Evidence map›Paper›PMID 39926422›Full record

ArticlePalliative care and social practice2025

Key challenges in providing assisted dying in Belgium: a qualitative analysis of health professionals' experiences.

Madeleine Archer, Lindy Willmott, Kenneth Chambaere, Luc Deliens, Ben P White

Abstract read
In one paragraph

Article in Palliative care and social practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. 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

5 authors.

Madeleine ArcherAustralian Centre for Health Law Research, Faculty of Business and Law, Queensland University of Technology, 2 George Street, Brisbane City, QLD 4000, Australia.ORCID https://orcid.org/0000-0001-5526-0553
Lindy WillmottAustralian Centre for Health Law Research, Faculty of Business and Law, Queensland University of Technology, Brisbane City, QLD, Australia.ORCID https://orcid.org/0000-0002-9750-287X
Kenneth ChambaereEnd-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel, Ghent, Brussels, Belgium.ORCID https://orcid.org/0000-0001-6277-072X
Luc DeliensEnd-of-Life Care Research Group, Ghent University and Vrije Universiteit Brussel, Ghent, Brussels, Belgium.ORCID https://orcid.org/0000-0002-8158-2422
Ben P WhiteAustralian Centre for Health Law Research, Faculty of Business and Law, Queensland University of Technology, Brisbane City, QLD, Australia.ORCID https://orcid.org/0000-0003-3365-939X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Assisted dying or 'euthanasia' has been legal in Belgium since 2002. Extensive research has been conducted which investigates Belgian euthanasia practice, however, the current challenges that health professionals face when providing euthanasia are not well known. This knowledge is important for evaluating the current system, especially in light of recent developments in Belgian euthanasia law and practice including judicial decisions, legislative amendments and research highlighting the complexity of its governing regulatory framework. Objectives: This study investigates the key challenges that health professionals experience when providing euthanasia in Belgium. Design: A qualitative interview study with reflexive thematic analysis. Methods: Twenty interviews were conducted between September 2022 and March 2024 using Microsoft Teams videoconferencing. Eligible participants were physicians and nurses who spoke English or Dutch and who had been involved in the euthanasia assessment of at least two patients in the past year. Results: Four themes were generated: (1) the framing of the euthanasia legislation poses challenges; (2) providing euthanasia can place considerable burdens on health professionals; (3) clashing views about euthanasia can hamper opportunities for balanced discussions and (4) euthanasia and processes relating to euthanasia are not always well-understood. Conclusion: This study highlights the numerous and varied challenges physicians and nurses experience when providing euthanasia in Belgium, even 20 years after its law passing. This study contributes to a wider understanding of universal challenges associated with providing assisted dying and sheds light on issues specific to Belgium. The results provide an opportunity for policymakers to take action to better support providers to manage these challenges, including through a formal review of the legislation and the broader system.

Indexed as

assisted dyingBelgiumeuthanasiaqualitative researchregulation

Identifiers

PMID39926422
PMCPMC11803728

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.