chapter 3 research method example

How To Write The Methodology Chapter

The what, why & how explained simply (with examples).

By: Jenna Crossley (PhD) | Reviewed By: Dr. Eunice Rautenbach | September 2021 (Updated April 2023)

So, you’ve pinned down your research topic and undertaken a review of the literature – now it’s time to write up the methodology section of your dissertation, thesis or research paper . But what exactly is the methodology chapter all about – and how do you go about writing one? In this post, we’ll unpack the topic, step by step .

Overview: The Methodology Chapter

• The purpose  of the methodology chapter
• Why you need to craft this chapter (really) well
• How to write and structure the chapter
• Methodology chapter example
• Essential takeaways

What (exactly) is the methodology chapter?

The methodology chapter is where you outline the philosophical underpinnings of your research and outline the specific methodological choices you’ve made. The point of the methodology chapter is to tell the reader exactly how you designed your study and, just as importantly, why you did it this way.

Importantly, this chapter should comprehensively describe and justify all the methodological choices you made in your study. For example, the approach you took to your research (i.e., qualitative, quantitative or mixed), who  you collected data from (i.e., your sampling strategy), how you collected your data and, of course, how you analysed it. If that sounds a little intimidating, don’t worry – we’ll explain all these methodological choices in this post .

Why is the methodology chapter important?

The methodology chapter plays two important roles in your dissertation or thesis:

Firstly, it demonstrates your understanding of research theory, which is what earns you marks. A flawed research design or methodology would mean flawed results. So, this chapter is vital as it allows you to show the marker that you know what you’re doing and that your results are credible .

Secondly, the methodology chapter is what helps to make your study replicable. In other words, it allows other researchers to undertake your study using the same methodological approach, and compare their findings to yours. This is very important within academic research, as each study builds on previous studies.

The methodology chapter is also important in that it allows you to identify and discuss any methodological issues or problems you encountered (i.e., research limitations ), and to explain how you mitigated the impacts of these. Every research project has its limitations , so it’s important to acknowledge these openly and highlight your study’s value despite its limitations . Doing so demonstrates your understanding of research design, which will earn you marks. We’ll discuss limitations in a bit more detail later in this post, so stay tuned!

Need a helping hand?

How to write up the methodology chapter

First off, it’s worth noting that the exact structure and contents of the methodology chapter will vary depending on the field of research (e.g., humanities, chemistry or engineering) as well as the university . So, be sure to always check the guidelines provided by your institution for clarity and, if possible, review past dissertations from your university. Here we’re going to discuss a generic structure for a methodology chapter typically found in the sciences.

Before you start writing, it’s always a good idea to draw up a rough outline to guide your writing. Don’t just start writing without knowing what you’ll discuss where. If you do, you’ll likely end up with a disjointed, ill-flowing narrative . You’ll then waste a lot of time rewriting in an attempt to try to stitch all the pieces together. Do yourself a favour and start with the end in mind .

Section 1 – Introduction

As with all chapters in your dissertation or thesis, the methodology chapter should have a brief introduction. In this section, you should remind your readers what the focus of your study is, especially the research aims . As we’ve discussed many times on the blog, your methodology needs to align with your research aims, objectives and research questions. Therefore, it’s useful to frontload this component to remind the reader (and yourself!) what you’re trying to achieve.

In this section, you can also briefly mention how you’ll structure the chapter. This will help orient the reader and provide a bit of a roadmap so that they know what to expect. You don’t need a lot of detail here – just a brief outline will do.

Section 2 – The Methodology

The next section of your chapter is where you’ll present the actual methodology. In this section, you need to detail and justify the key methodological choices you’ve made in a logical, intuitive fashion. Importantly, this is the heart of your methodology chapter, so you need to get specific – don’t hold back on the details here. This is not one of those “less is more” situations.

Let’s take a look at the most common components you’ll likely need to cover. 

Methodological Choice #1 – Research Philosophy

Research philosophy refers to the underlying beliefs (i.e., the worldview) regarding how data about a phenomenon should be gathered , analysed and used . The research philosophy will serve as the core of your study and underpin all of the other research design choices, so it’s critically important that you understand which philosophy you’ll adopt and why you made that choice. If you’re not clear on this, take the time to get clarity before you make any further methodological choices.

While several research philosophies exist, two commonly adopted ones are positivism and interpretivism . These two sit roughly on opposite sides of the research philosophy spectrum.

Positivism states that the researcher can observe reality objectively and that there is only one reality, which exists independently of the observer. As a consequence, it is quite commonly the underlying research philosophy in quantitative studies and is oftentimes the assumed philosophy in the physical sciences.

Contrasted with this, interpretivism , which is often the underlying research philosophy in qualitative studies, assumes that the researcher performs a role in observing the world around them and that reality is unique to each observer . In other words, reality is observed subjectively .

These are just two philosophies (there are many more), but they demonstrate significantly different approaches to research and have a significant impact on all the methodological choices. Therefore, it’s vital that you clearly outline and justify your research philosophy at the beginning of your methodology chapter, as it sets the scene for everything that follows.

Methodological Choice #2 – Research Type

The next thing you would typically discuss in your methodology section is the research type. The starting point for this is to indicate whether the research you conducted is inductive or deductive .

Inductive research takes a bottom-up approach , where the researcher begins with specific observations or data and then draws general conclusions or theories from those observations. Therefore these studies tend to be exploratory in terms of approach.

Conversely , d eductive research takes a top-down approach , where the researcher starts with a theory or hypothesis and then tests it using specific observations or data. Therefore these studies tend to be confirmatory in approach.

Related to this, you’ll need to indicate whether your study adopts a qualitative, quantitative or mixed  approach. As we’ve mentioned, there’s a strong link between this choice and your research philosophy, so make sure that your choices are tightly aligned . When you write this section up, remember to clearly justify your choices, as they form the foundation of your study.

Methodological Choice #3 – Research Strategy

Next, you’ll need to discuss your research strategy (also referred to as a research design ). This methodological choice refers to the broader strategy in terms of how you’ll conduct your research, based on the aims of your study.

Several research strategies exist, including experimental , case studies , ethnography , grounded theory, action research , and phenomenology . Let’s take a look at two of these, experimental and ethnographic, to see how they contrast.

Experimental research makes use of the scientific method , where one group is the control group (in which no variables are manipulated ) and another is the experimental group (in which a specific variable is manipulated). This type of research is undertaken under strict conditions in a controlled, artificial environment (e.g., a laboratory). By having firm control over the environment, experimental research typically allows the researcher to establish causation between variables. Therefore, it can be a good choice if you have research aims that involve identifying causal relationships.

Ethnographic research , on the other hand, involves observing and capturing the experiences and perceptions of participants in their natural environment (for example, at home or in the office). In other words, in an uncontrolled environment.  Naturally, this means that this research strategy would be far less suitable if your research aims involve identifying causation, but it would be very valuable if you’re looking to explore and examine a group culture, for example.

As you can see, the right research strategy will depend largely on your research aims and research questions – in other words, what you’re trying to figure out. Therefore, as with every other methodological choice, it’s essential to justify why you chose the research strategy you did.

Methodological Choice #4 – Time Horizon

The next thing you’ll need to detail in your methodology chapter is the time horizon. There are two options here: cross-sectional and longitudinal . In other words, whether the data for your study were all collected at one point in time (cross-sectional) or at multiple points in time (longitudinal).

