What does Jamie decide?
After much thought, Jamie determines that medical assistance in dying goes against his basic values and beliefs. He wonders how he can conscientiously object in a way that respects his values and beliefs—while still meeting his professional and legal obligation to provide clients with safe, competent and ethical care.
How can Jamie balance personal values with professional obligations?
Jamie wants to avoid participating in an action that goes against his basic beliefs and values. He wonders however, what is appropriate to avoid and what is unavoidable.
He knows he can take steps to avoid immediate and direct involvement in medical assistance in dying, such as starting the IV or providing information about medical assistance in dying to the client. But avoiding all indirect involvement—such as working on the ward where clients may request and receive a medically assisted death—may be not be possible without serious consequences such as leaving his job.
Jamie understands his objection is to the action and not the person(s) requesting or performing the action. He decides to make sure there is a plan outlining how he will avoid being in a situation with direct involvement, and how, if necessary, he will hand over care for the activities for which he will not perform. This will ensure continuity of care for the client. In this way, he will demonstrate respect for the person or persons, care for them, and transfer care to others when needed—but will not participate in or support the action.
What are Jamie’s responsibilities?
Nothing in the
Criminal Code compels nurses to aid in the provision of medical assistance in dying. However, nurses with a conscientious objection must take all reasonable steps to ensure that the quality and continuity of care for clients are not compromised.
Jamie needs to make his manager aware, in writing, of his conscientious objection. He should also have a plan in place, well before a client would require care. Should an unexpected situation arise, Jamie will involve his supervisor and other team members as appropriate to safely hand over the care of the client.
Reflection and questions
- What is your experience with conflicts between client care needs and the personal values and beliefs of others?
- How have you determined whether certain actions or practices are compatible with your basic beliefs and values?
Resources
You’ll find more information and guidance in the
Duty to Provide Care practice standard, and
Medical Assistance in Dying resource centre and
FAQs.