Abstract：
OBJECTIVE: To analyze the process of assisted death provision in Catalonia and identify the main tensions, difficulties, and/or sources of discomfort related to professional practice.
METHODS: A qualitative study was conducted based on interviews (n=29) and focus groups (n=19) with professionals who participated in the euthanasia process. The selection of participants combined the snowball and maximization of variability procedures, taking into account the variables of professional profile, setting, gender, age and territoriality. Intentional and theoretical sampling process.
RESULTS: The assisted death process is divided into four main moments: 1) reception of the request, 2) medical-bureaucratic procedure, 3) the actual procedure, and 4) closure. At each of these moments, difficulties arise that can be a source of discomfort and have to do with the limits and tensions between the legal and moral, the conception of one\'s own professional role, the lack of recognition of some professional roles, stress and overload, the lack of formal and informal support, and the relationship with the patient and his/her family. The bureaucratic-administrative stress derived from a protective law, with both prior and subsequent verifying control, stands out, given that it stresses the professionals immersed in a healthcare system already under high pressure after budget cuts and the COVID-19 epidemic.
CONCLUSIONS: Throughout the assisted death process, the sources of distress are diverse and of a psychological, psychosocial, and structural nature. These results may lead to interventions for psychological and peer support, information, training, institutional involvement, and burden reduction.
METHODS: A qualitative study was conducted based on interviews (n=29) and focus groups (n=19) with professionals who participated in the euthanasia process. The selection of participants combined the snowball and maximization of variability procedures, taking into account the variables of professional profile, setting, gender, age and territoriality. Intentional and theoretical sampling process.
RESULTS: The assisted death process is divided into four main moments: 1) reception of the request, 2) medical-bureaucratic procedure, 3) the actual procedure, and 4) closure. At each of these moments, difficulties arise that can be a source of discomfort and have to do with the limits and tensions between the legal and moral, the conception of one\'s own professional role, the lack of recognition of some professional roles, stress and overload, the lack of formal and informal support, and the relationship with the patient and his/her family. The bureaucratic-administrative stress derived from a protective law, with both prior and subsequent verifying control, stands out, given that it stresses the professionals immersed in a healthcare system already under high pressure after budget cuts and the COVID-19 epidemic.
CONCLUSIONS: Throughout the assisted death process, the sources of distress are diverse and of a psychological, psychosocial, and structural nature. These results may lead to interventions for psychological and peer support, information, training, institutional involvement, and burden reduction.
摘要：
目的：分析加泰罗尼亚协助死亡提供的过程，并确定主要紧张关系，困难,和/或与专业实践相关的不适来源。
方法：根据参与安乐死过程的专业人士的访谈（n=29）和焦点小组（n=19）进行了一项定性研究。参与者的选择结合了滚雪球和可变性程序的最大化，考虑到专业概况的变量，设置,性别,年龄和地域性。有意和理论抽样过程。
结果：辅助死亡过程分为四个主要时刻：1）接收请求，2)医疗官僚程序，3）实际程序，4）关闭。在这些时刻中的每一个，出现的困难可能是不适的根源，与法律和道德之间的限制和紧张关系有关，一个人自己的职业角色的概念，缺乏对某些职业角色的认可，压力和过载，缺乏正式和非正式的支持，以及与患者及其家人的关系。来自保护性法律的官僚-行政压力，具有先前和后续验证控制，脱颖而出，鉴于它强调的是，在预算削减和COVID-19疫情爆发后，沉浸在医疗保健系统中的专业人员已经承受着巨大的压力。
结论：在整个辅助死亡过程中，痛苦的来源是多种多样的，是心理上的，社会心理,和结构性质。这些结果可能导致对心理和同伴支持的干预，信息,培训,机构参与，和减负。
方法：根据参与安乐死过程的专业人士的访谈（n=29）和焦点小组（n=19）进行了一项定性研究。参与者的选择结合了滚雪球和可变性程序的最大化，考虑到专业概况的变量，设置,性别,年龄和地域性。有意和理论抽样过程。
结果：辅助死亡过程分为四个主要时刻：1）接收请求，2)医疗官僚程序，3）实际程序，4）关闭。在这些时刻中的每一个，出现的困难可能是不适的根源，与法律和道德之间的限制和紧张关系有关，一个人自己的职业角色的概念，缺乏对某些职业角色的认可，压力和过载，缺乏正式和非正式的支持，以及与患者及其家人的关系。来自保护性法律的官僚-行政压力，具有先前和后续验证控制，脱颖而出，鉴于它强调的是，在预算削减和COVID-19疫情爆发后，沉浸在医疗保健系统中的专业人员已经承受着巨大的压力。
结论：在整个辅助死亡过程中，痛苦的来源是多种多样的，是心理上的，社会心理,和结构性质。这些结果可能导致对心理和同伴支持的干预，信息,培训,机构参与，和减负。