The choice you make here depends again on your research aims, objectives and research questions. If, for example, you aim to assess how a specific group of people’s perspectives regarding a topic change over time , you’d likely adopt a longitudinal time horizon.

Another important factor to consider is simply whether you have the time necessary to adopt a longitudinal approach (which could involve collecting data over multiple months or even years). Oftentimes, the time pressures of your degree program will force your hand into adopting a cross-sectional time horizon, so keep this in mind.

Methodological Choice #5 – Sampling Strategy

Next, you’ll need to discuss your sampling strategy . There are two main categories of sampling, probability and non-probability sampling.

Probability sampling involves a random (and therefore representative) selection of participants from a population, whereas non-probability sampling entails selecting participants in a non-random  (and therefore non-representative) manner. For example, selecting participants based on ease of access (this is called a convenience sample).

The right sampling approach depends largely on what you’re trying to achieve in your study. Specifically, whether you trying to develop findings that are generalisable to a population or not. Practicalities and resource constraints also play a large role here, as it can oftentimes be challenging to gain access to a truly random sample. In the video below, we explore some of the most common sampling strategies.

Methodological Choice #6 – Data Collection Method

Next up, you’ll need to explain how you’ll go about collecting the necessary data for your study. Your data collection method (or methods) will depend on the type of data that you plan to collect – in other words, qualitative or quantitative data.

Typically, quantitative research relies on surveys , data generated by lab equipment, analytics software or existing datasets. Qualitative research, on the other hand, often makes use of collection methods such as interviews , focus groups , participant observations, and ethnography.

So, as you can see, there is a tight link between this section and the design choices you outlined in earlier sections. Strong alignment between these sections, as well as your research aims and questions is therefore very important.

Methodological Choice #7 – Data Analysis Methods/Techniques

The final major methodological choice that you need to address is that of analysis techniques . In other words, how you’ll go about analysing your date once you’ve collected it. Here it’s important to be very specific about your analysis methods and/or techniques – don’t leave any room for interpretation. Also, as with all choices in this chapter, you need to justify each choice you make.

What exactly you discuss here will depend largely on the type of study you’re conducting (i.e., qualitative, quantitative, or mixed methods). For qualitative studies, common analysis methods include content analysis , thematic analysis and discourse analysis . In the video below, we explain each of these in plain language.

For quantitative studies, you’ll almost always make use of descriptive statistics , and in many cases, you’ll also use inferential statistical techniques (e.g., correlation and regression analysis). In the video below, we unpack some of the core concepts involved in descriptive and inferential statistics.

In this section of your methodology chapter, it’s also important to discuss how you prepared your data for analysis, and what software you used (if any). For example, quantitative data will often require some initial preparation such as removing duplicates or incomplete responses . Similarly, qualitative data will often require transcription and perhaps even translation. As always, remember to state both what you did and why you did it.

Section 3 – The Methodological Limitations

With the key methodological choices outlined and justified, the next step is to discuss the limitations of your design. No research methodology is perfect – there will always be trade-offs between the “ideal” methodology and what’s practical and viable, given your constraints. Therefore, this section of your methodology chapter is where you’ll discuss the trade-offs you had to make, and why these were justified given the context.

Methodological limitations can vary greatly from study to study, ranging from common issues such as time and budget constraints to issues of sample or selection bias . For example, you may find that you didn’t manage to draw in enough respondents to achieve the desired sample size (and therefore, statistically significant results), or your sample may be skewed heavily towards a certain demographic, thereby negatively impacting representativeness .

In this section, it’s important to be critical of the shortcomings of your study. There’s no use trying to hide them (your marker will be aware of them regardless). By being critical, you’ll demonstrate to your marker that you have a strong understanding of research theory, so don’t be shy here. At the same time, don’t beat your study to death . State the limitations, why these were justified, how you mitigated their impacts to the best degree possible, and how your study still provides value despite these limitations .

Section 4 – Concluding Summary

Finally, it’s time to wrap up the methodology chapter with a brief concluding summary. In this section, you’ll want to concisely summarise what you’ve presented in the chapter. Here, it can be a good idea to use a figure to summarise the key decisions, especially if your university recommends using a specific model (for example, Saunders’ Research Onion ).

Importantly, this section needs to be brief – a paragraph or two maximum (it’s a summary, after all). Also, make sure that when you write up your concluding summary, you include only what you’ve already discussed in your chapter; don’t add any new information.

Methodology Chapter Example

In the video below, we walk you through an example of a high-quality research methodology chapter from a dissertation. We also unpack our free methodology chapter template so that you can see how best to structure your chapter.

Wrapping Up

And there you have it – the methodology chapter in a nutshell. As we’ve mentioned, the exact contents and structure of this chapter can vary between universities , so be sure to check in with your institution before you start writing. If possible, try to find dissertations or theses from former students of your specific degree program – this will give you a strong indication of the expectations and norms when it comes to the methodology chapter (and all the other chapters!).

Also, remember the golden rule of the methodology chapter – justify every choice ! Make sure that you clearly explain the “why” for every “what”, and reference credible methodology textbooks or academic sources to back up your justifications.

If you need a helping hand with your research methodology (or any other component of your research), be sure to check out our private coaching service , where we hold your hand through every step of the research journey. Until next time, good luck!

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Chapter 3 – Dissertation Methodology (example)

Disclaimer: This is not a sample of our professional work. The paper has been produced by a student. You can view samples of our work here . Opinions, suggestions, recommendations and results in this piece are those of the author and should not be taken as our company views.

Type of Academic Paper – Dissertation Chapter

Academic Subject – Marketing

Word Count – 3017 words

Introduction

The current chapter presents developing the research methods needed to complete the experimentation portion of the current study. The chapter will discuss in detail the various stages of developing the methodology of the current study. This includes a detailed discussion of the philosophical background of the research method chosen. In addition to this, the chapter describes the data collection strategy, including the selection of research instrumentation and sampling. The chapter closes with a discussion on the analysis tools used to analyse the data collected.

Selecting an Appropriate Research Approach

Creswall (2013) stated that research approaches are plans and procedures that range from steps, including making broad assumptions to detailed methods of data collection, analysis, and interpretation. The several decisions involved in the process are used to decide which approach should be used in a specific study that is informed using philosophical assumptions brought to the study (Creswall 2013). Included in this are procedures of inquiry or research designs and specific research methods used for data collection, its analysis, and finally, its interpretation. However, Guetterman (2015); Lewis (2015); and Creswall (2013) argue that the selection of the specific research approach is based on the nature of the research problem, or the issue that is being addressed by any study, personal experiences of the researchers’, and even the audience for which the study is being developed for.

There are many ways to customise research approaches to develop an approach most suited for a particular study. However, the main three categories with which research approaches are organised include; qualitative, quantitative, and mixed research methods. Creswall (2013) comments that all three approaches are not considered so discrete or distinct from one another. Creswall (2013) states, “qualitative and quantitative approaches should not be viewed as rigid, distinct categories, polar opposite, or dichotomies” (p.32). Newmand and Benz (1998) pointed out that quantitative and qualitative approaches instead represent different ends on a continuum since a study “tends” to be more quantitative than qualitative or vice versa. Lastly, mixed methods research resides in the middle of the continuum as it can incorporate elements and characteristics of both quantitative and qualitative approaches. Lewis (2015) points out that the main distinction that is often cited between quantitative and qualitative research is that it is framed in terms of using numbers rather than words; or using closed-ended questions for quantitative hypotheses over open-ended questions for qualitative interview questions. Guetterman (2015) points out that a clearer way of viewing gradations of differences between the approaches is to examine the basic philosophical assumptions brought to the study, the kinds of research strategies used, and the particular methods implemented in conducting the strategies.

