Evidence map›Paper›PMID 31273903›Full record

ArticleNursing inquiry2020

Shades of gray: Conscientious objection in medical assistance in dying.

Barbara Pesut, Sally Thorne, Madeleine Greig

Abstract read
In one paragraph

Article in Nursing inquiry, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  6. 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
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  9. Review
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  15. But it's legal, isn't it? Law and ethics in nursing practice related to medical assistance in dying.Nursing philosophy : an international journal for healthcare professionals · 2019
    Article
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  17. Article
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

3 authors.

Barbara PesutSchool of Nursing, University of British Columbia, Okanagan, British Columbia, Canada.ORCID 0000-0002-1063-7190
Sally ThorneSchool of Nursing, University of British Columbia, Vancouver, British Columbia, Canada.ORCID 0000-0002-1156-9425
Madeleine GreigSchool of Nursing, University of British Columbia, Okanagan, British Columbia, Canada.

Funding

CIHR PJT‐376065
6 · The paper itself

Abstract

With the advent of legalized medical assistance in dying [MAiD] in Canada in 2016, nursing is facing intriguing new ethical and theoretical challenges. Among them is the concept of conscientious objection, which was built into the legislation as a safeguard to protect the rights of healthcare workers who feel they cannot participate in something that feels morally or ethically wrong. In this paper, we consider the ethical complexity that characterizes nurses' participation in MAiD and propose strategies to support nurses' moral reflection and imagination as they seek to make sense of their decision to participate or not. Deconstructing the multiple and sometimes conflicting ethical and professional obligations inherent in nursing in such a context, we consider ways in which nurses can sustain their role as critically reflective moral agents within a context of a relational practice, serving the diverse needs of patients, families, and communities, as Canadian society continues to evolve within this new way of engaging with matters of living and dying.

Indexed as

Conscientious Refusal to TreatEthics, NursingSuicide, AssistedCanadaHumansMedical AssistanceNurse's Roleassisted suicideconscientious objectioneuthanasiamedical assistance in dyingnursesnursing ethicsnursing philosophy

Identifiers

PMID31273903
PMCPMC7027545

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.