# The Perspectives of General Practitioners on the Roles and Competences of Nurses During a Euthanasia Process: A Cross-Sectional Study

## TL;DR

This study explores how general practitioners in Belgium view the roles and skills of nurses during euthanasia, emphasizing the need for clear guidelines and collaboration.

## Contribution

The study provides new insights into GPs' perspectives on nurses' roles in euthanasia, highlighting the need for legal clarity and training.

## Key findings

- GPs value nurses' roles and competencies in the euthanasia process.
- GPs believe euthanasia medication should be administered exclusively by them.
- Demographic factors had no significant impact on the results.

## Abstract

Background: The legalization of euthanasia in Belgium in 2002 positioned nurses as possible participants in the euthanasia process. However, ethical and legal dilemmas necessitate clear definitions of their roles and competencies in this context. Given that general practitioners (GPs) are the primary medical professionals performing euthanasia, understanding their perspectives on the roles 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 as follows: “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 analyzed 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/Conclusions: 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.