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Cited by 130Palliative and Oncologic CarePalliative Care and End-of-Life IssuesEthics and bioethics in healthcare

The DOI matches its Crossref record; 49 of the 49 references it cites were found in a registry or an index.

Implementation of Medical Assistance in Dying: A Scoping Review of Health Care Providers' Perspectives

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Fujioka, Jamie K., Mirza, Raza M., McDonald, P. Lynn, Klinger, Christopher A.·2018·Journal of Pain and Symptom Management
DOI 10.1016/j.jpainsymman.2018.02.011
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Abstract

Research aims With the growing interest in Medical Assistance in Dying (MAiD), understanding health care professionals' roles and experiences in handling requests is necessary to evaluate the quality, consistency, and efficacy of current practices. This scoping review sought to map the existing literature on health care providers' perspectives of their involvement in MAiD.Methods A scoping review was conducted to address the following: 1) What are the roles of diverse health care professionals in the provision of MAiD? and 2) What professional challenges arise when confronted with MAiD requests? A literature search in electronic databases and gray literature sources was performed. Articles were screened, and a thematic content analysis synthesized key findings.Results After evaluating 1715 citations and 148 full-text papers, 33 articles were included. Perspectives of nurses (n = 10), physicians (n = 7), mental health providers (n = 7), pharmacists (n = 4), social workers (n = 3), and medical examiners (n = 1) were explored. Professional roles included consulting/supporting patients and/or other staff members with requests, assessing eligibility, administering/dispensing the lethal drugs, providing aftercare to bereaved relatives, and regulatory oversight. Challenges included lack of clear guidelines/protocols, role ambiguity, evaluating capacity/consent, conscientious objection, and lack of interprofessional collaboration.Conclusion Evidence from various jurisdictions highlighted a need for clear guidelines and protocols that define each profession's role, scope of practice, and legal boundaries for MAiD. Comprehensive models of care that incorporate multidisciplinary teams alongside improved clinician education may be effective to support MAiD implementation. Little is known about health care providers' perspectives in handling requests, especially outside physician practice and nursing.

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Metadata

Authors
Fujioka, J. K., Mirza, R. M., McDonald, P. L., & Klinger, C. A.
Affiliations
University of Toronto (CA)
Corresponding author
Fujioka, Jamie K.
ORCID
Venue
Journal of Pain and Symptom Management
Publisher
Elsevier BV
Published
2018-06
Volume
55
Issue
6
Pages
1564-1576.e9
ISSN
0885-3924 (ISSN-L)
DOI
10.1016/j.jpainsymman.2018.02.011
OpenAlex
W2788010664
Cited by
127
References
48
Citations by year
2026: 14 · 2025: 16 · 2024: 14 · 2023: 18 · 2022: 22 · 2021: 15 · 2020: 16 · 2019: 12
FWCI
1.95
Type
journal article
Language
en
Open access
Licence
Locations
  • Journal of Pain and Symptom Management (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
Keywords
medical assistance in dying, healthcare providers' perspectives, professional roles, interprofessional collaboration, conscientious objection, scope of practice, regulatory oversight, clinician education, multidisciplinary care model
MeSH terms
Attitude to Death, Health Personnel, Humans, Suicide, Assisted, Professional Role

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