关键词: Assisted dying cultural diversity culture death dying ethnicity euthanasia palliative care race religion

来  源:   DOI:10.1177/02692163241268449

Abstract:
UNASSIGNED: Assisted dying, also commonly known as euthanasia and physician-assisted suicide, is legal in many countries. Interest in assisted dying is growing due to evolving societal understandings of a good death and a desire for choice. Ethico-legal perspectives are well-known, but as societies become more heterogenous, a greater understanding of the perspectives of people from diverse racial, ethnic, and cultural backgrounds is needed.
UNASSIGNED: To explore perspectives of people from diverse racial, ethnic and cultural backgrounds about assisted dying.
UNASSIGNED: Scoping review with narrative synthesis. The protocol was registered with Open Science Framework.
UNASSIGNED: Medline, CINAHL Complete, PsycINFO and ProQuest Dissertations & Theses Global were searched from inception to May 2023. Citations were independently assessed against inclusion and exclusion criteria.
UNASSIGNED: Of the 17 included studies, perspectives of assisted dying were presented according to religion, religiosity, spirituality, race, ethnicity and ancestry. Perspectives were diverse, presenting more as a spectrum, with multiple intersections and interconnections. Support and/or opposition for assisted dying differed according to cultural attributes, but even amongst those with similar cultural attributes, perspectives differed according to life experiences and notions of suffering.
UNASSIGNED: Perspectives on assisted dying are dynamic and evolving. Even where assisted dying is legalised, individual\'s cultural attributes contribute to unique perspectives of assisted dying as an end-of-life option. Thus, understanding a person\'s culture, beliefs, expectations and choices in illness, treatment goals and care is fundamental, extending beyond what may be already considered as part of clinician-patient care relationships and routine advance care planning.
摘要:
辅助死亡,也通常被称为安乐死和医生协助自杀,在许多国家都是合法的。由于社会对良好死亡的理解和对选择的渴望不断发展,对辅助死亡的兴趣正在增长。伦理法律观点是众所周知的,但是随着社会变得更加异质,对不同种族的人的观点有更多的了解,民族,和文化背景是必要的。
为了探索来自不同种族的人的观点,关于辅助死亡的种族和文化背景。
带叙事综合的范围审查。该协议已在开放科学框架中注册。
Medline,CINAHL完成,从成立之初到2023年5月,搜索了PsycINFO和ProQuest论文和论文Global。根据纳入和排除标准独立评估引文。
在纳入的17项研究中,根据宗教提出了辅助死亡的观点,宗教信仰,灵性,种族,种族和祖先。视角多样,呈现更多的光谱,具有多个交叉点和互连。根据文化属性,对辅助死亡的支持和/或反对是不同的,但是即使在那些具有相似文化属性的人中,根据生活经历和苦难观念的不同,视角也不同。
关于辅助死亡的观点是动态的和不断发展的。即使在辅助死亡合法化的地方,个人的文化属性有助于将辅助死亡作为临终选择的独特视角。因此,了解一个人的文化,信仰,疾病的期望和选择,治疗目标和护理是根本的,超出了可能已经被认为是临床医生-患者护理关系和常规提前护理计划的一部分。
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