Evidence map›Paper›PMID 40372001›Full record

ReviewJournal of advanced nursing2026

The Discourse of Medical Assistance in Dying and Its Relationship With Hospice Palliative Care in Canada: An Integrative Literature Review.

Jennifer D Dorman, D Shelley Raffin Bouchal, Eric Wasylenko, Shane Sinclair

Abstract readReview
In one paragraph

Review in Journal of advanced nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
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

4 authors.

Jennifer D DormanFaculty of Nursing, Memorial University of Newfoundland and Labrador, St. John's, Newfoundland and Labrador, Canada.ORCID https://orcid.org/0000-0003-1969-8800
D Shelley Raffin BouchalFaculty of Nursing, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-0546-291X
Eric WasylenkoDepartment of Oncology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Shane SinclairFaculty of Nursing, University of Calgary, Calgary, Alberta, Canada.ORCID https://orcid.org/0000-0003-4542-9911

Funding

Alberta Registered Nurses Education Trustthe Calgary Health Trust: Florence and Lloyd Scholarship for Nursing Leadership is administered through the Alberta Registered Nurses Education Trust
6 · The paper itself

Abstract

aimTo explore how the legalisation of medical assistance in dying (MAiD) has shaped the discourse of MAiD and its relationship with hospice palliative care (HPC) in Canada.

backgroundThere is perceived tension in the discourse between the goals of MAiD and HPC, but little literature examines this relationship and the effect it has on healthcare providers such as nurses.

designIntegrative review following Whittemore and Knafl's and Toronto and Remington's methodology. REVIEW

methodsA search was conducted to identify literature discussing MAiD and HPC in Canada. Articles were critically appraised for methodological quality. Data from each article were abstracted, thematically analysed, and synthesised. DATA SOURCES: Initial searches were conducted in CINAHL, PubMed, and professional association and government websites in September 2018 and updated in May 2023.

resultsA total of 457 records were screened for inclusion, and 83 articles were included. Articles included healthcare provider, patient, public, and institutional perspectives. Three themes identified from the data were the relationship between MAiD and HPC, suffering in the context of MAiD, and moral distress and moral uncertainty in providing or not providing MAiD.

conclusionsThe discourse around the relationship between MAiD and HPC is complex and contextual. Personal and professional understandings of end-of-life care differ and influence perspectives on how and whether MAiD and hospice palliative care can be reconciled. More exploration of this topic is recommended, given the changing legislation and beliefs around MAiD. IMPACT: Findings consider how the concepts of end of life, MAiD, HPC, suffering, and moral distress influence and are influenced by the discourse of dying. This review provides direction for healthcare professionals working in end-of-life care and future ethical and moral areas for consideration. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution was necessary for this literature review.

Indexed as

Hospice CarePalliative CareSuicide, AssistedAdultAgedAttitude of Health PersonnelCanadaFemaleHealth PersonnelHumansMaleMiddle Agedhospiceintegrative reviewMAiDmedical assistance in dyingpalliative care

Identifiers

PMID40372001
PMCPMC12907596

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.