Underlying Philosophical Assumptions

An important component of defining the research approach involves philosophical assumptions that contribute to the broad research approach of planning or proposing to conduct research. It involves the intersection of philosophy, research designs and specific methods as illustrated in Fig. 1 below.

Figure 3.2-1- Research Onion (Source; Saunders and Tosey 2013)

Slife and Williams (1995) have argued that philosophical ideas have remained hidden within the research. However, they still play an influential role in the research practice, and it is for this reason that it is most identified. Various philosophical assumptions are used to construct or develop a study. Saunders et al. (2009) define research philosophy as a belief about how data about a phenomenon should be gathered, analysed and used. Saunders et al. (2009) identify common research philosophies such as positivism, realism, interpretivism, subjectivism, and pragmatism. Dumke (2002) believes that two views, positivism and phenomenology, mainly characterise research philosophy.

Positivism reflects acceptance in adopting the philosophical stance of natural scientists (Saunders, 2003). According to Remenyi et al. (1998), there is a greater preference in working with an “observable social reality” and that the outcome of such research can be “law-like” generalisations that are the same as those which are produced by physical and natural scientists. Gill and Johnson (1997) add that it will also emphasise a high structure methodology to allow for replication for other studies. Dumke (2002) agrees and explains

that a positivist philosophical assumption produces highly structured methodologies and allows for generalisation and quantification of objectives that can be evaluated by statistical methods. For this philosophical approach, the researcher is considered an objective observer who should not be impacted by or impact the subject of research.

On the other hand, more phenomenological approaches agree that the social world of business and management is too complex to develop theories and laws similar to natural sciences. Saunders et al. (2000) argue that this is the reason why reducing observations in the real world to simple laws and generalisations produces a sense of reality which is a bit superficial and doesn’t present the complexity of it.

The current study chooses positivistic assumptions due to the literature review’s discussion of the importance of Big Data in industrial domains and the need for measuring its success in the operations of the business. The current study aims to examine the impact that Big Data has on automobile companies’ operations. To identify a positive relationship between Big Data usage and beneficial business outcomes, the theory needs to be used to generate hypotheses that can later be tested of the relationship which would allow for explanations of laws that can later be assessed (Bryman and Bell, 2015).

Selecting Interpretive Research Approach

Interpretive research approaches are derived from the research philosophy that is adopted. According to Dumke (2002), the two main research approaches are deductive and inductive. The inductive approach is commonly referred to when theory is derived from observations. Thus, the research begins with specific observations and measures. It is then from detecting some pattern that a hypothesis is developed. Dumke (2002) argues that researchers who use an inductive approach usually work with qualitative data and apply various methods to gather specific information that places different views. From the philosophical assumptions discussed in the previous section, it is reasonable to use the deductive approach for the current study. It is also considered the most commonly used theory to establish a relationship between theory and research. The figure below illustrates the steps used for the process of deduction.

Data Collection

• confirmed or rejected
• Revision of theory

Based on what is known about a specific domain, the theoretical considerations encompassing it a hypothesis or hypotheses are deduced that will later be subjected to empirical enquiry (Daum, 2013). Through these hypotheses, concepts of the subject of interest will be translated into entities that are rational for a study. Researchers are then able to deduce their hypotheses and convert them into operational terms.

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Justifying the Use of Quantitative Research Method

Saunders (2003) notes that almost all research will involve some numerical data or even contain data quantified to help a researcher answer their research questions and meet the study’s objectives. However, quantitative data refers to all data that can be a product of all research strategies (Bryman and Bell, 2015; Guetterman, 2015; Lewis, 2015; Saunders, 2003). Based on the philosophical assumptions and interpretive research approach, a quantitative research method is the best suited for the current study. Haq (2014) explains that quantitative research is about collecting numerical data and then analysing it through statistical methods to explain a specific phenomenon. Mujis (2010) defends the use of quantitative research because, unlike qualitative research, which argues that there is no pre-existing reality, quantitative assumes that there is only a single reality about social conditions that researchers cannot influence in any way. Also, qualitative research is commonly used when there is little to no knowledge of a phenomenon, whereas quantitative research is used to find the cause and effect relationship between variables to either verify or nullify some theory or hypothesis (Creswall 2002; Feilzer 2010; Teddlie and Tashakkori 2012).

Selecting an Appropriate Research Strategy

There are many strategies available to implement in a study, as evidenced from Fig. 1. There are many mono-quantitative methods, such as telephone interviews, web-based surveys, postal surveys, and structured questionnaires (Haq 2014). Each instrument has its own pros and cons in terms of quality, time, and data cost. Brymand (2006); Driscoll et al. (2007); Edwards et al. (2002); and Newby et al. (2003) note that most researchers use structured questionnaires for data collection they are unable to control or influence respondents, which leads to low response rates but more accurate data obtained. Saunders and Tosey (2015) have argued that quantitative data is simpler to obtain and more concise to present. Therefore, the current study uses a survey-based questionnaire (See Appendix A).

Justifying the use of Survey Based Questionnaire

Surveys are considered the most traditional forms of research and are used in non-experimental descriptive designs that describe some reality. Survey-based questionnaires are often restricted to a representative sample of a potential group of the study’s interest. In this case, it is the executives currently working for automobile companies in the UK. The survey instrument is then chosen for its effectiveness at being practical and inexpensive (Kelley et al., 2003). Due to the philosophical assumptions, interpretive approach, and methodological approach, the survey design for the current study is considered the best instrument in line with these premises, besides being cost-effective.

Empirical Research Methodology

Research design.

This section describes how research is designed to use the techniques used for data collection, sampling strategy, and data analysis for a quantitative method. Before going into the strategies of data collection and analysis, a set of hypotheses were developed.

Hypotheses Development

The current study uses a quantitative research approach, making it essential to develop a set of hypotheses that will be used as a test standard for the mono-method quantitative design. The following are a set of hypotheses that have been developed from the examination of the literature review.

H1- The greater the company’s budget for Big Data initiatives (More than 1 million GBP), the greater its ability to monetise and generate new revenues.

H2- The greater the company’s budget for Big Data initiatives (More than 1 million GBP) the more decrease in expenses in found.

H3- The greatest impact of Big Data on a company is changing the way business is done.

H4- Big Data integrating with a company has resulted in competitive significance.

H5- The analytical abilities of a company allows for achieved measurable results.

H6- Investing in Big Data will lead to highly successful business results.

H7- A business’s operations function is fuelling Big Data initiatives and effecting change in operations.

H8- The implementation of Big Data in the company has positive impacts on business.

This section includes the sampling method used to collect the number of respondents needed to provide information, then analysed after collection.

Sampling Method

Collis (2009) explains that there are many kinds of sampling methods that can be used for creating a specific target sample from a population. This current study uses simple random sampling to acquire respondents with which the survey will be conducted. Simple random sampling is considered the most basic form of probability sampling. Under the method, elements are taken from the population at random, with all elements having an equal chance of being selected. According to () as of 2014, there are about thirty-five active British car manufacturers in the UK, each having an employee population of 150 or more. This is why the total population of employees in car manufacturers is estimated to be 5,250 employees. The sample, therefore, developed used the following equation;

2  ×   (1 −   )

+(   2 × (1−  ) )  2

Where; N is the population size,  e  is the margin of error (as a decimal),  z  is confidence level (as a z-score), and  p  is percentage value (as a decimal). Thus, the sample size is with a normal distribution of 50%. With the above equation, a population of 5,250; with a 95% confidence level and 5% margin of error, the total sample size needed for the current equals 300. Therefore, N=300, which is the sample size of the current study.

