ObjectivesIn 2015, the Province of Quebec, Canada passed a law that allowed voluntary active euthanasia. Palliative care stakeholders in Canada have been largely opposed to euthanasia, yet there is little research about their views. The research question guiding this study was the following: How do palliative care physicians in Quebec position themselves regarding the practice of VAE in the context of the new provincial legislation?MethodsWe used interpretive description, an inductive methodology to answer research questions about clinical practice. A total of (...) 18 palliative care physicians participated in semistructured interviews at two university-affiliated hospitals in Quebec.ResultsParticipants positioned themselves in opposition to euthanasia. Their justifications were framed within their professional commitment to not hasten death, which sat in tension with the value of patients’ autonomy to choose how to die. Participants described VAE as unacceptable if it impeded opportunities to evaluate and alleviate suffering. Further, they contested government rhetoric that positioned VAE as a way to improve end-of-life care. Participants felt that VAE would diminish the potential of palliative care to relieve suffering. Dilemmas were apparent in their narratives, about reconciling respect for patient autonomy with broader palliative care values, and the value of accompanying and not abandoning patients who make requests for VAE while being committed to neither prolonging nor hastening death.ConclusionsThis study provides insight into nuanced positions of experienced palliative care physicians in Quebec and confirms expected tensions between an important stakeholder and the practice of VAE as guided by the new legislation. (shrink)

What roles do women play in world politics? Who are these women, and what impact do they have on international relations? D'Amico and Beckman have assembled a diverse array of contributors who provide a variety of answers. Some contributors consider women as national leaders and profile Chamorro, Gandhi, Thatcher, and Aquino as examples. Autobiographical essays and interviews describe the experiences of Margaret Anstee, Benazir Bhutto, Jeane Kirkpatrick, and Golda Meir. Other contributors analyze international women's movements, the roles of women (...) in the Green Movement and in the revolutionary movements in Cuba and Nicaragua, and the work of Jane Addams in the peace movement. Some analyze the attitudes and beliefs of America's leading opinion makers on the subject of women and men in leadership roles. Written for beginning students in comparative politics and international relations, their work is both fundamental as an introductory text and pioneering in scope and conception. (shrink)