Nurses' attitudes towards euthanasia in conflict with professional ethical guidelines

Nurs Ethics. 2017 Feb;24(1):70-86. doi: 10.1177/0969733016643861. Epub 2016 Aug 3.

Abstract

Background: Despite the significant role of nurses in end-of-life care, their attitudes towards euthanasia are under-represented both in the current literature and the controversial debate that is ongoing in several countries.

Research questions: What are the attitudes towards euthanasia among Finnish nurses? Which characteristics are associated with those attitudes?

Research design: Cross-sectional web-based survey. Participants and research context: A total of 1003 nurses recruited via the members' bulletin of the Finnish Nurses Association and social media. Ethical considerations: Ethical approval was obtained from the Committee on Research Ethics of the university to which the authors were affiliated.

Findings: The majority (74.3%) of the participants would accept euthanasia as part of Finnish healthcare, and 61.8% considered that Finland would benefit from a law permitting euthanasia. Most of the nurses (89.9%) thought that a person must have the right to decide on his or her own death; 77.4% of them considered it likely that they would themselves make a request for euthanasia in certain situations.

Discussion: The value of self-determination and the ability to choose the moment and manner of one's death are emphasized in the nurses' attitudes towards euthanasia.

Conclusion: A continuous dialogue about euthanasia and nurses' shared values is crucial due to the conflict between nurses' attitudes and current ethical guidelines on nursing.

Keywords: Attitude; Finland; ethics; euthanasia; registered nurse; social media; web-based survey.

MeSH terms

  • Adult
  • Aged
  • Attitude of Health Personnel*
  • Cross-Sectional Studies
  • Ethics, Nursing*
  • Euthanasia / psychology*
  • Female
  • Finland
  • Humans
  • Male
  • Middle Aged
  • Nurses / psychology*
  • Religion and Medicine
  • Societies, Nursing / organization & administration
  • Surveys and Questionnaires