The survey develops (see Appendix A) has a total of three sections, A, B, and C, with a total of 39 questions. Each section has its own set of questions to accomplish. The survey is a mix of closed-end questions that look to comprehend the respondents’ demographic makeup, the Big Data initiatives of the company, and the impact that Big Data was having on their company. The survey is designed to take no longer than twenty minutes. The survey was constructed on Survey Monkey.com, and an online survey provided website. The survey was left on the website for a duration of 40 days to ensure that the maximum number of respondents were able to answer the survey. The only way that the survey was allowed for a respondent is if they passed a security question as if they were working for an automobile company in the UK when taking the survey. Gupta et al. (2004) believe that web surveys are visual stimuli, and the respondent has complete control about whether or how each question is read and understood. That is why Dillman (2000) argued that web questionnaires are expected to resemble those taken through the mail/postal services closely.

Data Analysis

The collected data is then analysed through the Statistical Package for Social Science (SPSS) version 24 for descriptive analysis. The demographic section of the survey will be analysed using descriptive statistics. Further analysis of the data includes regression analysis. Simple regression analysis includes only one independent variable and one dependent variable. Farrar and Glauber (1967) assert that the purpose of regression analysis is to estimate the parameters of dependency, and it should not be used to determine the interdependency of a relationship.

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Conclusions.

The chapter provides a descriptive and in-depth discussion of the methods involved in the current study’s research. The current study is looking towards a quantitative approach that considers positivism as its philosophical undertaking, using deductive reasoning for its interpretive approach, is a mono-quantitative method that involves the use of a survey instrument for data collection. The methodology chapter also provided the data analysis technique, which is descriptive statistics through frequency analysis and regression analysis.

Examples of results;

Question 8- Of these staff, are mostly working in or for your consumer-facing (B2C) businesses, your commercial or wholesale (B2B) businesses, or both?

Based on the illustration, nineteen (19) respondents indicated that 501-1000 employees are dedicated to analytics for both B2B and B2C. The category of using Big Data analytics for both B2B and B2C comprises the most agreement of respondents with 72 of 132 indicated.

The figure above represents the respondents’ answers to their automobile company’s plan for measuring Big Data’s success. Of the 132 participants, 44.70 per cent responded that the company is planning on using quantitative metrics associated with business performance to analyse if Big Data is actually successful. Another, 30.30 per cent indicated that their company was planning on using qualitative metrics tied to business performance. Using business performance to analyse the success of Big Data is coherent to the results of the literature review that indicated previous studies of doing such. As an automobile company, they need to know the results of using Big Data analytics, and that is only by using business performance indicators regardless of being qualitative or quantitative.

Fig. 4.3-6 portrays the response of participants in regards to actually achieving measurable results from Big Data. According to 68.18 per cent of respondents, the company that they worked for did indeed show measurable results from their investments in Big Data. However, 31.82 per cent indicated that there was indeed no measurable result in investing in Big Data.

Bryman, A., Bell, E., 2015. Business Research Methods. Oxford University Press.

Daum, P., 2013. International Synergy Management: A Strategic Approach for Raising Efficiencies in the Cross-border Interaction Process. Anchor Academic Publishing (aap_verlag).

Dümke, R., 2002. Corporate Reputation and its Importance for Business Success: A European

Perspective and its Implication for Public Relations Consultancies. diplom.de.

Guetterman, T.C., 2015. Descriptions of Sampling Practices Within Five Approaches to Qualitative Research in Education and the Health Sciences. Forum Qualitative Sozialforschung /

Forum: Qualitative Social Research 16.

Haq, M., 2014. A Comparative Analysis of Qualitative and Quantitative Research Methods and a Justification for Adopting Mixed Methods in Social Research (PDF Download Available).

ResearchGate 1–22. doi:http://dx.doi.org/10.13140/RG.2.1.1945.8640

Kelley, K., Clark, B., Brown, V., Sitzia, J., 2003. Good practice in the conduct and reporting of survey research. Int J Qual Health Care 15, 261–266. doi:10.1093/intqhc/mzg031

Lewis, S., 2015. Qualitative Inquiry and Research Design: Choosing Among Five Approaches.

Health Promotion Practice 16, 473–475. doi:10.1177/1524839915580941

Saunders, M., 2003. Research Methods for Business Students. Pearson Education India.

Saunders, M.N.K., Tosey, P., 2015. Handbook of Research Methods on Human Resource

Development. Edward Elgar Publishing.

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• Gregory Vey   ORCID: orcid.org/0000-0003-1574-1373 10 ,
• Wesley Van Wychen   ORCID: orcid.org/0000-0002-4275-6768 11 ,
• Chantelle Verhey   ORCID: orcid.org/0000-0002-0047-7875 12 ,
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Part of the book series: Springer Polar Sciences ((SPPS))

This chapter examines current and emerging trends, practices, and technological methods relating to polar research data management. The authors discuss metadata standards, data architecture, semantics, interoperability, dissemination, knowledge mobilization, and organizational policy with respect to how they apply in the context of contemporary issues such as FAIR data principles (i.e., findability, accessibility, interoperability, and reusability), automated metadata harvesting, and data science interests such as data visualization. The chapter begins with a brief history of the beginnings of polar research data management as motivated primarily by domain specific informational needs, followed by description of the progressive changes and emerging criteria that have iteratively shaped disparate ad hoc repositories, propelling them toward the current state of data management that challenges many legacy systems. The Polar Data Catalogue is used as a working example throughout this chapter to illustrate the needs, impacts, challenges, and solutions relating to modern polar research data management. Five specific technical topics are discussed in this chapter. First, metadata standards: The ISO 19115 schema is examined, including its congruence to emerging trends like the schema.org vocabulary, as well as its limitations and future challenges. Second, data architecture: The modelling, representation, and storage of metadata and data are considered with respect to the traditional relational model versus recent NoSQL technologies, particularly from the perspective of their suitability for supporting the requirements discussed in the other sections. Third, semantics and interoperability: The FAIR data principles are discussed with a particular focus on semantics and interoperability, including challenges in implementing schema.org capabilities, search engine optimization, and participation in federated search initiatives with other organizations and partners. Fourth, dissemination and knowledge mobilization: The modernization of data availability and means of data acquisition are explored, with consideration for the growing interest and impact of data science. The emergence of REST APIs and their consumption to support automated harvest for activities such as real-time data visualization are examined as working examples. Fifth, organizational policy: The interplay between organizational policies and technical implementations is examined from the perspective of reciprocal impacts. The chapter concludes with our impressions of what challenges remain to be addressed and what others might arise in the future for polar research data management.

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Apache Software Foundation. (2004). Apache license, version 2.0 . https://bit.ly/3ug5hrY . Accessed 9 Dec 2023.

ArcticNet Network Centre of Excellence of Canada. (2022). ArcticNet: Working towards a sustainable and prosperous North . https://bit.ly/3AV9vsM . Accessed 9 Dec 2023.

