A worldwide bibliometric analysis on euthanasia

Özden Güdük

doi:10.22391/fppc.1532764

Research Article

Ötanazi üzerine dünya genelinde bir bibliyometrik analiz

Year 2024, Volume: 9 Issue: 3, 90 - 103, 25.10.2024

Özden Güdük

https://doi.org/10.22391/fppc.1532764

Abstract

Giriş: Tedavi edilemez bir hastalığa sahip bireylerin onurlu bir şekilde yaşamını sonlandırmasına izin veren ötanazi, yüzyıllardır tartışılmakta olan bir uygulamadır. Ötanazi kültür, felsefe, din, etik, kamu değeri ve sağlıkta kaynakların etkin kullanımı gibi pek çok konu ile ilişkilidir. Bireylerin ötanazi hakkını savunanlar olduğu kadar etik, hukuki ve dini yönden eleştirenler de bulunmaktadır.
Yöntem: Bu çalışmada bibliyometrik analiz yöntemi kullanılmıştır. Veriler Web of Science Core Collection veri setinden 26.07.2024 tarihinde elde edilmiştir. Yalnızca İngilizce ve makale türünde yayınlar çalışmaya dahil edilmiştir. "euthanasia" OR "end-of-life decisions" OR "medical assistance in dying" OR "physician-assisted death" OR "physician-assisted suicide" anahtar kelimeleri kullanılmıştır. Zaman kısıtlaması yapılmamıştır. VOSviewer yazılımı ile ağ ve yoğunluk grafikleri, SciMAT yazılımı ile stratejik diyagramlar oluşturulmuştur.
Bulgular: İlk çalışmanın yayınlandığı 1980 yılından 2024 yılına kadar yayınlanmış toplam 2,230 çalışmaya ulaşılmıştır. En fazla yayına sahip yazar 86 çalışma ile Deliens, L’dır. En fazla çalışma ABD, Hollanda ve Kanada’da yayınlanmıştır (sırasıyla 692, 336, 225). En sık kullanılan anahtar kelimeler euthanasia, palliative care ve ethics’tir. En fazla çalışma (149 yayın) 2021 yılında yayınlanmıştır. Birinci dönem (1980-2001 yılları arası) stratejik diyagramında care ve ethics temaları, İkinci dönem (2002-2024 yılları arası) stratejik diyagramında nurse ve shared-decision-making kümeleri öne çıkmaktadır.
Sonuç: Ötanazi uygulaması ilk defa Hollanda’da yasallaşmasının ardından yıllar içinde bazı ülkelerde de yasal olarak kabul edilip uygulanmaya başlanmıştır. Ülkeler arasında ötanazinin kapsamı değişebilmektedir; Hollanda ve Belçika gibi bazı ülkelerde yaşlılığa bağlı sağlık sorunları ve mental hastalıklar da ötanazi talebi için kabul edilmektedir. Ötanazi tıp etiğinin özellikle dört ilkesi (otonomi, fayda, zarar vermeme ve adalet) yönünden sıklıkla tartışılmaktadır. Hastanın yaşam sonu kararı kadar bu süreçte yer alan hekimler ve hemşireler de çalışmalarda ana tema olmuştur. Yakın zamanda Kanada ötanazi sürecinde hemşirenin rolünü tanımlayan ilk ülke olmuştur.

Keywords

Ötanazi , Etik , Pasif , Aktif , Gönüllü , Palyatif Bakım

Ethical Statement

a) Çalışma etik kurul onayı gerektirmemektedir. b) Retrospektif bir çalışma olduğu için bilgilendirilmiş onay gerekmemektedir.

