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Table 4 Characteristics of studies

From: When is hastened death considered suicide? A systematically conducted literature review about palliative care professionals’ experiences where assisted dying is legal

Reference

Participants

Study Methods

Data Year

Research Focus

Setting

Terminology Used in Study

Belgium

 Anquinet L et al. (2013) [33]

Two groups of physicians (n = 8) and two groups of nurses (n = 13)

Qualitative focus groups

2010

Similarities and differences between the practice of continuous sedation until death and the practice of euthanasia.

Homecare and hospital setting-palliative care unit support team

Physician Assisted Death; Euthanasia

 Cohen J et al. (2012) [45]

Physicians 480-Flanders; 305-Wallonia

Postal survey

2008 and 2009

Cultural differences between Walloon and Flemish physicians affecting euthanasia practice

Unspecified

Euthanasia

 Dierckx De Casterlé, et al. (2010) [46]

18 nurses

Qualitative in-depth interviews

2005–2006

Nursing care for patients requesting euthanasia in general hospitals in Flanders, Belgium

Included palliative care units

Euthanasia

 Inghelbrecht, E., et al. (2010) [47]

1678 nurses

Second phase of two-phase postal survey

2007–2008

Nurses involvement inconsistent in decisions about euthanasia or drugs to end a patients’ life, and nurses administer life-ending drugs even though it is not regulated

Homecare, care homes, hospital

Euthanasia by patients’ request; Administration of life ending medications without patients’ explicit request

 Meeussen, K., et al. (2011) [48]

205 GPs

Structured phone survey

2005–2006

Investigated how many patients expressed a wish for euthanasia, documentation of these requests, experiences with these requests, and how it was handled

Focused on patients who died at home

Euthanasia

Canada

 Beuthin, R., et al. (2018) [49]

17 nurses

Qualitative interviews

2016

Explored nurses experiences of MAiD

Hospital, hospice, home settings

Medical Assistance in Dying (MAiD), euthanasia, assisted suicide

Netherlands

 Dees, M. K., et al. (2013) [50]

32 cases, 31 relatives, 28 physicians

Qualitative interviews

2008–2009

Explores decision-making process in cases where patients request euthanasia

Homes or physicians’ offices

Euthanasia

 Georges, J. J., et al. (2008) [51]

30 GPs

Qualitative in-depth interviews

2002–2003

Describes experiences of general practitioners (GPs) in Netherlands dealing with a request for euthanasia from a terminally ill patient.

Unspecified

Euthanasia

 Francke, A. L., et al. (2016) [52]

587 respondents (65%) Nurses and CNAs

Postal survey

2011

To give insight into Dutch nursing staff’s attitudes and involvement regarding euthanasia

Unspecified

Euthanasia

 Norwood, F. (2007) [53]

10 physicians included in study

Ethnographic study: Foucauldian discourse

2001

Euthanasia, general practice, and end-of-life discourse in the Netherlands

Home

Euthanasia

 Pasman, H. R., et al. (2013) [54]

11 physicians and 9 patients, 3 relatives

Qualitative Interviews

2005–2007

What happens after request for euthanasia is refused

Unspecified

Euthanasia or Physician Assisted Suicide (EAS)

 Snijdewind, M. C., et al. (2014) [55]

28 physicians 26 relatives

Qualitative in-depth interviews

November 2011–April 2012

According to the physicians and relatives, what are the characteristics of the complexities that can arise from the moment someone requests EAS?

