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Medical Assistance in Dying: A Review of Canadian Health Authority Policy Documents

The purpose of this study was to describe policies developed by English-speaking Canadian health authorities to guide multi-disciplinary healthcare practice in the context of MAID. Seventeen policies from 9 provinces and 3 territories were identified and analyzed thematically. Themes developed from...

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Autores principales: Thomas, Robyn, Pesut, Barbara, Puurveen, Gloria, Thorne, Sally, Tishelman, Carol, Leimbigler, Betsy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10164855/
https://www.ncbi.nlm.nih.gov/pubmed/37168395
http://dx.doi.org/10.1177/23333936231167309
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author Thomas, Robyn
Pesut, Barbara
Puurveen, Gloria
Thorne, Sally
Tishelman, Carol
Leimbigler, Betsy
author_facet Thomas, Robyn
Pesut, Barbara
Puurveen, Gloria
Thorne, Sally
Tishelman, Carol
Leimbigler, Betsy
author_sort Thomas, Robyn
collection PubMed
description The purpose of this study was to describe policies developed by English-speaking Canadian health authorities to guide multi-disciplinary healthcare practice in the context of MAID. Seventeen policies from 9 provinces and 3 territories were identified and analyzed thematically. Themes developed from these documents related to ensuring a team approach to care, supporting informed patient choice, creating region-specific guidance on eligibility criteria and safeguards, accommodating conscientious objection, and making explicit organizational responsibilities. Ethical language concerned vulnerability, non-judgmental care, dignity, non-abandonment, confidentiality, moral conscience, and diverse cultural values. Overall, these policies addressed important risk mitigation strategies, acknowledged important social contracts, and supported ethical practice. Collectively, these policies outline important considerations in the evolving Canadian context for other jurisdictions seeking to create policy around assisted death.
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spelling pubmed-101648552023-05-09 Medical Assistance in Dying: A Review of Canadian Health Authority Policy Documents Thomas, Robyn Pesut, Barbara Puurveen, Gloria Thorne, Sally Tishelman, Carol Leimbigler, Betsy Glob Qual Nurs Res Single-Method Research Article The purpose of this study was to describe policies developed by English-speaking Canadian health authorities to guide multi-disciplinary healthcare practice in the context of MAID. Seventeen policies from 9 provinces and 3 territories were identified and analyzed thematically. Themes developed from these documents related to ensuring a team approach to care, supporting informed patient choice, creating region-specific guidance on eligibility criteria and safeguards, accommodating conscientious objection, and making explicit organizational responsibilities. Ethical language concerned vulnerability, non-judgmental care, dignity, non-abandonment, confidentiality, moral conscience, and diverse cultural values. Overall, these policies addressed important risk mitigation strategies, acknowledged important social contracts, and supported ethical practice. Collectively, these policies outline important considerations in the evolving Canadian context for other jurisdictions seeking to create policy around assisted death. SAGE Publications 2023-05-06 /pmc/articles/PMC10164855/ /pubmed/37168395 http://dx.doi.org/10.1177/23333936231167309 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Single-Method Research Article
Thomas, Robyn
Pesut, Barbara
Puurveen, Gloria
Thorne, Sally
Tishelman, Carol
Leimbigler, Betsy
Medical Assistance in Dying: A Review of Canadian Health Authority Policy Documents
title Medical Assistance in Dying: A Review of Canadian Health Authority Policy Documents
title_full Medical Assistance in Dying: A Review of Canadian Health Authority Policy Documents
title_fullStr Medical Assistance in Dying: A Review of Canadian Health Authority Policy Documents
title_full_unstemmed Medical Assistance in Dying: A Review of Canadian Health Authority Policy Documents
title_short Medical Assistance in Dying: A Review of Canadian Health Authority Policy Documents
title_sort medical assistance in dying: a review of canadian health authority policy documents
topic Single-Method Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10164855/
https://www.ncbi.nlm.nih.gov/pubmed/37168395
http://dx.doi.org/10.1177/23333936231167309
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