Attitudes of non-physician health workers working in the Emergency Department towards euthanasia, death, and the terminally patient

Ökkeş Zortuk 1, Fatih Selvi 1, Cihan Bedel 1 * , Günay Yıldız 1
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1 Department of Emergency Medicine, Health Science University, Antalya Training and Research Hospital, Antalya, Turkey
* Corresponding Author
J CLIN MED KAZ, Volume 19, Issue 6, pp. 73-78. https://doi.org/10.23950/jcmk/12717
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ABSTRACT

Aim: The use of the right to die in the center of the individual's own decision is called euthanasia. This decision, was evaluated from legal, religious, and medical perspectives. In different countries applied euthanasia, which can be performed actively or passively. In our study, we planned to investigate the perspectives of healthcare professionals working in the emergency department about euthanasia and their thoughts on diseases that can be applied to euthanasia.
Material and methods: A survey was conducted from June to October 2022 on non-physician health workers working in the Emergency department. A questionnaire including demographic data, professional knowledge, and Attitude Scale towards Euthanasia, Death, and the Terminally Patient was administered to the healthcare professionals who agreed to participate in the study. The obtained data were analyzed.
Results: In the study, the feedback of 60 participants, 37 of whom were women, was evaluated. The mean age of the entrants was found to be 39.07±10.11 years. 60% of the participants had received cardiopulmonary resuscitation training in the past year. 70% of the participants stated that they could be euthanized for coma, 38.33% for severe disability, and 36.67% for severe and incurable neurological diseases.
Conclusion: In the process of euthanasia, which does not have a legal infrastructure in our country, different perspectives are seen from different departments of health services.
Key words: emergency department, euthanasia, non-health workers

CITATION

Zortuk Ö, Selvi F, Bedel C, Yıldız G. Attitudes of non-physician health workers working in the Emergency Department towards euthanasia, death, and the terminally patient. J CLIN MED KAZ. 2022;19(6):73-8. https://doi.org/10.23950/jcmk/12717