Unspecified

Physician Assisted Suicide; Euthanasia

 Van Bruchem-van de Scheur, G., et al. (2007) [35]

500 district nurses-86% response rate. 81.6% (408) used for analysis

Postal survey

2003

Euthanasia and physician assisted suicide in the Dutch home care sector: the role of the district nurse

55 home care organisations

Physician Assisted Suicide;

Euthanasia

 Van Bruchem-van de Scheur, G.,et al. (2008) [34]

1509 nurses; 1179 responses analysed (78.1%)

Telephone survey

2003

The role of nurses in euthanasia and physician-assisted suicide in the Netherlands

Hospital, nursing homes and home care

Physician Assisted Suicide; Euthanasia

 Van Marwijk, H., et al. (2007) [56]

22 physicians

Qualitative, four focus groups

2003

Impact of euthanasia on primary care physicians in the Netherlands

Primary care

Euthanasia; Assisted Suicide

Switzerland

 Otte, I. C., et al. (2016) [57]

23 General Practitioners (GPs)

Qualitative interviews

2012–2013

Barriers to professional communication about Physician Assisted Suicide

Unspecified

Physician Assisted Suicide

 Gamondi, C., et al. (2017) [28]

23 palliative care physicians

Qualitative study

2015

Physician responses to assisted suicide requests

Unspecified

Assisted Suicide

United States

 Carlson, B, et al. 2005 [43]

50 out of 77 hospice chaplains (65% response)

Postal survey

2003

Attitudes and experiences of hospice chaplains with patients requesting physician assisted suicide

Hospice home care

Physician-Assisted Suicide (PAS); Oregon Death with Dignity Act (ODDA)

 Chin, et al. 1999 [58]

14 physicians

Qualitative interviews

Report of 1998 data

First year’s experience with legalised assisted suicide in Oregon

Unspecified

Physician-Assisted Suicide

 Clymin, J., et al. 2012 [59]

582 out of 7500 nurses

Qualitative component of email survey

2010

Nurses knowledge of the Death with Dignity Act

Unspecified

Death With Dignity Act (DWDA)

Physician Assisted Death (PAD)

 Dobscha, SK, et al. 2004 [36]

35 physicians

Qualitative semi-structured interviews

2000

Physicians responses to requests for assisted suicide

Unspecified

DWDA;

Assisted Suicide

 Ganzini, L., et al. 2003 [37]

35 physicians

Qualitative in-depth interviews

2000

Oregon physicians’ perceptions of patients who request assisted suicide

Unspecified

Assisted Suicide

 Ganzini, L., et al. 2000 [39]

2649 of 4053 physicians (65% response)

Postal survey

1999

Physicians’ experiences with the Oregon Death with Dignity Act

Unspecified

Oregon Death with Dignity Act

 Ganzini, L., et al. 2001 [38]

2641 physicians (65% response)

Postal survey

1999

Physicians’ attitudes/experiences with end-of-life care since passage of the Oregon Death with Dignity Act

Unspecified

DWDA

 Ganzini, L., et al. 2002 [40]

307 nurses and social workers of 545 (72–78% response)

Postal survey

2001

Experiences of nurses and social workers with hospice patients who requested suicide assistance

Hospice home care

Assisted Suicide

 Ganzini, L., et al. 2003 [32]

307 nurses of 429 (72% response)

Postal survey

2001

Nurses’ experiences with hospice patients who refuse food and fluids to hasten death

Hospice home care

Voluntary Refusal of Food and Fluids (VRFF) Physician Assisted Suicide (PAS)

 Harvath, et al. 2006 [41]

20 nurses and social workers

Qualitative interviews

Not clearly stated

Dilemmas encountered by hospice workers when patients wish to hasten death

Hospice home care

Physician Assisted Suicide; Hastened Death

 Miller, L. et al. 2004 [42]

306 nurses and 85 social workers (72–78% response)

Postal survey

2001

Attitudes/experiences of Oregon hospice nurses and social workers regarding assisted suicide

Hospice home care

Assisted Suicide; Oregon Death with Dignity Act (ODDA)

 Norton, E. M. & Miller, P. J. 2012 [44]

9 social workers

Focus group

Since passing of the law

Social workers discuss DWDA

Hospice home care

DWDA

International (Netherlands and Oregon)

 Voorhees, J. R., et al. (2014) [61]

36 physicians

Qualitative semi-structured interviews

2007–2008

Physicians’ experiences in the United States and the Netherlands

No

Physician-Assisted Dying (PAD)