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Table 3 Analytical and descriptive themes

From: The involvement of family in the Dutch practice of euthanasia and physician assisted suicide: a systematic mixed studies review

1. Family-related reasons (not) to make a request for EAS:
Fear of suffering as witnessed previously in other family members ▪ Family beliefs and dynamics ▪ Importance of maintaining meaningful bonds ▪ Feeling of being a burden ▪ Quantitative research among physicians: other reasons more important
2. Roles and responsibilities of family members during EAS decision-making and performance: Social network involved in decision-making and performance ▪ Sounding board for patient and physician ▪ Caregiving, representing, advocating ▪ Negotiating the date of performance ▪ Proxy-decision making: children, patients with dementia
3. Families’ experiences and grief process after euthanasia and assisted suicide:
Ambivalence, exhaustion, difficulty of choosing a date of performance ▪ Varying experiences related to the interaction with physicians ▪ Mainly positive evaluations afterwards ▪ Complicated grief after a complicated process
4: Family and the ‘good euthanasia death’ according to Dutch physicians:
Physicians’ experiences with EAS and family involvement ▪ Taking care of the family as a task ▪ Family support or agreement as additional criterion for EAS ▪ Reluctance to consider social indications for EAS ▪ The general public’s opinion on family’s involvement in EAS