to existing legislation. Safety concerns cited in these documents related to ensuring that nurses understood their boundaries in relation to counseling versus informing, administering versus aiding, ensuring safeguards were met, obtaining informed consent, and documenting. Guidance related to conscientious objection figured prominently across documents. These findings have important implications for system level support for the nursing role in MAiD including ongoing education and support for nurses' moral decision making.

Indexed as

Nurse's RoleCanadaClinical Decision-MakingEuthanasia, Active, VoluntaryHumansMedical AssistancePersonal AutonomySuicide, AssistedTerminal Careactive voluntary euthanasiamedical assistance in dyingnurse practitionersnursingpalliative carephysician assisted suicideterminal care

Identifiers

PMID31060478
PMCPMC6827351

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.