ArticleHEC forum : an interdisciplinary journal on hospitals' ethical and legal issues2022
MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services.
Article in HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
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Who cites it
13 citing papers in PubMed.
- Building Moral Community in an Age of Polarization: A Model for Reconciling Rights of Conscience in Healthcare Organizations.Journal of bioethical inquiry · 2026Article
- MAiDHouse: a qualitative study on structured community-based support for grief and bereavement in Canada.BMJ open · 2026Article
- An Ethics Framework for Medical Assistance in Dying: Supporting Ethical Decision-Making in the Practice of MAiD.Bioethics · 2026Article
- Article
- Assisted Suicide and Suicide Prevention: Ethical Perspectives, Attitudes and Challenges for Nurses in Long-Term Care-A Qualitative Focus Group Study.Healthcare (Basel, Switzerland) · 2025Article
- Sustaining the workforce: a qualitative study exploring voluntary assisted dying supports and self-care.Internal medicine journal · 2025Article
- Still safe; still respectful: a mixed methods study exploring the early experiences of a rural community hospice in providing voluntary assisted dying.BMC palliative care · 2025Article
- Developing robust systems for Track 2 MAID in Canada: A qualitative study.Palliative care and social practice · 2025Article
- 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 · 2024Article
- Care considerations in medical assistance in dying for persons with mental illness as the sole underlying medical condition: a qualitative study of patient and family perspectives.BMC psychiatry · 2024Article
- Getting Beyond Pros and Cons: Results of a Stakeholder Needs Assessment on Physician Assisted Dying in the Hospital Setting.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022Article
- Introducing Medical Assistance in Dying in Canada: Lessons on Pragmatic Ethics and the Implementation of a Morally Contested Practice.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022Article
- Access Isn't Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2022Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This paper depicts a case study of an organizational strategy for the promotion of ethical practice when introducing a new, high-risk, ethically-charged medical practice like Medical Assistance in Dying (MAiD). We describe the development of an interprofessional program that enables the delivery of high-quality, whole-person MAiD care that is values-based and sustainable. A "care ecology" strategy recognizes the interconnected web of relationships and structures necessary to support a quality experience of MAiD for patients, families, and clinicians. This program exemplifies a care ecology approach that addresses common barriers to entry to MAiD practice, and also meets the needs of a variety of stakeholders through the creation of patient and family resources, team supports, standards of practice, professional development opportunities, organizational infrastructure, and community partnerships. We also describe how a thriving care ecology evolves to remain resilient, and to enable integration as the needs of the organization, team and program change over time. The design and development of this program may be adapted to other jurisdictions and organizations where MAiD is introduced, or where new patient populations become eligible for MAiD. This care ecology model may also be applicable to the creation of sustainable programs that provide other morally controversial or novel clinical services.
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Registered trials
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.