References

1. Picón-Jaimes YA, Lozada-Martinez ID, Orozco-Chinome JE, Montaña-Gómez LM, Bolaño-Romero MP, Moscote-Salazar LR, et al. Euthanasia and assisted suicide: An in-depth review of relevant historical aspects. Ann Med Surg (Lond). 2022:(11):75:103380. https://doi.org/10.1016/j.amsu.2022.103380
2. Karumathil AA, Tripathi R. Culture and attitudes towards euthanasia: an ıntegrative review. OMEGA - Journal of Death and Dying 2022:86(2):688-720. https://doi.org/10.1177/0030222820984655
3. Lachowski S, Łuszczki J, Lachowska B, Florek-Łuszczki M. Euthanasia in opinions of students of medicine. Ann Agric Environ Med. 2023:30(1):148–55. doi: https://doi.org/10.26444/aaem/160085
4. Gonzalez Pineda B, Villaró Pellejero CR, Solsona Duran JF. Euthanasia: approve without knowing. Med Clin (Barc) 2021:12:156(5):243-47 doi: 10.1016/j.medcli.2020.04.022
5. Green G, Reicher S, Herman M, Raspaolo A, Spero T, Blau A. Attitudes toward euthanasia—dual view: Nursing students and nurses, Death Studies 2022:46(1):124-31. 10.1080/07481187.2020.1716887
6. Bellon F, Mateos JT, Pastells-Peiró R, Espigares-Tribó G, Gea-Sánchez M, Rubinat-Arnaldo E. The role of nurses in euthanasia: A scoping review. Int J Nurs Stud. 2022:134:104286. doi: 10.1016/j.ijnurstu.2022.104286
7. Brassington I. What passive euthanasia is. BMC Med Ethics 2020:21(41) https://doi.org/10.1186/s12910-020-00481-7
8. Cayetano-Penman J, Malik G, Whittall D. Nurses’ perceptions and attitudes about euthanasia: A scoping review. Journal of Holistic Nursing 2021:39(1):66-84. doi: 10.1177/0898010120923419
9. Bernal-Carcelén I. Euthanasia: trends and opinions in Spain. Rev Esp Sanid Penit. 2020:22(3):112-15 doi: 10.18176/resp.00020
10. Biondo CA, Silva MJ, Secco LM. Dysthanasia, euthanasia, orthotanasia: the perceptions of nurses working in intensive care units and care implications. Rev Lat Am Enfermagem. 2009:17(5):613-9. doi: 10.1590/s0104-11692009000500003
11. Scheeres-Feitsma TM, van Laarhoven AJJMK, de Vries R, Schaafsma P, van der Steen JT. Family involvement in euthanasia or Physician Assisted Suicide and dementia: A systematic review. Alzheimers Dement. 2023:19(8):3688-3700. doi: 10.1002/alz.13094
12. Cohen J, Van Landeghem P, Carpentier N, Deliens L. Public acceptance of euthanasia in Europe: a survey study in 47 countries. Int J Public Health. 2014:59(1):143-56. doi: 10.1007/s00038-013-0461-6
13. Yuksekol OD, Koc O, Baltaci N, Polat H. The relationship between the attitudes of midwifery students towards euthanasia and their religious attitudes: A cross-sectional study in Türkiye. Ordu University Journal of Nursing Studies 2023:6(3):657-664. doi:10.38108/ouhcd.1172112
14. Kammeraat M, van Rooijen G, Kuijper L, Kiverstein JD, Denys DAJP. Patients requesting and receiving euthanasia for psychiatric disorders in the Netherlands. BMJ Ment Health. 2023:26(1):1-8. doi: 10.1136/bmjment-2023-300729
15. Adams M. Euthanasia law. In J. M. Smits, C. Valcke, J. Husa, & M. Narciso (Eds.), Elgar encyclopedia of comparative law (2nd ed., pp. 85 - 92). Edward Elgar Publishing Ltd.. 2023 https://doi.org/10.4337/9781839105609.euthanasia.law
16. Sabriseilabi S, Williams J. Dimensions of religion and attitudes toward euthanasia. Death Stud. 2022;46(5):1149-56. doi: 10.1080/07481187.2020.1800863
17. Renckens SC, Onwuteaka‑Philipsen BD, Heide A, Pasman HR. Physicians’ views on the role of relatives in euthanasia and physician-assisted suicide decision-making: a mixed-methods study among physicians in the Netherlands. BMC Medical Ethics, 2024:25:43 https://doi.org/10.1186/s12910-024-01031-1
18. Guo Y, Hao Z, Zhao S, Gong J, Yang F. Artificial ıntelligence in health care: Bibliometric analysis. J Med Internet Res. 2020:29;22(7):e18228. doi: 10.2196/18228
19. Demir H, Eriguc G. [Examination of management thought system with a bibliometric analysis] (in Turkish). The Journal of Human and Work 2018:5(2):91-114.
20. Cobo MJ, Lopez-Herrera AG, Herrera-Viedma E, et al. SciMAT: a new science mapping analysis software tool. Journal of the American Society for Information Science and Technology 2012:63:1609-30. https://doi.org/10.1002/asi.22688
21. Kraak-Steenken FWM, Renckens SC, Pasman HRW, Bosma F, van der Heide A and Onwuteaka-Philipsen BD. Euthanasia and physician-assisted suicide in people with an accumulation of health problems related to old age: A cross-sectional questionnaire study among physicians in the Netherlands. Int J Public Health 2024:18(69):1606962. doi: 10.3389/ijph.2024.1606962
22. Mendz GL, Kissane DW. Agency, autonomy and euthanasia. J Law Med Ethics 2020:48(3):555-64. doi: 10.1177/1073110520958881
23. Finlay IG. Ethical principles in end-of-life care. Medicine 2020:48(1):61-63. https://doi.org/10.1016/j.mpmed.2019.10.007
24. van Dijk N, Stärcke P, de Jongh W, Jansen N, Shaw D, Bollen J and van Mook W. Organ donation after euthanasia in patients suffering from psychiatric disorders: 10-years of preliminary experiences in the Netherlands. Transpl Int 2023:36:10934. doi: 10.3389/ti.2023.10934
25. Ikander T, Raunkiær M, Hansen O, Dieperink KB. Nurses’ involvement in end-of-life discussions with incurable cancer patients and family caregivers: An integrative review. Palliative and Supportive Care 2022:20(4):570-81. Doi: 10.1017/S1478951521000596
26. Pesut B, Greig M, Thorne S, Storch J, Burgess M, Tishelman C, Chambaere K, Janke R. Nursing and euthanasia: A narrative review of the nursing ethics literature. Nurs Ethics 2020:27(1):152-67. doi: 10.1177/0969733019845127

