Nursing care for patients requesting euthanasia in general hospitals in Flanders, Belgium
Version of Record online: 16 AUG 2010
© 2010 The Authors. Journal of Advanced Nursing © 2010 Blackwell Publishing Ltd
Journal of Advanced Nursing
Volume 66, Issue 11, pages 2410–2420, November 2010
How to Cite
Dierckx de Casterlé, B., Denier, Y., De Bal, N. and Gastmans, C. (2010), Nursing care for patients requesting euthanasia in general hospitals in Flanders, Belgium. Journal of Advanced Nursing, 66: 2410–2420. doi: 10.1111/j.1365-2648.2010.05401.x
- Issue online: 7 OCT 2010
- Version of Record online: 16 AUG 2010
- Accepted for publication 22 May 2010
- general hospitals;
- grounded theory;
- nursing care
dierckx de casterlé b., denier y., de bal n. & gastmans c. (2010) Nursing care for patients requesting euthanasia in general hospitals in Flanders, Belgium. Journal of Advanced Nursing 66(11), 2410–2420.
Aim. This paper is a report of a study exploring nurses’ involvement in the care process for mentally competent, terminally ill patients requesting euthanasia in general hospitals in Flanders, Belgium.
Background. International literature shows that nurses are involved in the care process surrounding euthanasia, regardless of the legal status of euthanasia in the country being studied. However, their actual involvement remains unclear.
Methods. A grounded theory approach was used. Data were collected over a 20-month period in 2005 and 2006, using individual in-depth interviews. The sample included 18 Registered Nurses employed in nine general hospitals geographically spread over the five provinces of Flanders, Belgium.
Results. The care process for patients requesting euthanasia is complex and dynamic, consisting of several stages. Major themes characterized nurses’ involvement: being on the alert for a euthanasia request; open and active listening; multidisciplinary team cooperation and analysis of the group dynamics; continuously providing maximum palliative care; multi-tasking; organizing and directing the euthanasia; and finally, providing support for the family, colleagues and oneself.
Conclusion. Nurses make a unique and indispensable contribution to making the euthanasia care process a good care process. This has to do with their specific form of knowledge, expertise and responsibilities, and their willingness to personally, continually and fully care for the patients requesting euthanasia and for their relatives.