{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T04:08:30Z","timestamp":1768450110240,"version":"3.49.0"},"reference-count":25,"publisher":"Cambridge University Press (CUP)","license":[{"start":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T00:00:00Z","timestamp":1756857600000},"content-version":"unspecified","delay-in-days":245,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Pall Supp Care"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1478951525100655_sec1a\">\n\t    <jats:title>Objectives<\/jats:title>\n\t    <jats:p>This study explored Australian palliative care clinicians\u2019 perspectives on the legalization of voluntary assisted dying (VAD), aiming to identify variables associated with clinicians\u2019 views and understand challenges of its implementation.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100655_sec2b\">\n\t    <jats:title>Methods<\/jats:title>\n\t    <jats:p>An online survey exploring support for legalization of VAD was sent to palliative care clinicians in Queensland and New South Wales and followed up with semi-structured interviews. Support was categorized as positive, uncertain, or negative. An ordinal logistic regression model was used to identify variables independently predictive of euthanasia support. Interviews were analyzed using grounded theory to understand key concepts shaping views on VAD.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100655_sec3c\">\n\t    <jats:title>Results<\/jats:title>\n\t    <jats:p>Of 142 respondents, 53% supported, 10% were uncertain, and 37% opposed legalizing euthanasia for terminal illness with severe symptoms. Support was lower for patients with chronic illness (34%), severe disability (24%), depression (9%), severe dementia (5%), and for any adult with capacity (4%). The model showed lower support among doctors than nurses (38% vs. 69%, <jats:italic>p<\/jats:italic> = 0.0001), those in New South Wales compared with Queensland (44% vs. 69%, <jats:italic>p<\/jats:italic> = 0.0002), the highly religious versus least religious (24% vs. 79%, <jats:italic>p<\/jats:italic> = 0.00002), those politically conservative versus progressive (39% vs. 60%, <jats:italic>p<\/jats:italic> = 0.04), and those with more healthcare experience (<jats:italic>p<\/jats:italic> = 0.03). Seventeen interviews revealed 2 distinct groups: one focused on the event of death and the need to relieve suffering, providing comfort in the final moments; the second on the journey of dying and the possibility of discovering peace despite suffering. Those in the first group supported legal VAD, while those in the second opposed it. Despite opposing views, compassion was a unifying foundation common to both groups.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1478951525100655_sec4d\">\n\t    <jats:title>Significance of results<\/jats:title>\n\t    <jats:p>There are 2 fundamentally different orientations toward VAD among palliative care clinicians, which will likely contribute to tensions within teams. Acknowledging that both perspectives are rooted in compassion may provide a constructive basis for navigating disagreements and supporting team cohesion.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1478951525100655","type":"journal-article","created":{"date-parts":[[2025,9,3]],"date-time":"2025-09-03T08:53:14Z","timestamp":1756889594000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":2,"title":["Shaping a knowable event or embracing a mysterious journey: A mixed methods study on palliative care clinician views on voluntary assisted dying"],"prefix":"10.1017","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5026-9647","authenticated-orcid":false,"given":"Graham Llewellyn","family":"Grove","sequence":"first","affiliation":[{"name":"Gold Coast Hospital and Health Service"},{"name":"The University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melanie R.","family":"Lovell","sequence":"additional","affiliation":[{"name":"Greenwich Hospital"},{"name":"The University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Phyllis","family":"Butow","sequence":"additional","affiliation":[{"name":"The University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Hughes","sequence":"additional","affiliation":[{"name":"Gold Coast University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1570-8872","authenticated-orcid":false,"given":"Megan","family":"Best","sequence":"additional","affiliation":[{"name":"The University of Sydney"},{"name":"The University of Notre Dame Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,9,3]]},"reference":[{"key":"S1478951525100655_ref10","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2024-005116"},{"key":"S1478951525100655_ref3","first-page":"777","article-title":"Introducing voluntary assisted dying: staff perspectives in an acute hospital","volume":"11","author":"Digby","year":"2020","journal-title":"International Journal of Health Policy and Management"},{"key":"S1478951525100655_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/0141076818803452"},{"key":"S1478951525100655_ref6","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2288-13-117"},{"key":"S1478951525100655_ref18","volume-title":"Queensland Health Specialist Palliative Care Workforce Plan","author":"DoH","year":"2022"},{"key":"S1478951525100655_ref2","doi-asserted-by":"publisher","DOI":"10.2190\/VV5X-CCR3-V7C5-CG36"},{"key":"S1478951525100655_ref9","doi-asserted-by":"publisher","DOI":"10.1007\/s10943-022-01498-5"},{"key":"S1478951525100655_ref20","doi-asserted-by":"publisher","DOI":"10.1177\/1049909119867675"},{"key":"S1478951525100655_ref14","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-022-00942-3"},{"key":"S1478951525100655_ref12","doi-asserted-by":"publisher","DOI":"10.1002\/nur.22287"},{"key":"S1478951525100655_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2023.102301"},{"key":"S1478951525100655_ref1","volume-title":"Constructing Grounded Theory: A Practical Guide through Qualitative Analysis","author":"Charmaz","year":"2006"},{"key":"S1478951525100655_ref21","doi-asserted-by":"publisher","DOI":"10.1111\/jan.15324"},{"key":"S1478951525100655_ref22","doi-asserted-by":"publisher","DOI":"10.1177\/0269216308102041"},{"key":"S1478951525100655_ref24","unstructured":"Wiebe, KF (2022) Faith is a journey, not just a beginning. 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Published by Cambridge University Press.","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http:\/\/creativecommons.org\/licenses\/by\/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e153"}}