A worldwide bibliometric analysis on euthanasia

Year 2024, Volume: 9 Issue: 3, 90 - 103, 25.10.2024

Özden Güdük

https://doi.org/10.22391/fppc.1532764

Abstract

Introduction: Euthanasia, which allows individuals with an incurable disease to end their lives in an honourable way, is a long-debated practice. It is related to various issues such as culture, philosophy, religion, ethics, public value, and efficient use of health resources. While some advocate for the right of individuals to choose euthanasia, others criticize it on ethical, legal, and religious grounds.
Methods: In this study bibliometric analysis was used and the data were obtained from the Web of Science Core Collection database on July 26, 2024. Only English publications and articles were included using keywords such as "euthanasia," "end-of-life decisions," "medical assistance in dying," "physician-assisted death," and "physician-assisted suicide" without time restrictions. VOSviewer software was used to create network and density graphs, and SciMAT software was used to create strategic diagrams.
Results: A total of 2,230 studies published between 1980 and 2024 were analyzed. The author with the most publications is Deliens, L, with 86 studies. The majority of studies were published in the USA, Netherlands, and Canada (692, 336, 225 respectively). The most frequently used keywords are euthanasia, palliative care, and ethics. The highest number of publications (149) was in the year 2021. In the strategic diagram for the first period (between 1980 and 2001), the themes of care and ethics were prominent, while for the second period (between 2002 and 2024), the clusters of nurse and shared decision-making were notable.
Conclusion: After its legalization in the Netherlands, euthanasia has been accepted and implemented in some countries over the years, with variations in scope. Some countries, like the Netherlands and Belgium, also accept health problems related to old age and mental illness as euthanasia requests. The discussion around euthanasia often revolves around the principles of medical ethics, including autonomy, beneficence, non-maleficence, and justice. Studies have focused on the role of physicians and nurses in the process, as well as end-of-life decision-making by patients. Recently, Canada defined the role of nurses in the euthanasia process, marking a significant development.