Barry, R. G. (1995). Observing systems and data sets related to the cryosphere in Canada. A contribution to planning for the global climate observing system. Atmosphere-Ocean, 33 (4), 771–807.

Article   CAS   Google Scholar  

Berners-Lee, T., Hendler, J., & Lassila, O. (2001, May). The semantic web: A new form of web content that is meaningful to computers will unleash a revolution of new possibilities. Scientific American, 284 (5), 34–43.

Article   Google Scholar  

Chen, J.-K., & Lee, W.-Z. (2018). An introduction of NoSQL databases based on their categories and application industries. Algorithms, 12 (5), 1–17.

Google Scholar  

Codd, E. F. (1970). A relational model of data for large shared databanks. Communications of the ACM, 13 (6), 377–387.

Deniz Beyan, O., Chue Hong, N., Cozzini S., Hoffman-Sommer, M., Hooft, R., Lembinen, L., Marttila, J., & Teperek, M. (2020). Seven recommendations for implementation of FAIR practice . https://doi.org/jn47

European Commission Expert Group on FAIR Data. (2018). Final report and action plan: Turning FAIR into reality . European Union. https://bit.ly/46PzS0k . Accessed 9 Dec 2023.

GoFAIR. (n.d.). FAIR principles . https://bit.ly/3AZoH8a . Accessed 9 Dec 2023.

Goodison, B. E., Brown, R. D., Brugman, M. M., Duguay, C. R., Flato, G. M., LeDrew, E. F., & Walker, A. E. (1999). CRYSYS—Use of the cryospheric system to monitor global change in Canada: Overview and progress. Canadian Journal of Remote Sensing, 25 (1), 3–11.

Hayes, A., Pulsifer, P. L., & Fiset, J. P. (2014). The Nunaliit cybercartographic atlas framework. In D. R. Fraser Taylor (Ed.), Developments in the theory and practice of cybercartography: Application and Indigenous mapping (Vol. 5, 2nd ed., pp. 129–140). Elsevier.

Heiler, S. (1995). Semantic interoperability. ACM Computing Surveys, 27 (2), 271–273.

Holborn, T. (2014, January 17). What is 5 star linked data? [Blog post]. https://bit.ly/3FgImmu . Accessed 9 Dec 2023.

International Organization for Standardization (ISO). (2012). ISO 2634:2012(en) Information and documentation—Digital object identifier system . https://bit.ly/3GZHhkj . Accessed 9 Dec 2023.

Jones, P. R., Ritchey, N. A., Peng, G., Toner, V. A., & Brown, H., (2014, December 15–19). ISO, FGDC, DIF, and Dublin Core: Making sense of metadata standards for Earth science data [Conference paper]. American Geophysical Union, Fall meeting, San Francisco, California, USA.

Krupnik, I., Allison, I., Bell, R., Cutler, P., Hik, D., López-Martínez, J., Rachold, V., Sarukanian, E., & Summerhayes, C. (2011). Understanding Earth’s polar challenges: International Polar Year 2007–2008 . World Meteorological Association and International Council for Science. https://bit.ly/3AZzhfr . Accessed 9 Dec 2023.

Li, K., Lin, M., Lin, Z., & Xing, B. (2014, January 6–9). Running and chasing: The competition between paid search marketing and search engine optimization [Conference paper]. Proceedings of the 47th Hawaii International Conference on System Science (HICSS) (pp. 3110–3119), Waikoloa, Hawaii, USA. https://doi.org/jn49

Liu, M., Truslove, I., Yarmey, L., Lopez, L., Reed, S. A., & Brandt, M. (2013, December 9–13). Arctic data explorer: A Rich Solr powered metadata search portal [Conference paper]. American Geophysical Union, Fall meeting, San Francisco, California, USA.

Mayer, G., Müller, W., Schork, K., Uszoreit, J., Weidemann, A., Wittig, U., Rey, M., Quast, C., Felden, J., Glöckner, F. O., Lange, M., Arend, D., Beier, S., Junker, A., Scholz, U., Schüler, D., Kestler, H. A., Wibberg, D., Pühler, A., et al. (2021). Implementing FAIR data management within the German network for bioinformatics infrastructure (de.NBI) exemplified by selected use cases. Briefings in Bioinformatics, 22 (5), 1–14.

Parsons, M. A., Godøy, Ø., LeDrew, E., De Bruin, T. F., Danis, B., Tomlinson, S., & Carlson, D. (2011). A conceptual framework for managing very diverse data for complex, interdisciplinary science. Journal of Information Science, 37 (6), 555–569.

Polar Data Catalogue (PDC). (2011). Data policy . https://bit.ly/3OWQHir . Accessed 9 Dec 2023.

Polar Data Catalogue (PDC). (2021). Terms of use of the Polar Data Catalogue . https://bit.ly/3gLSwCj . Accessed 9 Dec 2023.

Pulsifer, P. L., Kontar, Y., Berkman, P. A., & Fraser Taylor, D. R. (2020). Information ecology to map the Arctic information ecosystem. In O. R. Young, P. A. Berkman, & A. N. Vylegzhanin (Eds.), Governing Arctic seas: Regional lessons from the Bering Strait and Barents Sea (Vol. 1, pp. 269–291). Springer.

Chapter   Google Scholar  

Schildhauer, M., Chong, S., O’Brien, M., Mecum, B., & Jones, M. B. (2019, December 9–13). Semantic approaches to enhancing data findability and interoperability in the NSF DataONE and Arctic Data Center Data Repositories [Conference paper]. American Geophysical Union, Fall meeting, San Francisco, California, USA. https://bit.ly/3XOrpa8 . Accessed 9 Dec 2023.

Secretariat of the Antarctic Treaty. (n.d.). Antarctic Treaty . https://bit.ly/3ONnG8O . Accessed 9 Dec 2023.

Sinaci, A. A., Núñez-Benjumea, F. J., Gencturk, M., Jauer, M.-L., Deserno, T., Chronaki, C., Cangioli, G., Cavero-Barca, C., Rodríguez-Pérez, J. M., Pérez-Pérez, M. M., Laleci Erturkmen, G. B., Hernández-Pérez, T., Méndez-Rodríguez, E., & Parra-Calderón, C. L. (2020). From raw data to FAIR data: The FAIRification workflow for health research. Methods of Information in Medicine, 59 (S01), e21–e32.

Socioeconomic Data and Applications Center (SEDAC). (2022). Metadata . https://bit.ly/3FhSueV . Accessed 9 Dec 2023.

Tanhua, T., Pouliquen, S., Hausman, J., O’Brien, K., Bricher, P., de Bruin, T., Buck, J. J. H., Burger, E. F., Carval, T., Casey, K. S., Diggs, S., Giorgetti, A., Glaves, H., Harscoat, V., Kinkade, D., Muelbert, J. H., Novellino, A., Pfeil, B., Pulsifer, P. L., et al. (2019). Ocean FAIR data services. Frontiers in Marine Science, 6 , 1–17.

Vey, G., & Charles, T. C. (2014). MetaProx: The database of metagenomic proximons. Database: The Journal of Biological Databases and Curation, 2014 , 1–8.

Ward, P., & Dafoulas, G. (2006). Database management systems . Thompson.

