Navigating life when a loved one's (euthanasia) death is near: A narrative interview study from the Netherlands.

In this article, we describe our empirical research that started out as an exploration of "family involvement" in the Dutch practice of euthanasia, in the broader context of end-of-life decision-making and care under guidance of GPs in the home-setting. Informed by care-ethical insights an...

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Main Authors: Bernadette Roest, Megan Milota, Carlo Leget
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0327917
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author Bernadette Roest
Megan Milota
Carlo Leget
author_facet Bernadette Roest
Megan Milota
Carlo Leget
author_sort Bernadette Roest
collection DOAJ
description In this article, we describe our empirical research that started out as an exploration of "family involvement" in the Dutch practice of euthanasia, in the broader context of end-of-life decision-making and care under guidance of GPs in the home-setting. Informed by care-ethical insights and narrative approaches to qualitative research, we performed an in-depth interview study with 18 close relatives of people with incurable metastasized cancer (9 prospective, 9 retrospective). We came to understand how relatives' involvement-not only in euthanasia but in any mode of dying-cannot be separated from relatives' efforts to navigate through many dimensions of life when the death of loved one is near. Relatives have to navigate different spaces, decision-dynamics and the unfolding of professional care, strong emotional experiences, and intimate relationships ("the I-you-we"). This study brought to the fore that relatives and patients first and foremost accompany each other on this journey. The role of the GP can be valuable but vulnerable, and relatives' broader social network and other professionals can be of enormous importance. The results of this study invited us to shift our perspective: it is not family members who get involved in euthanasia as a primarily medical affair. Instead, medical professionals are taking part in the profoundly social-relational experience of death and dying within families, whether that entails euthanasia or not. With this shift of perspective, specific practical and ethical questions start to receive more attention, for example questions about the available support for both patients and relatives regardless of the mode of dying.
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spelling doaj-art-e7ff72b8d4f845558d172a8cf0700aa92025-08-20T04:02:12ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01208e032791710.1371/journal.pone.0327917Navigating life when a loved one's (euthanasia) death is near: A narrative interview study from the Netherlands.Bernadette RoestMegan MilotaCarlo LegetIn this article, we describe our empirical research that started out as an exploration of "family involvement" in the Dutch practice of euthanasia, in the broader context of end-of-life decision-making and care under guidance of GPs in the home-setting. Informed by care-ethical insights and narrative approaches to qualitative research, we performed an in-depth interview study with 18 close relatives of people with incurable metastasized cancer (9 prospective, 9 retrospective). We came to understand how relatives' involvement-not only in euthanasia but in any mode of dying-cannot be separated from relatives' efforts to navigate through many dimensions of life when the death of loved one is near. Relatives have to navigate different spaces, decision-dynamics and the unfolding of professional care, strong emotional experiences, and intimate relationships ("the I-you-we"). This study brought to the fore that relatives and patients first and foremost accompany each other on this journey. The role of the GP can be valuable but vulnerable, and relatives' broader social network and other professionals can be of enormous importance. The results of this study invited us to shift our perspective: it is not family members who get involved in euthanasia as a primarily medical affair. Instead, medical professionals are taking part in the profoundly social-relational experience of death and dying within families, whether that entails euthanasia or not. With this shift of perspective, specific practical and ethical questions start to receive more attention, for example questions about the available support for both patients and relatives regardless of the mode of dying.https://doi.org/10.1371/journal.pone.0327917
spellingShingle Bernadette Roest
Megan Milota
Carlo Leget
Navigating life when a loved one's (euthanasia) death is near: A narrative interview study from the Netherlands.
PLoS ONE
title Navigating life when a loved one's (euthanasia) death is near: A narrative interview study from the Netherlands.
title_full Navigating life when a loved one's (euthanasia) death is near: A narrative interview study from the Netherlands.
title_fullStr Navigating life when a loved one's (euthanasia) death is near: A narrative interview study from the Netherlands.
title_full_unstemmed Navigating life when a loved one's (euthanasia) death is near: A narrative interview study from the Netherlands.
title_short Navigating life when a loved one's (euthanasia) death is near: A narrative interview study from the Netherlands.
title_sort navigating life when a loved one s euthanasia death is near a narrative interview study from the netherlands
url https://doi.org/10.1371/journal.pone.0327917
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