Keywords

Euthanasia , Ethics , Passive , Active , Voluntary , Palliative Care

References

1. Picón-Jaimes YA, Lozada-Martinez ID, Orozco-Chinome JE, Montaña-Gómez LM, Bolaño-Romero MP, Moscote-Salazar LR, et al. Euthanasia and assisted suicide: An in-depth review of relevant historical aspects. Ann Med Surg (Lond). 2022:(11):75:103380. https://doi.org/10.1016/j.amsu.2022.103380
2. Karumathil AA, Tripathi R. Culture and attitudes towards euthanasia: an ıntegrative review. OMEGA - Journal of Death and Dying 2022:86(2):688-720. https://doi.org/10.1177/0030222820984655
3. Lachowski S, Łuszczki J, Lachowska B, Florek-Łuszczki M. Euthanasia in opinions of students of medicine. Ann Agric Environ Med. 2023:30(1):148–55. doi: https://doi.org/10.26444/aaem/160085
4. Gonzalez Pineda B, Villaró Pellejero CR, Solsona Duran JF. Euthanasia: approve without knowing. Med Clin (Barc) 2021:12:156(5):243-47 doi: 10.1016/j.medcli.2020.04.022
5. Green G, Reicher S, Herman M, Raspaolo A, Spero T, Blau A. Attitudes toward euthanasia—dual view: Nursing students and nurses, Death Studies 2022:46(1):124-31. 10.1080/07481187.2020.1716887
6. Bellon F, Mateos JT, Pastells-Peiró R, Espigares-Tribó G, Gea-Sánchez M, Rubinat-Arnaldo E. The role of nurses in euthanasia: A scoping review. Int J Nurs Stud. 2022:134:104286. doi: 10.1016/j.ijnurstu.2022.104286
7. Brassington I. What passive euthanasia is. BMC Med Ethics 2020:21(41) https://doi.org/10.1186/s12910-020-00481-7
8. Cayetano-Penman J, Malik G, Whittall D. Nurses’ perceptions and attitudes about euthanasia: A scoping review. Journal of Holistic Nursing 2021:39(1):66-84. doi: 10.1177/0898010120923419
9. Bernal-Carcelén I. Euthanasia: trends and opinions in Spain. Rev Esp Sanid Penit. 2020:22(3):112-15 doi: 10.18176/resp.00020
10. Biondo CA, Silva MJ, Secco LM. Dysthanasia, euthanasia, orthotanasia: the perceptions of nurses working in intensive care units and care implications. Rev Lat Am Enfermagem. 2009:17(5):613-9. doi: 10.1590/s0104-11692009000500003
11. Scheeres-Feitsma TM, van Laarhoven AJJMK, de Vries R, Schaafsma P, van der Steen JT. Family involvement in euthanasia or Physician Assisted Suicide and dementia: A systematic review. Alzheimers Dement. 2023:19(8):3688-3700. doi: 10.1002/alz.13094
12. Cohen J, Van Landeghem P, Carpentier N, Deliens L. Public acceptance of euthanasia in Europe: a survey study in 47 countries. Int J Public Health. 2014:59(1):143-56. doi: 10.1007/s00038-013-0461-6
13. Yuksekol OD, Koc O, Baltaci N, Polat H. The relationship between the attitudes of midwifery students towards euthanasia and their religious attitudes: A cross-sectional study in Türkiye. Ordu University Journal of Nursing Studies 2023:6(3):657-664. doi:10.38108/ouhcd.1172112
14. Kammeraat M, van Rooijen G, Kuijper L, Kiverstein JD, Denys DAJP. Patients requesting and receiving euthanasia for psychiatric disorders in the Netherlands. BMJ Ment Health. 2023:26(1):1-8. doi: 10.1136/bmjment-2023-300729
15. Adams M. Euthanasia law. In J. M. Smits, C. Valcke, J. Husa, & M. Narciso (Eds.), Elgar encyclopedia of comparative law (2nd ed., pp. 85 - 92). Edward Elgar Publishing Ltd.. 2023 https://doi.org/10.4337/9781839105609.euthanasia.law
16. Sabriseilabi S, Williams J. Dimensions of religion and attitudes toward euthanasia. Death Stud. 2022;46(5):1149-56. doi: 10.1080/07481187.2020.1800863
17. Renckens SC, Onwuteaka‑Philipsen BD, Heide A, Pasman HR. Physicians’ views on the role of relatives in euthanasia and physician-assisted suicide decision-making: a mixed-methods study among physicians in the Netherlands. BMC Medical Ethics, 2024:25:43 https://doi.org/10.1186/s12910-024-01031-1
18. Guo Y, Hao Z, Zhao S, Gong J, Yang F. Artificial ıntelligence in health care: Bibliometric analysis. J Med Internet Res. 2020:29;22(7):e18228. doi: 10.2196/18228
19. Demir H, Eriguc G. [Examination of management thought system with a bibliometric analysis] (in Turkish). The Journal of Human and Work 2018:5(2):91-114.
20. Cobo MJ, Lopez-Herrera AG, Herrera-Viedma E, et al. SciMAT: a new science mapping analysis software tool. Journal of the American Society for Information Science and Technology 2012:63:1609-30. https://doi.org/10.1002/asi.22688
21. Kraak-Steenken FWM, Renckens SC, Pasman HRW, Bosma F, van der Heide A and Onwuteaka-Philipsen BD. Euthanasia and physician-assisted suicide in people with an accumulation of health problems related to old age: A cross-sectional questionnaire study among physicians in the Netherlands. Int J Public Health 2024:18(69):1606962. doi: 10.3389/ijph.2024.1606962
22. Mendz GL, Kissane DW. Agency, autonomy and euthanasia. J Law Med Ethics 2020:48(3):555-64. doi: 10.1177/1073110520958881
23. Finlay IG. Ethical principles in end-of-life care. Medicine 2020:48(1):61-63. https://doi.org/10.1016/j.mpmed.2019.10.007
24. van Dijk N, Stärcke P, de Jongh W, Jansen N, Shaw D, Bollen J and van Mook W. Organ donation after euthanasia in patients suffering from psychiatric disorders: 10-years of preliminary experiences in the Netherlands. Transpl Int 2023:36:10934. doi: 10.3389/ti.2023.10934
25. Ikander T, Raunkiær M, Hansen O, Dieperink KB. Nurses’ involvement in end-of-life discussions with incurable cancer patients and family caregivers: An integrative review. Palliative and Supportive Care 2022:20(4):570-81. Doi: 10.1017/S1478951521000596
26. Pesut B, Greig M, Thorne S, Storch J, Burgess M, Tishelman C, Chambaere K, Janke R. Nursing and euthanasia: A narrative review of the nursing ethics literature. Nurs Ethics 2020:27(1):152-67. doi: 10.1177/0969733019845127

