GAPS IN NURSING PRACTICE SUPPORTS FOR MEDICAL ASSISTANCE IN DYING

Abstract

The inception of Medical Assistance in Dying (MAiD) in 2016 has altered the landscape of end-of-life healthcare planning across Canada. However, the frameworks guiding nursing practice related to MAiD are subject to variability across Canada. This leads to role ambiguity and barriers in relational nursing practice. Using Critical Incident Technique, this Masters’ level qualitative research study explores the experiences of seven Canadian nurses engaging with patients seeking MAiD. Semi-structured interviews were conducted to identify gaps in current nursing practice supports; 19 significant incidents were analyzed. Findings demonstrate that gaps in practice support exist related to nursing role clarity, educational support to enrich therapeutic communication skills, and staff-focused resources, such as debriefing and improved communication networks. Understanding nursing experiences within this context offers the opportunity for more consistent nursing practice frameworks and practice supports, leading to improved therapeutic relationships and patient care.