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J Med Ethics 2005;31:441-446 doi:10.1136/jme.2004.009092
  • Clinical ethics

The complexity of nurses’ attitudes toward euthanasia: a review of the literature

  1. M Berghs1,
  2. B Dierckx de Casterlé2,
  3. C Gastmans1
  1. 1Faculty of Medicine, Centre for Biomedical Ethics and Law, Catholic University of Leuven, Leuven, Belgium
  2. 2Faculty of Medicine, Centre for Health Services and Nursing Research, Catholic University of Leuven, Leuven, Belgium
  1. Correspondence to:
 Professor C Gastmans
 Faculty of Medicine, Centre for Biomedical Ethics and Law, Catholic University of Leuven, Leuven, Belgium; chris.gastmansmed.kuleuven.ac.be
  • Accepted 11 October 2004

Abstract

In this literature review, a picture is given of the complexity of nursing attitudes toward euthanasia. The myriad of data found in empirical literature is mostly framed within a polarised debate and inconclusive about the complex reality behind attitudes toward euthanasia. Yet, a further examination of the content as well as the context of attitudes is more revealing. The arguments for euthanasia have to do with quality of life and respect for autonomy. Arguments against euthanasia have to do with non-maleficence, sanctity of life, and the notion of the slippery slope. When the context of attitudes is examined a number of positive correlates for euthanasia such as age, nursing specialty, and religion appear. In a further analysis of nurses’ comments on euthanasia, it is revealed that part of the complexity of nursing attitudes toward euthanasia arises because of the needs of nurses at the levels of clinical practice, communication, emotions, decision making, and ethics.

Footnotes

  • i Floaters are nurses who “float” or spend only a day or two on a specific service, or in administrative duties, and have less contact with terminally ill patients.

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