What Factors Influence Canadian Nurse Practitioners’ Willingness to Act as Assessors and Providers for Medical Assistance in Dying (Maid)
Bibliographic Data
| ID | 15736724 |
|---|---|
| Authors | Zachary Mokosak (University of British Columbia), Barbara Pesut (0000-0002-1063-7190, University of British Columbia), Sally Thorne (0000-0002-1156-9425, University of British Columbia, corresponding author) |
| Year | 2025 |
| Volume | 12 |
| Pages | 23333936251390481-23333936251390481 |
| Publication date | 2025-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Global Qualitative Nursing Research (JOURNAL) |
| Journal identifiers | ISSN: 2333-3936 • E-ISSN: 2333-3936 |
| Publisher | SAGE Publishing (PUBLISHER • US) |
| DOI | 10.1177/23333936251390481 |
| PMID | 41209813 |
| OpenAlex | W4415948041 |
| Language | EN |
| References cited | 28 |
In passing legislation in 2016 to allow medical assistance in dying (MAID), Canada became the world's first jurisdiction to allow nurse practitioners (NPs) to act as MAID assessors and providers. Health Canada's annual report shows that the demand for MAID in Canada increases each year, as does the proportion of MAID cases that NPs provide. The purpose of this study was to better understand factors that motivate or deter nurse practitioners from becoming MAID assessors and providers. The study design was a secondary analysis of a large qualitative dataset guided by interpretive description methodology. Primary data collection took place from 2018 to 2023 via semi-structured interviews with nurses and NPs. Secondary analysis of transcripts of all of the NPs interviewed for the primary study allowed for identifying significant motivational and deterring themes in their accounts. The analysis yielded two categories of motivating factors (philosophical perspectives; experiences with death and dying) and three deterring factors (moral complexity; health system barriers; professional and social considerations), and further generated insights around supports and practices that make NP MAID work viable. As the first study that explicitly sought to understand what explains Canadian NPs' willingness to participate in MAID, these findings fill a gap in the available knowledge
Content analysis · Data collection · Jurisdiction · Legislation · Qualitative analysis · Qualitative research · Work (physics · Nursing Education, Practice, and Leadership · Nursing Roles and Practices · Palliative Care and End-of-Life Issues
Reworking Qualitative Data
Interpretive Description
Constructing Good Nursing Practice for Medical Assistance in Dying in Canada
The Evolving Complexities of Maid Care in Canada From a Nursing Perspective
I Am Okay With It, But I Am Not Going to Do It
What Is Right for Me, Is Not Necessarily Right for You
| Citation velocity | historical |
|---|---|
| Highly cited | No |