Evidence map›Paper›PMID 32206313›Full record

ArticleSAGE open medicine2020

Rediscovering the art of medicine, rewards, and risks: Physicians' experience of providing medical assistance in dying in Canada.

Rosanne Beuthin, Anne Bruce, Marie-Clare Hopwood, W David Robertson, Katherine Bertoni

Abstract read
In one paragraph

Article in SAGE open medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

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

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  16. Integration of medical assistance in dying into family practice.Canadian family physician Medecin de famille canadien
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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

5 authors.

Rosanne BeuthinCNS End of Life Care, Vancouver Island Health Authority, Victoria, BC, Canada.ORCID https://orcid.org/0000-0002-8186-6548
Anne BruceSchool of Nursing, University of Victoria, Victoria, BC, Canada.
Marie-Clare HopwoodOceanside Community, Royston, BC, Canada.
W David RobertsonGeography 3-Laboratory, Medical Imaging, and Pharmacy, Vancouver Island Health Authority, Duncan, BC, Canada.
Katherine BertoniJack Petersen Health Clinic and School of Nursing, Faculty of Human & Social Development, University of Victoria, Victoria, BC, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMedical assistance in dying opens up uncharted professional territory for Canadian physicians extending their practices to include assisting and hastening death for eligible patients.

objectivesTo understand physicians' experience of participating in assisted dying and the emotional and professional impact.

methodsAn interpretive descriptive methodology and thematic analysis were used for this research. We interviewed eight physicians engaged in assessing and providing medical assistance in dying. Data were collected through audio taped, semi-structured interviews in person or by phone.

resultsThree overarching themes included (1) rediscovering the art of medicine, (2) unexpected rewards, and (3) negotiating risks and challenges. Each theme has accompanying sub-themes.

conclusionMedical assistance in dying is markedly different from other physicians' practices in that it has an enriched capacity for caring. The process brings deep satisfaction characterized by intimate, personalized contact with patients and families. The professional rewards of providing medical assistance in dying outweigh the challenges, offering an alternative narrative to more publicly accepted views of assisting someone to die.

Indexed as

art of medicineCanadacompassion satisfactionDeath and dyingend-of-life issuesmedical assistance in dyingphysiciansstories

Identifiers

PMID32206313
PMCPMC7074494

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.