Development of a bilingual interdisciplinary scale assessing self-efficacy for participating in Medical Assistance in Dying

Diane Tapp; Ariane Plaisance; Nathalie Boudreault; Isabelle St-Pierre; Jean-Francois Desbiens; Sarah-Caroline Poitras; Elizabeth Lemay; Luis Alejandro Urrea; Amélie Lapointe; Melissa Henry; Gina Bravo

doi:10.36834/cmej.76161

Authors

Diane Tapp Laval University https://orcid.org/0000-0002-2818-0141
Ariane Plaisance University of Quebec https://orcid.org/0000-0003-4683-7650
Nathalie Boudreault Laval University https://orcid.org/0009-0007-2811-7322
Isabelle St-Pierre Laval University https://orcid.org/0009-0001-9789-0569
Jean-Francois Desbiens Laval University
Sarah-Caroline Poitras Laval University
Elizabeth Lemay Laval University
Luis Alejandro Urrea Laval University https://orcid.org/0009-0001-8392-7156
Amélie Lapointe Laval University https://orcid.org/0009-0007-8064-2917
Melissa Henry McGill University
Gina Bravo Sherbrooke University

DOI:

https://doi.org/10.36834/cmej.76161

Abstract

Medical Assistance in Dying (MAiD) is a complex process involving the person seeking care and their relatives. MAiD involves physical, psychosocial and spiritual needs, and consequently the involvement of an interdisciplinary team is beneficial. Therefore, updating the knowledge and skills of healthcare and social services professionals is critical. An interdisciplinary team from Laval University (Quebec, Canada) has developed a continuous training program for all health care and social services professionals who could be involved in the care of persons who request MAiD and their loved ones. It is crucial to assess whether the objectives of the continuous training program are being met, especially since this new training addresses several complex issues (legal, ethical, and clinical). Bandura's self-efficacy theory has been widely used to develop scales for assessing the impact of training programs and identifying knowledge gaps. Bandura's theory states that feeling secure in one's self-efficacy leads to self-determined motivation. Although there are various scales intended to measure self-efficacy in palliative care, none include self-efficacy for participating in the process surrounding MAiD. As a result, we aim to create a bilingual (English-French) interdisciplinary scale to assess self-efficacy for participating in the process surrounding MAiD. The scale will allow decision-makers and researchers to identify current knowledge gaps. It will also be useful for assessing the impact of current and future training programs addressing this end-of-life practice. In this work in progress, we briefly introduce the training program and the future steps in the development and validation of the scale.

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Author Biographies

Diane Tapp, Laval University

Diane Tapp, RN, is an associate professor at the Faculty of Nursing at Université Laval in Québec, Canada and the director of the Institute of Palliative and End of Life Care at this same university. She is also affiliated to the Québec Heart and Lung Institute-Université Laval Research Center– Laval University. She is the principal investigator of this research project. She conceptualized the project and its objectives. She made substantial contributions to developing the scale, data analysis and interpretation, and critically reviewing the article. She also approved the version to be published. She agreed to be accountable for all aspects of this work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Nathalie Boudreault, Laval University

Nathalie Boudreault, MD, is a professor at the Faculty of Medicine at Université Laval, a family physician and a researcher affiliated to the CHU de Québec-Université Laval Research Center. She made substantial contributions to: scale conception and design, data collection, analysis and interpretation, as well as revising the manuscript. She approved the version to be published. She agreed to be accountable for all aspects of the work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Isabelle St-Pierre, Laval University

Isabelle St-Pierre is a pedagogical consultant specialized in higher education at the faculty of Medicine of Université Laval. She made substantial contributions to: scale conception and design, data collection, analysis and interpretation, as well as drafting and revising the manuscript. She approved the version to be published. She agreed to be accountable for all aspects of the work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Sarah-Caroline Poitras, Laval University

Sarah-Caroline Poitras is an evaluation and statistics consultant at the Faculty of Medicine of Université Laval. She made substantial contributions to scale conception and design, data collection, analysis and interpretation, as well as drafting and revising the manuscript. She approved the version to be published. She agreed to be accountable for all aspects of the work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Elizabeth Lemay, Laval University

Elizabeth Lemay is a student at the Faculty of Medicine at University. She made substantial contributions to: scale conception and design, data collection, analysis and interpretation, translation of the scale, and drafting the article. She approved the version to be published. She agreed to be accountable for all aspects of the work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Luis Alejandro Urrea, Laval University

Luis Alejandro Urrea, is a student at the Faculty of Medicine at Université Laval and is completing a law degree. He made substantial contributions to the drafting, conception and design of the scale, as well as data collection, analysis and interpretation. He revised the manuscript and approved the version to be published. He agreed to be accountable for all aspects of the work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

Amélie Lapointe, Laval University

Amélie Lapointe is a student at the Faculty Medicine at Université Laval and has completed a law degree. She made substantial contributions to scale conception, design, and revision, data collection, analysis and interpretation. She revised the manuscript and approved the version to be published. She agreed to be accountable for all aspects of the work by ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

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