Wilkinson, M. D., Dumontier, M., Aalbersberg, I. J., Appleton, G., Axton, M., Baak, A., Blomberg, N., Boiten, J.-W., da Silva, B., Santos, L., Bourne, P. E., Bouwman, J., Brookes, A. J., Clark, T., Crosas, M., Dillo, I., Dumon, O., Edmunds, S., Evelo, C. T., Finkers, R., et al. (2016). The FAIR guiding principles for scientific data management and stewardship. Scientific Data, 3 , 160018.

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Acknowledgements

The authors acknowledge financial support from the following organizations and programs: Amundsen Science, Université Laval; CFI-Cyberinfrastructure (Canadian Consortium for Arctic Data Interoperability), University of Calgary; Institutional Support (Canadian Consortium for Arctic Data Interoperability), University of Waterloo; Northern Contaminants Program/Crown-Indigenous Relations and Northern Affairs Canada; Nunavut General Monitoring Plan/Crown-Indigenous Relations and Northern Affairs Canada; and Polar Knowledge Canada/Canadian High Arctic Research Station.

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Vey, G., Van Wychen, W., Verhey, C., Pulsifer, P., LeDrew, E. (2024). Polar Research Data Management: Understanding Technical Implementation and Policy Decisions in the Era of FAIR Data. In: Acadia, S. (eds) Library and Information Sciences in Arctic and Northern Studies. Springer Polar Sciences. Springer, Cham. https://doi.org/10.1007/978-3-031-54715-7_8

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Developing a survey to measure nursing students’ knowledge, attitudes and beliefs, influences, and willingness to be involved in Medical Assistance in Dying (MAiD): a mixed method modified e-Delphi study

• Jocelyn Schroeder 1 ,
• Barbara Pesut 1 , 2 ,
• Lise Olsen 2 ,
• Nelly D. Oelke 2 &
• Helen Sharp 2  

BMC Nursing volume  23 , Article number:  326 ( 2024 ) Cite this article

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Metrics details

Medical Assistance in Dying (MAiD) was legalized in Canada in 2016. Canada’s legislation is the first to permit Nurse Practitioners (NP) to serve as independent MAiD assessors and providers. Registered Nurses’ (RN) also have important roles in MAiD that include MAiD care coordination; client and family teaching and support, MAiD procedural quality; healthcare provider and public education; and bereavement care for family. Nurses have a right under the law to conscientious objection to participating in MAiD. Therefore, it is essential to prepare nurses in their entry-level education for the practice implications and moral complexities inherent in this practice. Knowing what nursing students think about MAiD is a critical first step. Therefore, the purpose of this study was to develop a survey to measure nursing students’ knowledge, attitudes and beliefs, influences, and willingness to be involved in MAiD in the Canadian context.

The design was a mixed-method, modified e-Delphi method that entailed item generation from the literature, item refinement through a 2 round survey of an expert faculty panel, and item validation through a cognitive focus group interview with nursing students. The settings were a University located in an urban area and a College located in a rural area in Western Canada.

During phase 1, a 56-item survey was developed from existing literature that included demographic items and items designed to measure experience with death and dying (including MAiD), education and preparation, attitudes and beliefs, influences on those beliefs, and anticipated future involvement. During phase 2, an expert faculty panel reviewed, modified, and prioritized the items yielding 51 items. During phase 3, a sample of nursing students further evaluated and modified the language in the survey to aid readability and comprehension. The final survey consists of 45 items including 4 case studies.

Systematic evaluation of knowledge-to-date coupled with stakeholder perspectives supports robust survey design. This study yielded a survey to assess nursing students’ attitudes toward MAiD in a Canadian context.

The survey is appropriate for use in education and research to measure knowledge and attitudes about MAiD among nurse trainees and can be a helpful step in preparing nursing students for entry-level practice.

Peer Review reports

Medical Assistance in Dying (MAiD) is permitted under an amendment to Canada’s Criminal Code which was passed in 2016 [ 1 ]. MAiD is defined in the legislation as both self-administered and clinician-administered medication for the purpose of causing death. In the 2016 Bill C-14 legislation one of the eligibility criteria was that an applicant for MAiD must have a reasonably foreseeable natural death although this term was not defined. It was left to the clinical judgement of MAiD assessors and providers to determine the time frame that constitutes reasonably foreseeable [ 2 ]. However, in 2021 under Bill C-7, the eligibility criteria for MAiD were changed to allow individuals with irreversible medical conditions, declining health, and suffering, but whose natural death was not reasonably foreseeable, to receive MAiD [ 3 ]. This population of MAiD applicants are referred to as Track 2 MAiD (those whose natural death is foreseeable are referred to as Track 1). Track 2 applicants are subject to additional safeguards under the 2021 C-7 legislation.

Three additional proposed changes to the legislation have been extensively studied by Canadian Expert Panels (Council of Canadian Academics [CCA]) [ 4 , 5 , 6 ] First, under the legislation that defines Track 2, individuals with mental disease as their sole underlying medical condition may apply for MAiD, but implementation of this practice is embargoed until March 2027 [ 4 ]. Second, there is consideration of allowing MAiD to be implemented through advanced consent. This would make it possible for persons living with dementia to receive MAID after they have lost the capacity to consent to the procedure [ 5 ]. Third, there is consideration of extending MAiD to mature minors. A mature minor is defined as “a person under the age of majority…and who has the capacity to understand and appreciate the nature and consequences of a decision” ([ 6 ] p. 5). In summary, since the legalization of MAiD in 2016 the eligibility criteria and safeguards have evolved significantly with consequent implications for nurses and nursing care. Further, the number of Canadians who access MAiD shows steady increases since 2016 [ 7 ] and it is expected that these increases will continue in the foreseeable future.

Nurses have been integral to MAiD care in the Canadian context. While other countries such as Belgium and the Netherlands also permit euthanasia, Canada is the first country to allow Nurse Practitioners (Registered Nurses with additional preparation typically achieved at the graduate level) to act independently as assessors and providers of MAiD [ 1 ]. Although the role of Registered Nurses (RNs) in MAiD is not defined in federal legislation, it has been addressed at the provincial/territorial-level with variability in scope of practice by region [ 8 , 9 ]. For example, there are differences with respect to the obligation of the nurse to provide information to patients about MAiD, and to the degree that nurses are expected to ensure that patient eligibility criteria and safeguards are met prior to their participation [ 10 ]. Studies conducted in the Canadian context indicate that RNs perform essential roles in MAiD care coordination; client and family teaching and support; MAiD procedural quality; healthcare provider and public education; and bereavement care for family [ 9 , 11 ]. Nurse practitioners and RNs are integral to a robust MAiD care system in Canada and hence need to be well-prepared for their role [ 12 ].

Previous studies have found that end of life care, and MAiD specifically, raise complex moral and ethical issues for nurses [ 13 , 14 , 15 , 16 ]. The knowledge, attitudes, and beliefs of nurses are important across practice settings because nurses have consistent, ongoing, and direct contact with patients who experience chronic or life-limiting health conditions. Canadian studies exploring nurses’ moral and ethical decision-making in relation to MAiD reveal that although some nurses are clear in their support for, or opposition to, MAiD, others are unclear on what they believe to be good and right [ 14 ]. Empirical findings suggest that nurses go through a period of moral sense-making that is often informed by their family, peers, and initial experiences with MAID [ 17 , 18 ]. Canadian legislation and policy specifies that nurses are not required to participate in MAiD and may recuse themselves as conscientious objectors with appropriate steps to ensure ongoing and safe care of patients [ 1 , 19 ]. However, with so many nurses having to reflect on and make sense of their moral position, it is essential that they are given adequate time and preparation to make an informed and thoughtful decision before they participate in a MAID death [ 20 , 21 ].

