Morphine prescription in end-of-life care and euthanasia: French home nurses’ opinions
Keywords:morphine, euthanasia, end of life, France
Objective: This study aimed to investigate factors that might lead French homecare nurses to consider the pre-scription of high-dose morphine to terminally ill patients to be euthanasia.
Methods: The researchers conducted an anonymous telephone survey among a random sample of602 French homecare nurses (response rate = 75percent) in 2005.
Results: Overall, 27percent of responding home nurses considered prescribing high-dose morphine to terminally ill patients to be euthanasia. Such an opinion was more frequently held by older nurses, those who had not followed terminally ill patients during the previous three years, and those with less knowledge about pain management involving opioid analgesics.
Conclusion: There is an urgent need to strengthen pain management education among French homecare nurses—especially regarding the use of morphine—in order to both improve their technical skills and correct some misconceptions about opioid analgesics.
Bendiane MK, Peretti-Watel P, Pegliasco H, et al.: Morphine prescription to terminally ill patients with lung cancer and dyspnea: French physicians’ attitudes. J OpioidManag. 2005; 1(1): 25-30.
Peretti-Watel P, Bendiane MK, Moatti JP: Attitudes toward palliative care, conceptions of euthanasia and opinions about its legalization among French physicians. Soc Sci Med. 2005; 60(8): 1781-1793.
McCaffery M, Ferrell BR, Pasero C: Nurses’ personal opinions about patients’ pain and their effect on recorded assessments and titration of opioid doses. Pain Manag Nurs. 2000; 1(3): 7987.
Edwards HE, Nash RE, Najman JM, et al.: Determinants of nurses’ intention to administer opioids for pain relief. Nurs Health Sci. 2001; 3(3): 149-159.
Broekmans S, Vanderschueren S, Morlion B, et al.: Nurses’ attitudes toward pain treatment with opioids: A survey in a Belgian university hospital. Int JNurs Stud. 2004; 41(2): 183-189.
Chang YJ, Yun YH, Park SM, et al.: Nurses’ willingness to maximize opioid analgesia for severe cancer pain, and its predictor. Support Care Cancer. 2005; 13(9): 743-751.
Charlton R, Dovey S: Attitudes to death and dying in the UK, New Zealand and Japan. JPalliat Care. 1995; 11(1): 42-47.
Di Mola G, Crisci MT: Attitudes towards death and dying in a representative sample of the Italian population. Palliat Med. 2001; 15(5): 372-378.
Beuzart P, Ricci L, Ritzenthaler M, et al.: Regards sur les soins palliatifs et la fin de vie. Presse Med. 2003; 32(4): 152-157.
Bercovich M, Adunsky A: Patterns of high-dose morphine use in a home-care hospice service: Should we be afraid of it? Cancer. 2004; 101(6): 1473-1477.
McCaffery M, Ferrell BR: Nurses’ knowledge about cancer pain: A survey of five countries. J Pain Symptom Manage. 1995; 10(5): 356-369.
Ferrell BR, McCaffery M: Brief Pain Surveys. Available at cityqfhope.org/prc/html/brief_pavn.htm. Accessed January 15, 2007.
Yates F: Contingency table involving small numbers and the C2 test. JR Stat Soc. 1934; 1: 217-235.
Ferrell BR, McCaffery M, Rhiner M: Pain and addiction: An urgent need for change in nursing education. J Pain Symptom Manage. 1992; 7(2): 117-124.
McCaffery M, Ferrell BR: Opioid analgesics: Nurses’ knowledge of doses and psychological dependence. J Nurs Staff Dev. 1992; 8(2): 77-84.
McCaffery M, Ferrell BR: Nurses’ assessment of pain intensity and choice of analgesic dose. Contemp Nurse. 1994; 3(2): 68-74.
Ferrell BR, McCaffery M: Nurses’ knowledge about equianalgesia and opioid dosing. Cancer Nurs. 1997; 20(3): 201-212.
Vallerand AH, Riley-Doucet C, Hasenau SM, et al.: Improving cancer pain management by homecare nurses. Oncol Nurs Forum. 2004; 31(4): 809-816.
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