title: "It's intense, you know." Nurses' experiences in caring for patients requesting euthanasia.
abstract: The Belgian Act on Euthanasia came into force on 23 September 2002, making Belgium the second country--after the Netherlands--to decriminalize euthanasia under certain due-care conditions. Since then, Belgian nurses have been increasingly involved in euthanasia care. In this paper, we report a qualitative study based on in-depth interviews with 18 nurses from Flanders (the Dutch-speaking part of Belgium) who have had experience in caring for patients requesting euthanasia since May 2002 (the approval of the Act). We found that the care process for patients requesting euthanasia is a complex and dynamic process, consisting of several stages, starting from the period preceding the euthanasia request and ending with the aftercare stage. When asked after the way in which they experience their involvement in the euthanasia care process, all nurses described it as a grave and difficult process, not only on an organizational and practical level, but also on an emotional level. "Intense" is the dominant feeling experienced by nurses. This is compounded by the presence of other feelings such as great concern and responsibility on the one hand, being content in truly helping the patient to die serenely, and doing everything in one's power to contribute to this; but also feeling unreal and ambivalent on the other hand, because death is arranged. Nurses feel a discrepancy, because although it is a nice death, which happens in dignity and with respect, it is also an unnatural death. The clinical ethical implications of these findings are discussed.
authors.affiliation: Faculty of Medicine, Centre for Biomedical Ethics and Law, Catholic University of Leuven, Kapucijnenvoer 35 Blok D-Bus 7001, 3000 Leuven, Belgium. Yvonne.Denier@med.kuleuven.be
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Denier
authors.forename: Bernadette
authors.initials: B
authors.lastname: Dierckx de Casterlé
authors.forename: Nele
authors.initials: N
authors.lastname: De Bal
authors.forename: Chris
authors.initials: C
authors.lastname: Gastmans
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D004644:Emotions; D028601:Euthanasia, Active; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009726:Nurses / Q000523:psychology*; D010686:Philosophy, Medical; D036301:Qualitative Research