REFERENCES

  • Çetinkaya F, Karabulut N. Hemşirelik yüksekokulu öğrencilerinin ötenazi hakkında görüşleri. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2016;3(2):28-39.
  • Kranidiotis G, Ropa J, Mprianas J, Kyprianou T, Nanas S. Attitudes towards euthanasia among Greek intensive care unit physicians and nurses. Heart Lung. 2015;44(3):260-263. https://doi.org/10.1016/j.hrtlng.2015.03.001
  • Crusat-Abelló E, Fernández-Ortega P. Nurses knowledge and attitudes about euthanasia at national and international level: A review of the literature. Enferm Clin (Engl Ed).2021;31(5):268-282. https://doi.org/10.1016/j.enfcli.2021.01.004
  • Bélanger E, Towers A, Wright DK, Chen Y, Tradounsky G, Macdonald ME. Of dilemmas and tensions: A qualitative study of palliative care physicians' positions regarding voluntary active euthanasia in Quebec, Canada. J Med Ethics. 2019;45(1):48-53. https://doi.org/10.1136/medethics-2017-104339
  • Cohen J, Dierickx S, Penders YW, Deliens L, Chambaere K. How accurately is euthanasia reported on death certificates in a country with legal euthanasia: A population-based study. Eur J Epidemiol. 2018;33(7):689-693. https://doi.org/10.1007/s10654-018-0397-5
  • Arpacıoğlu Tüzün I. Ötanazi: Türk hukuku açısından bir değerlendirme. Uluslararası Afro-Avrasya Araştırmaları Dergisi. 2019;4(7):110-122.
  • Cayetano-Penman J, Malik G, Whittall D. Nurses' perceptions and attitudes about euthanasia: A scoping review. J Holist Nurs. 2021;39(1):66-84. https://doi.org/10.1177/0898010120923419
  • Verhofstadt M, Van Assche K, Sterckx S, Audenaert K, Chambaere K. Psychiatric patients requesting euthanasia: Guidelines for sound clinical and ethical decision making. Int J Law Psychiatry. 2019;64:150-161. https://doi.org/10.1016/j.ijlp.2019.04.004
  • Bellens M, Debien E, Claessens F, Gastmans C, Dierckx de Casterlé B. "It is still intense and not unambiguous." Nurses' experiences in the euthanasia care process 15 years after legalisation. J Clin Nurs. 2020;29(3-4):492-502. https://doi.org/10.1111/jocn.15110
  • Can R, Tambağ H, Öztürk M, Kaykunoğlu M, Erenoğlu R, Gümüşoğlu F. Yoğun bakım hemşirelerinin ötanazi, ölüm ve ölümcül hastaya karşı tutumları. Lokman Hekim Dergisi. 2020;10(2):190-200. https://doi.org/10.31020/mutftd.693100
  • Şenol S, Özgüven D, Dağ İ, Oğuz Y. Hekimler için Ötanazi, Ölüm ve Ölümcül Hastaya İlişkin Tutum Ölçeği (ÖTÖ)'nin faktör yapısı ve iç tutarlığı. 3P Dergisi. 1996;4;185-190.
  • Fontalis A, Prousali E, Kulkarni K. Euthanasia and assisted dying: What is the current position and what are the key arguments informing the debate? J R Soc Med. 2018;111(11):407-413. https://doi.org/10.1177/0141076818803452
  • Ortega-Galán ÁM, Ruiz-Fernández MD, Alcaraz-Córdoba A, Gómez-Beltrán PA, Díaz-Morales D, Ortiz-Amo R. Nursing students' perceptions of euthanasia legislation: A qualitative study. Nurse Educ Today. 2022;116:105466. https://doi.org/10.1016/j.nedt.2022.105466
  • Thiele T, Dunsford J. Nurse leaders' role in medical assistance in dying: A relational ethics approach. Nurs Ethics. 2019;26(4):993-999. https://doi.org/10.1177/0969733017730684
  • Newham RA. An internal morality of nursing: What it can and cannot do. Nurs Philos. 2013;14(2):109-116. https://doi.org/10.1111/j.1466-769X.2012.00554.x
  • Trejo-Gabriel-Galán JM. Euthanasia and assisted suicide in neurological diseases: A systematic review. Neurologia (Engl Ed). 2021:S0213-4853(21)00090-6.
  • Makish A, Priestap F, Vogt KN, Parry NG, Sibbald R, Ball I. Medical assistance in dying and the trauma patient. J Trauma Acute Care Surg. 2021;90(6):155-157. https://doi.org/10.1097/TA.0000000000003130
  • Evenblij K, Pasman HRW, Pronk R, Onwuteaka-Philipsen BD. Euthanasia and physician-assisted suicide in patients suffering from psychiatric disorders: a cross-sectional study exploring the experiences of Dutch psychiatrists. BMC Psychiatry. 2019;19(1):74. https://doi.org/10.1186/s12888-019-2053-3
  • Evenblij K, Pasman HRW, van Delden JJM, et al. Physicians' experiences with euthanasia: A cross-sectional survey amongst a random sample of Dutch physicians to explore their concerns, feelings and pressure. BMC Fam Pract. 2019;20(1):177. https://doi.org/10.1186/s12875-019-1067-8
  • Miller DG, Kim SYH. Euthanasia and physician-assisted suicide not meeting due care criteria in the Netherlands: A qualitative review of review committee judgements. BMJ Open. 2017;7(10):e017628. https://doi.org/10.1136/bmjopen-2017-017628
  • Tuffrey-Wijne I, Curfs L, Finlay I, Hollins S. Euthanasia and assisted suicide for people with an intellectual disability and/or autism spectrum disorder: An examination of nine relevant euthanasia cases in the Netherlands (2012-2016). BMC Med Ethics. 2018;19(1):17. https://doi.org/10.1186/s12910-018-0257-6