There are 26 citations in total.

Details

Primary Language	English
Subjects	Palliative Care
Journal Section	Original Research
Authors	Özden Güdük 0000-0002-2268-0428
Publication Date	October 25, 2024
Submission Date	August 13, 2024
Acceptance Date	October 15, 2024
Published in Issue	Year 2024 Volume: 9 Issue: 3

Cite

APA	Güdük, Ö. (2024). A worldwide bibliometric analysis on euthanasia. Family Practice and Palliative Care, 9(3), 90-103. https://doi.org/10.22391/fppc.1532764
AMA	Güdük Ö. A worldwide bibliometric analysis on euthanasia. Fam Pract Palliat Care. October 2024;9(3):90-103. doi:10.22391/fppc.1532764
Chicago	Güdük, Özden. “A Worldwide Bibliometric Analysis on Euthanasia”. Family Practice and Palliative Care 9, no. 3 (October 2024): 90-103. https://doi.org/10.22391/fppc.1532764.
EndNote	Güdük Ö (October 1, 2024) A worldwide bibliometric analysis on euthanasia. Family Practice and Palliative Care 9 3 90–103.
IEEE	Ö. Güdük, “A worldwide bibliometric analysis on euthanasia”, Fam Pract Palliat Care, vol. 9, no. 3, pp. 90–103, 2024, doi: 10.22391/fppc.1532764.
ISNAD	Güdük, Özden. “A Worldwide Bibliometric Analysis on Euthanasia”. Family Practice and Palliative Care 9/3 (October2024), 90-103. https://doi.org/10.22391/fppc.1532764.
JAMA	Güdük Ö. A worldwide bibliometric analysis on euthanasia. Fam Pract Palliat Care. 2024;9:90–103.
MLA	Güdük, Özden. “A Worldwide Bibliometric Analysis on Euthanasia”. Family Practice and Palliative Care, vol. 9, no. 3, 2024, pp. 90-103, doi:10.22391/fppc.1532764.
Vancouver	Güdük Ö. A worldwide bibliometric analysis on euthanasia. Fam Pract Palliat Care. 2024;9(3):90-103.

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Ötanazi üzerine dünya genelinde bir bibliyometrik analiz

Abstract

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Ethical Statement

References

A worldwide bibliometric analysis on euthanasia

Abstract

Keywords

References

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Family Practice and Palliative Care ISSN 2458-8865 E-ISSN 2459-1505