It is well established that nursing students receive inconsistent exposure to end of life care issues [ 22 ] and little or no training related to MAiD [ 23 ]. Without such education and reflection time in pre-entry nursing preparation, nurses are at significant risk for moral harm. An important first step in providing this preparation is to be able to assess the knowledge, values, and beliefs of nursing students regarding MAID and end of life care. As demand for MAiD increases along with the complexities of MAiD, it is critical to understand the knowledge, attitudes, and likelihood of engagement with MAiD among nursing students as a baseline upon which to build curriculum and as a means to track these variables over time.

Aim, design, and setting

The aim of this study was to develop a survey to measure nursing students’ knowledge, attitudes and beliefs, influences, and willingness to be involved in MAiD in the Canadian context. We sought to explore both their willingness to be involved in the registered nursing role and in the nurse practitioner role should they chose to prepare themselves to that level of education. The design was a mixed-method, modified e-Delphi method that entailed item generation, item refinement through an expert faculty panel [ 24 , 25 , 26 ], and initial item validation through a cognitive focus group interview with nursing students [ 27 ]. The settings were a University located in an urban area and a College located in a rural area in Western Canada.

Participants

A panel of 10 faculty from the two nursing education programs were recruited for Phase 2 of the e-Delphi. To be included, faculty were required to have a minimum of three years of experience in nurse education, be employed as nursing faculty, and self-identify as having experience with MAiD. A convenience sample of 5 fourth-year nursing students were recruited to participate in Phase 3. Students had to be in good standing in the nursing program and be willing to share their experiences of the survey in an online group interview format.

The modified e-Delphi was conducted in 3 phases: Phase 1 entailed item generation through literature and existing survey review. Phase 2 entailed item refinement through a faculty expert panel review with focus on content validity, prioritization, and revision of item wording [ 25 ]. Phase 3 entailed an assessment of face validity through focus group-based cognitive interview with nursing students.

Phase I. Item generation through literature review

The goal of phase 1 was to develop a bank of survey items that would represent the variables of interest and which could be provided to expert faculty in Phase 2. Initial survey items were generated through a literature review of similar surveys designed to assess knowledge and attitudes toward MAiD/euthanasia in healthcare providers; Canadian empirical studies on nurses’ roles and/or experiences with MAiD; and legislative and expert panel documents that outlined proposed changes to the legislative eligibility criteria and safeguards. The literature review was conducted in three online databases: CINAHL, PsycINFO, and Medline. Key words for the search included nurses , nursing students , medical students , NPs, MAiD , euthanasia , assisted death , and end-of-life care . Only articles written in English were reviewed. The legalization and legislation of MAiD is new in many countries; therefore, studies that were greater than twenty years old were excluded, no further exclusion criteria set for country.

Items from surveys designed to measure similar variables in other health care providers and geographic contexts were placed in a table and similar items were collated and revised into a single item. Then key variables were identified from the empirical literature on nurses and MAiD in Canada and checked against the items derived from the surveys to ensure that each of the key variables were represented. For example, conscientious objection has figured prominently in the Canadian literature, but there were few items that assessed knowledge of conscientious objection in other surveys and so items were added [ 15 , 21 , 28 , 29 ]. Finally, four case studies were added to the survey to address the anticipated changes to the Canadian legislation. The case studies were based upon the inclusion of mature minors, advanced consent, and mental disorder as the sole underlying medical condition. The intention was to assess nurses’ beliefs and comfort with these potential legislative changes.

Phase 2. Item refinement through expert panel review

The goal of phase 2 was to refine and prioritize the proposed survey items identified in phase 1 using a modified e-Delphi approach to achieve consensus among an expert panel [ 26 ]. Items from phase 1 were presented to an expert faculty panel using a Qualtrics (Provo, UT) online survey. Panel members were asked to review each item to determine if it should be: included, excluded or adapted for the survey. When adapted was selected faculty experts were asked to provide rationale and suggestions for adaptation through the use of an open text box. Items that reached a level of 75% consensus for either inclusion or adaptation were retained [ 25 , 26 ]. New items were categorized and added, and a revised survey was presented to the panel of experts in round 2. Panel members were again asked to review items, including new items, to determine if it should be: included, excluded, or adapted for the survey. Round 2 of the modified e-Delphi approach also included an item prioritization activity, where participants were then asked to rate the importance of each item, based on a 5-point Likert scale (low to high importance), which De Vaus [ 30 ] states is helpful for increasing the reliability of responses. Items that reached a 75% consensus on inclusion were then considered in relation to the importance it was given by the expert panel. Quantitative data were managed using SPSS (IBM Corp).

Phase 3. Face validity through cognitive interviews with nursing students

The goal of phase 3 was to obtain initial face validity of the proposed survey using a sample of nursing student informants. More specifically, student participants were asked to discuss how items were interpreted, to identify confusing wording or other problematic construction of items, and to provide feedback about the survey as a whole including readability and organization [ 31 , 32 , 33 ]. The focus group was held online and audio recorded. A semi-structured interview guide was developed for this study that focused on clarity, meaning, order and wording of questions; emotions evoked by the questions; and overall survey cohesion and length was used to obtain data (see Supplementary Material 2  for the interview guide). A prompt to “think aloud” was used to limit interviewer-imposed bias and encourage participants to describe their thoughts and response to a given item as they reviewed survey items [ 27 ]. Where needed, verbal probes such as “could you expand on that” were used to encourage participants to expand on their responses [ 27 ]. Student participants’ feedback was collated verbatim and presented to the research team where potential survey modifications were negotiated and finalized among team members. Conventional content analysis [ 34 ] of focus group data was conducted to identify key themes that emerged through discussion with students. Themes were derived from the data by grouping common responses and then using those common responses to modify survey items.

Ten nursing faculty participated in the expert panel. Eight of the 10 faculty self-identified as female. No faculty panel members reported conscientious objector status and ninety percent reported general agreement with MAiD with one respondent who indicated their view as “unsure.” Six of the 10 faculty experts had 16 years of experience or more working as a nurse educator.

Five nursing students participated in the cognitive interview focus group. The duration of the focus group was 2.5 h. All participants identified that they were born in Canada, self-identified as female (one preferred not to say) and reported having received some instruction about MAiD as part of their nursing curriculum. See Tables  1 and 2 for the demographic descriptors of the study sample. Study results will be reported in accordance with the study phases. See Fig.  1 for an overview of the results from each phase.

Fig. 1  Overview of survey development findings

Phase 1: survey item generation

Review of the literature identified that no existing survey was available for use with nursing students in the Canadian context. However, an analysis of themes across qualitative and quantitative studies of physicians, medical students, nurses, and nursing students provided sufficient data to develop a preliminary set of items suitable for adaptation to a population of nursing students.

Four major themes and factors that influence knowledge, attitudes, and beliefs about MAiD were evident from the literature: (i) endogenous or individual factors such as age, gender, personally held values, religion, religiosity, and/or spirituality [ 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 ], (ii) experience with death and dying in personal and/or professional life [ 35 , 40 , 41 , 43 , 44 , 45 ], (iii) training including curricular instruction about clinical role, scope of practice, or the law [ 23 , 36 , 39 ], and (iv) exogenous or social factors such as the influence of key leaders, colleagues, friends and/or family, professional and licensure organizations, support within professional settings, and/or engagement in MAiD in an interdisciplinary team context [ 9 , 35 , 46 ].

