“I Am Okay With It, But I Am Not Going to Do It”: The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying

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dc.contributor.authorBrown, Janine
dc.contributor.authorGoodridge, Donna
dc.contributor.authorThorpe, Lilian
dc.contributor.authorCrizzle, Alexander
dc.date.accessioned2022-08-19T20:29:40Z
dc.date.available2022-08-19T20:29:40Z
dc.date.issued2021-07-08
dc.description© The Author(s) 2021. Published by SAGE. This article is distributed under the terms and conditions of the Creative Commons Attribution (CC BY 4.0) license (https:// creativecommons.org/licenses/by/ 4.0/).en_US
dc.description.abstractAccess to medical assistance in dying (MAID) is influenced by legislation, health care providers (HCPs), the number of patient requests, and the patients’ locations. This research explored the factors that influenced HCPs’ nonparticipation in formal MAID processes and their needs to support this emerging practice area. Using an interpretive description methodology, we interviewed 17 physicians and 18 nurse practitioners who identified as non-participators in formal MAID processes. Nonparticipation was influenced by their (a) previous personal and professional experiences, (b) comfort with death, (c) conceptualization of duty, (d) preferred end-of-life care approaches, (e) faith or spirituality beliefs, (f) self-accountability, (g) consideration of emotional labor, and (h) future emotional impact. They identified a need for clear care pathways and safe passage. Two separate yet overlapping concepts were identified, conscientious objection to and nonparticipation in MAID, and we discussed options to support the social contract of care between HCPs and patients.en_US
dc.description.authorstatusFacultyen_US
dc.description.peerreviewyesen_US
dc.identifier.citationBrown, J., Goodridge, D., Thorpe, L., & Crizzle, A. (2021). "I am okay with it, but I am not going to do it": The exogenous factors influencing non-participation in medical assistance in dying. Qualitative Health Research, 31(12), 2274-2289. https://doi.org/10.1177/10497323211008843en_US
dc.identifier.doihttps://journals.sagepub.com/doi/full/10.1177/10497323211027130
dc.identifier.urihttps://hdl.handle.net/10294/15048
dc.language.isoenen_US
dc.publisherSAGE Publicationsen_US
dc.rightsAttribution 4.0*
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectmedical assistance in dyingen_US
dc.subjectconscience objectionen_US
dc.subjectnonparticipationen_US
dc.subjectphysiciansen_US
dc.subjectnurse practitionersen_US
dc.subjectdecision-makingen_US
dc.subjectqualitativeen_US
dc.subjectinterpretive descriptionen_US
dc.subjectCanadaen_US
dc.title“I Am Okay With It, But I Am Not Going to Do It”: The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dyingen_US
dc.typeArticleen_US
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Janine Brown