Evidence map›Paper›PMID 37480024›Full record

ArticleBMC palliative care2023

Health care providers' early experiences of assisted dying in Aotearoa New Zealand: an evolving clinical service.

Jeanne Snelling, Jessica Young, Sophie Beaumont, Kate Diesfeld, Ben White, Lindy Willmott, Jacqualine Robinson, Tess Moeke-Maxwell

Abstract read
In one paragraph

Article in BMC palliative care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Factors That Influence Access to Medical Assistance in Dying Services: An Integrative Review.Health expectations : an international journal of public participation in health care and health policy · 2024
    Pooled it
  3. Practitioners' attitudes and approaches to assessing comorbid depression among patients seeking assisted dying in New Zealand.Psychiatry, psychology, and law : an interdisciplinary journal of the Australian and New Zealand Association of Psychiatry, Psychology and Law · 2026
    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.

Jeanne SnellingUniversity of Otago, Dunedin, New Zealand. jeanne.snelling@otago.ac.nz.
Jessica YoungTe Herenga Waka - Victoria University of Wellington, Wellington, New Zealand.
Sophie BeaumontTe Herenga Waka - Victoria University of Wellington, Wellington, New Zealand.
Kate DiesfeldAuckland University of Technology, Auckland, New Zealand.
Ben WhiteQueensland University of Technology, Brisbane, Australia.
Lindy WillmottQueensland University of Technology, Brisbane, Australia.
Jacqualine RobinsonUniversity of Auckland, Auckland, New Zealand.
Tess Moeke-MaxwellUniversity of Auckland, Auckland, New Zealand.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn November 2021, assisted dying (AD) became lawful in Aotearoa New Zealand. A terminally ill person may now request, and receive, pharmacological assistance (self-administered or provided by a medical practitioner/nurse practitioner) to end their life, subject to specific legal criteria and processes. Exploring the experiences of health providers in the initial stage of the implementation of the End of Life Choice Act 2019 is vital to inform the ongoing development of safe and effective AD practice, policy and law.

aimTo explore the early experiences of health care providers (HCPs) who do and do not provide AD services seven months after legalisation of AD to provide the first empirical account of how the AD service is operating in New Zealand's distinctive healthcare environment and cultural context.

designQualitative exploratory design using semi-structured individual and focus group interviewing with a range of HCPs.

resultsTwenty-six HCPs participated in the study. Through a process of thematic analysis four key themes were identified: (1) Difference in organisational response to AD; (2) challenges in applying the law; (3) experiences at the coal face; and (4) functionality of the AD system.

conclusionA range of barriers and enablers to successful implementation of AD were described. Adoption of open and transparent organisational policies, ongoing education of the workforce, and measures to reduce stigma associated with AD are necessary to facilitate high quality AD service provision. Future research into the factors that influence responses to, and experience of AD; the impact of institutional objection; and the extent to which HCP perspectives evolve over time would be beneficial. In addition, further research into the integration of AD within Māori health organisations is required.

Indexed as

Suicide, AssistedDelivery of Health CareHealth PersonnelHumansMaori PeopleNew ZealandAssisted dyingEnd of life policy and practiceEuthanasiaProvider perspectives

Identifiers

PMID37480024
PMCPMC10362551

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.