METHODS: A phenomenological design was employed, utilising reflexive thematic analysis to examine interviews conducted with relatives (N = 19) and healthcare providers (N = 47).
RESULTS: Relatives\' needs throughout euthanasia processes are presented in five main themes and several subthemes, with similar findings between both sets of participants. Although relatives infrequently communicated their needs explicitly to healthcare providers, they appreciated it when staff proactively met their needs. Healthcare providers aimed to assist with the relatives\' grief process by tending to their specific needs. However, aftercare was not consistently offered, but relatives did not have high expectations for professional follow-up care.
CONCLUSIONS: Our research offers important directions for healthcare professionals, empowering them to provide needs-based bereavement care during euthanasia processes. Moreover, it emphasises the importance of recognising the unique needs of relatives and proactively addressing them in the period before the loss to positively contribute to relatives\' grief process.
UNASSIGNED: Insights into relatives\' needs in the context of euthanasia. Good practices on how healthcare providers can attend to relatives\' needs before, during and after the loss IMPACT: Current literature and guidelines on needs-based bereavement care in the context of euthanasia and, more generally, assisted dying, are limited. These findings provide concrete directions for practice in supporting (nearly) bereaved relatives in the context of euthanasia, potentially mitigating adverse health outcomes.
UNASSIGNED: Standards for Reporting Qualitative Research (SRQR checklist).
UNASSIGNED: Relatives of deceased cancer patients were involved in the conduct of the study.
方法:采用现象学设计,利用反身性主题分析来检查与亲属(N=19)和医疗保健提供者(N=47)进行的访谈。
结果:亲属在安乐死过程中的需求分为五个主要主题和几个子主题,两组参与者之间的发现相似。尽管亲戚很少向医疗保健提供者明确传达他们的需求,当工作人员主动满足他们的需求时,他们对此表示赞赏。医疗保健提供者旨在通过照顾亲属的特定需求来协助他们的悲伤过程。然而,没有始终如一地提供善后护理,但是亲属对专业的后续护理没有很高的期望。
结论:我们的研究为医疗保健专业人员提供了重要的方向,授权他们在安乐死过程中提供基于需求的丧亲护理。此外,它强调了认识到亲属的独特需求,并在失去之前积极解决这些需求的重要性,以积极促进亲属的悲伤过程。
■了解安乐死背景下的亲属需求。关于医疗保健提供者如何照顾亲属需求的良好做法,损失影响期间和之后:关于安乐死背景下基于需求的丧亲关怀的最新文献和指南,更一般地说,协助死亡,是有限的。这些发现为在安乐死的背景下支持(几乎)失去亲人的亲属提供了具体的实践方向,可能减轻不良健康结果。
■定性研究报告标准(SRQR清单)。
■癌症患者的亲属参与了这项研究。