Assisted Dying: initial experiences of health care providers
A new paper published in BMC Palliative Care offers a crucial perspective on the implementation of assisted dying (AD) in Aotearoa New Zealand. It explores the experiences of health care providers (HCPs) and their adaptation to AD legislation introduced in November 2021. The study gathered perspectives from a diverse group of HCPs, some of whom are directly involved in providing AD services. Through in-depth interviews, the research team uncovered a range of experiences and challenges faced by these professionals in the wake of this significant legal shift.
The thematic analysis revealed four key themes: (1) Difference in organisational response to AD; (2) challenges in applying the law; (3) experiences at the coal face; and (4) functionality of the AD system. These themes highlight the complexity and multidimensional nature of integrating AD into clinical practice, reflecting both barriers and enablers in the process.
A striking finding is the dichotomy in organisational responses to AD - from proactive policy formulation to ambivalence and outright institutional objection. This variation underscores the need for clear policies and robust support systems to ensure high-quality AD service provision.
The study also sheds light on the stigma associated with AD within the health system, which often leads to secrecy around AD procedures. This stigma, coupled with the emotional, professional, and logistical demands of providing AD, poses significant challenges for health care workers.
The paper’s authors called for ongoing education of the health care workforce, transparency in AD policies, and addressing stigma to facilitate effective AD service delivery. Additionally, they advocated for further research into AD’s integration, particularly within Māori health organisations, to ensure culturally sensitive and equitable health care services.
Te Ārai members A/P Jackie Robinson and Dr Tess Moeke-Maxwell contributed to the paper.