The Perspective of General Practitioners on the Role and Competences of Nurses During a Euthanasia Process: A Cross-Sectional Study

Background: The legalization of euthanasia in Belgium in 2002 has positioned nurses as possible participants in the euthanasia process. However, ethical and legal dilemmas necessitate a clear definition of their roles and competencies in this context. Given that general practitioners (GPs) are the primary medical professionals performing euthanasia, understanding their perspective on the role of nurses is crucial. Aim: This study aims to describe GPs' perceptions of the roles and competencies of nurses during the euthanasia process. The research question addressed is: "What are GPs' views on the roles and competencies of nurses in euthanasia?" Methods: A quantitative, cross-sectional survey was conducted among licensed GPs in Flanders, Belgium. Data were collected via an online survey using Qualtrics and analysed with SPSS Statistics. Ethical approval was obtained from the Medical Ethics Committee of the university. Results: The study included responses from 237 GPs. GPs value the roles and competencies of nurses, recognizing euthanasia as a multidisciplinary process. They acknowledge the critical support nurses provide to patients and their families. GPs assert that the administration of euthanasia medication should remain the exclusive responsibility of the GP. The analysis further indicated that demographic factors did not significantly influence the results. Discussion/Conclusion: GPs in Belgium generally rated the roles and competencies of nurses positively. Enhancing multidisciplinary collaboration, legislating the roles of nurses, and incorporating practical euthanasia training in nursing curricula, e.g. via simulations, are recommended.