Sterbewünsche im hohen Alter. Eine qualitative Studie zur Perspektive von Pflegenden vor dem Hintergrund des assistierten Suizids

Background: It is not uncommon for older people nearing the end of their lives to express a wish to die. This wish can manifest in various degrees and expressions and reflects diverse needs. In Austria, the option to hastening death with the assistance of another person has recently become available. Assisted suicide has been legalized under certain conditions. This reflects new developments in society that also affect health professionals. Aim: This study aims to explore the nursing perspective on older people who express a wish to die and to investigate the challenges faced by nurses, particularly in the context of the legalisation of assisted suicide in Austria. Methods: A qualitative research approach was employed. Problem-centered interviews were conducted with ten caregivers working in the field of institutional elderly care. The data was analyzed using thematic analysis. Results: The themes show that, despite the challenges of dealing with the wish to die, carers recognize clear professional roles and responsibilities. But when it comes to talk about assisted suicide they often run into contradictions and uncertainties. Three main themes were identified: (1) a look at the people affected, (2) communication as a resource and an obstacle, and (3) the role of nursing. Conclusion: The study points to the need for support from organizations to help nurses deal with the wish to die in general and assisted suicide in particular.