New regulation of the right to a dignified dying in Spain: repercussions for nursing

Nurs Ethics. 2012 Sep;19(5):619-28. doi: 10.1177/0969733011429016. Epub 2012 Feb 8.

Abstract

Preserving dignity during the dying process requires reviewing the roles of those involved in the treatment, care methods and decision-making. This article examines the participation and responsibility assigned to nurses regarding decision-making in the final stages of life, as laid out in the Rights to and Guarantee of Dignity for the Individual During the Process of Death Act. This text has been analysed on the levels of socio-cultural practice and discourse practice, using the critical discourse analysis methodology. The results show that, although the law is another result of the social trend of patient empowerment, the responsibility of the nurses is not recognised, and they are left out of the decision-making process in the final stages of life.

MeSH terms

  • Attitude to Death
  • Confidentiality
  • Decision Making*
  • Ethics, Nursing*
  • Government Regulation
  • Human Rights / legislation & jurisprudence*
  • Humans
  • Hypnotics and Sedatives
  • Living Wills
  • Nurse's Role
  • Personal Autonomy
  • Personhood*
  • Physician's Role
  • Privacy
  • Professional Role
  • Professional-Patient Relations
  • Right to Die / legislation & jurisprudence
  • Spain
  • Terminal Care / legislation & jurisprudence
  • Terminal Care / standards*

Substances

  • Hypnotics and Sedatives