Medical Assistance in Dying in health sciences curricula: A qualitative exploratory study

Background: This paper offers insight into (1) the driving and restraining forces impacting the inclusion of medical assistance in dying (MAID) in health sciences curricula, (2) the required resources for teaching MAID, and (3) the current placement of MAID in health sciences curricula in relation...

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Autores principales: Janine Brown, Donna Goodridge, Lilian Thorpe
Formato: article
Lenguaje:EN
Publicado: Canadian Medical Education Journal 2020
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Acceso en línea:https://doaj.org/article/39a1c490d4994c5ea83576455cb5f3ad
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spelling oai:doaj.org-article:39a1c490d4994c5ea83576455cb5f3ad2021-12-01T22:38:37ZMedical Assistance in Dying in health sciences curricula: A qualitative exploratory study10.36834/cmej.693251923-1202https://doaj.org/article/39a1c490d4994c5ea83576455cb5f3ad2020-09-01T00:00:00Zhttps://journalhosting.ucalgary.ca/index.php/cmej/article/view/69325https://doaj.org/toc/1923-1202 Background: This paper offers insight into (1) the driving and restraining forces impacting the inclusion of medical assistance in dying (MAID) in health sciences curricula, (2) the required resources for teaching MAID, and (3) the current placement of MAID in health sciences curricula in relation to end-of-life care concepts. Method: We conducted a qualitative exploratory study in a Canadian province using Interpretive Description, Force Field Analysis, and Change as Three Steps. We interviewed ten key informants (KI), representing the provincial health sciences programs of medicine, nursing, pharmacy, and social work. KIs held various roles, including curriculum coordinator, associate dean, or lecturing faculty. Data were analyzed via the comparative method using NVivo12. Results:  Curriculum delivery structures, resources, faculty comfort and practice context, and uncertainty of the student scope of practice influenced MAID inclusion. Medical and pharmacy students were consistently exposed to MAID, whereas MAID inclusion in nursing and social work was determined by faculty in consideration with the pre-existing course objectives. The theoretical and legal aspects of MAID were more consistently taught than clinical care when faculty did not have a current practice context. Care pathways, accreditation standards, practice experts, peer-reviewed evidence, and local statistics were identified as the required resources to support student learning. MAID was delivered in conjunction with palliative care and ethics, legalities, and professional regulation courses. Conclusion: The addition of MAID in health sciences curricula is crucial to support students in this new practice context. Identifying the drivers and restrainers influencing the inclusion of MAID in health sciences curricula is critical to support the comprehensiveness of end-of-life education for all students. Janine BrownDonna GoodridgeLilian ThorpeCanadian Medical Education JournalarticleEducation (General)L7-991Medicine (General)R5-920ENCanadian Medical Education Journal, Vol 11, Iss 6 (2020)
institution DOAJ
collection DOAJ
language EN
topic Education (General)
L7-991
Medicine (General)
R5-920
spellingShingle Education (General)
L7-991
Medicine (General)
R5-920
Janine Brown
Donna Goodridge
Lilian Thorpe
Medical Assistance in Dying in health sciences curricula: A qualitative exploratory study
description Background: This paper offers insight into (1) the driving and restraining forces impacting the inclusion of medical assistance in dying (MAID) in health sciences curricula, (2) the required resources for teaching MAID, and (3) the current placement of MAID in health sciences curricula in relation to end-of-life care concepts. Method: We conducted a qualitative exploratory study in a Canadian province using Interpretive Description, Force Field Analysis, and Change as Three Steps. We interviewed ten key informants (KI), representing the provincial health sciences programs of medicine, nursing, pharmacy, and social work. KIs held various roles, including curriculum coordinator, associate dean, or lecturing faculty. Data were analyzed via the comparative method using NVivo12. Results:  Curriculum delivery structures, resources, faculty comfort and practice context, and uncertainty of the student scope of practice influenced MAID inclusion. Medical and pharmacy students were consistently exposed to MAID, whereas MAID inclusion in nursing and social work was determined by faculty in consideration with the pre-existing course objectives. The theoretical and legal aspects of MAID were more consistently taught than clinical care when faculty did not have a current practice context. Care pathways, accreditation standards, practice experts, peer-reviewed evidence, and local statistics were identified as the required resources to support student learning. MAID was delivered in conjunction with palliative care and ethics, legalities, and professional regulation courses. Conclusion: The addition of MAID in health sciences curricula is crucial to support students in this new practice context. Identifying the drivers and restrainers influencing the inclusion of MAID in health sciences curricula is critical to support the comprehensiveness of end-of-life education for all students.
format article
author Janine Brown
Donna Goodridge
Lilian Thorpe
author_facet Janine Brown
Donna Goodridge
Lilian Thorpe
author_sort Janine Brown
title Medical Assistance in Dying in health sciences curricula: A qualitative exploratory study
title_short Medical Assistance in Dying in health sciences curricula: A qualitative exploratory study
title_full Medical Assistance in Dying in health sciences curricula: A qualitative exploratory study
title_fullStr Medical Assistance in Dying in health sciences curricula: A qualitative exploratory study
title_full_unstemmed Medical Assistance in Dying in health sciences curricula: A qualitative exploratory study
title_sort medical assistance in dying in health sciences curricula: a qualitative exploratory study
publisher Canadian Medical Education Journal
publishDate 2020
url https://doaj.org/article/39a1c490d4994c5ea83576455cb5f3ad
work_keys_str_mv AT janinebrown medicalassistanceindyinginhealthsciencescurriculaaqualitativeexploratorystudy
AT donnagoodridge medicalassistanceindyinginhealthsciencescurriculaaqualitativeexploratorystudy
AT lilianthorpe medicalassistanceindyinginhealthsciencescurriculaaqualitativeexploratorystudy
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