Studies of nursing students also suggest overlap across these categories. For example, value for patient autonomy [ 23 ] and the moral complexity of decision-making [ 37 ] are important factors that contribute to attitudes about MAiD and may stem from a blend of personally held values coupled with curricular content, professional training and norms, and clinical exposure. For example, students report that participation in end of life care allows for personal growth, shifts in perception, and opportunities to build therapeutic relationships with their clients [ 44 , 47 , 48 ].

Preliminary items generated from the literature resulted in 56 questions from 11 published sources (See Table  3 ). These items were constructed across four main categories: (i) socio-demographic questions; (ii) end of life care questions; (iii) knowledge about MAiD; or (iv) comfort and willingness to participate in MAiD. Knowledge questions were refined to reflect current MAiD legislation, policies, and regulatory frameworks. Falconer [ 39 ] and Freeman [ 45 ] studies were foundational sources for item selection. Additionally, four case studies were written to reflect the most recent anticipated changes to MAiD legislation and all used the same open-ended core questions to address respondents’ perspectives about the patient’s right to make the decision, comfort in assisting a physician or NP to administer MAiD in that scenario, and hypothesized comfort about serving as a primary provider if qualified as an NP in future. Response options for the survey were also constructed during this stage and included: open text, categorical, yes/no , and Likert scales.

Phase 2: faculty expert panel review

Of the 56 items presented to the faculty panel, 54 questions reached 75% consensus. However, based upon the qualitative responses 9 items were removed largely because they were felt to be repetitive. Items that generated the most controversy were related to measuring religion and spirituality in the Canadian context, defining end of life care when there is no agreed upon time frames (e.g., last days, months, or years), and predicting willingness to be involved in a future events – thus predicting their future selves. Phase 2, round 1 resulted in an initial set of 47 items which were then presented back to the faculty panel in round 2.

Of the 47 initial questions presented to the panel in round 2, 45 reached a level of consensus of 75% or greater, and 34 of these questions reached a level of 100% consensus [ 27 ] of which all participants chose to include without any adaptations) For each question, level of importance was determined based on a 5-point Likert scale (1 = very unimportant, 2 = somewhat unimportant, 3 = neutral, 4 = somewhat important, and 5 = very important). Figure  2 provides an overview of the level of importance assigned to each item.

Ranking level of importance for survey items

After round 2, a careful analysis of participant comments and level of importance was completed by the research team. While the main method of survey item development came from participants’ response to the first round of Delphi consensus ratings, level of importance was used to assist in the decision of whether to keep or modify questions that created controversy, or that rated lower in the include/exclude/adapt portion of the Delphi. Survey items that rated low in level of importance included questions about future roles, sex and gender, and religion/spirituality. After deliberation by the research committee, these questions were retained in the survey based upon the importance of these variables in the scientific literature.

Of the 47 questions remaining from Phase 2, round 2, four were revised. In addition, the two questions that did not meet the 75% cut off level for consensus were reviewed by the research team. The first question reviewed was What is your comfort level with providing a MAiD death in the future if you were a qualified NP ? Based on a review of participant comments, it was decided to retain this question for the cognitive interviews with students in the final phase of testing. The second question asked about impacts on respondents’ views of MAiD and was changed from one item with 4 subcategories into 4 separate items, resulting in a final total of 51 items for phase 3. The revised survey was then brought forward to the cognitive interviews with student participants in Phase 3. (see Supplementary Material 1 for a complete description of item modification during round 2).

Phase 3. Outcomes of cognitive interview focus group

Of the 51 items reviewed by student participants, 29 were identified as clear with little or no discussion. Participant comments for the remaining 22 questions were noted and verified against the audio recording. Following content analysis of the comments, four key themes emerged through the student discussion: unclear or ambiguous wording; difficult to answer questions; need for additional response options; and emotional response evoked by questions. An example of unclear or ambiguous wording was a request for clarity in the use of the word “sufficient” in the context of assessing an item that read “My nursing education has provided sufficient content about the nursing role in MAiD.” “Sufficient” was viewed as subjective and “laden with…complexity that distracted me from the question.” The group recommended rewording the item to read “My nursing education has provided enough content for me to care for a patient considering or requesting MAiD.”

An example of having difficulty answering questions related to limited knowledge related to terms used in the legislation such as such as safeguards , mature minor , eligibility criteria , and conscientious objection. Students were unclear about what these words meant relative to the legislation and indicated that this lack of clarity would hamper appropriate responses to the survey. To ensure that respondents are able to answer relevant questions, student participants recommended that the final survey include explanation of key terms such as mature minor and conscientious objection and an overview of current legislation.

Response options were also a point of discussion. Participants noted a lack of distinction between response options of unsure and unable to say . Additionally, scaling of attitudes was noted as important since perspectives about MAiD are dynamic and not dichotomous “agree or disagree” responses. Although the faculty expert panel recommended the integration of the demographic variables of religious and/or spiritual remain as a single item, the student group stated a preference to have religion and spirituality appear as separate items. The student focus group also took issue with separate items for the variables of sex and gender, specifically that non-binary respondents might feel othered or “outed” particularly when asked to identify their sex. These variables had been created based upon best practices in health research but students did not feel they were appropriate in this context [ 49 ]. Finally, students agreed with the faculty expert panel in terms of the complexity of projecting their future involvement as a Nurse Practitioner. One participant stated: “I certainly had to like, whoa, whoa, whoa. Now let me finish this degree first, please.” Another stated, “I'm still imagining myself, my future career as an RN.”

Finally, student participants acknowledged the array of emotions that some of the items produced for them. For example, one student described positive feelings when interacting with the survey. “Brought me a little bit of feeling of joy. Like it reminded me that this is the last piece of independence that people grab on to.” Another participant, described the freedom that the idea of an advance request gave her. “The advance request gives the most comfort for me, just with early onset Alzheimer’s and knowing what it can do.” But other participants described less positive feelings. For example, the mature minor case study yielded a comment: “This whole scenario just made my heart hurt with the idea of a child requesting that.”

Based on the data gathered from the cognitive interview focus group of nursing students, revisions were made to 11 closed-ended questions (see Table  4 ) and 3 items were excluded. In the four case studies, the open-ended question related to a respondents’ hypothesized actions in a future role as NP were removed. The final survey consists of 45 items including 4 case studies (see Supplementary Material 3 ).

The aim of this study was to develop and validate a survey that can be used to track the growth of knowledge about MAiD among nursing students over time, inform training programs about curricular needs, and evaluate attitudes and willingness to participate in MAiD at time-points during training or across nursing programs over time.

The faculty expert panel and student participants in the cognitive interview focus group identified a need to establish core knowledge of the terminology and legislative rules related to MAiD. For example, within the cognitive interview group of student participants, several acknowledged lack of clear understanding of specific terms such as “conscientious objector” and “safeguards.” Participants acknowledged discomfort with the uncertainty of not knowing and their inclination to look up these terms to assist with answering the questions. This survey can be administered to nursing or pre-nursing students at any phase of their training within a program or across training programs. However, in doing so it is important to acknowledge that their baseline knowledge of MAiD will vary. A response option of “not sure” is important and provides a means for respondents to convey uncertainty. If this survey is used to inform curricular needs, respondents should be given explicit instructions not to conduct online searches to inform their responses, but rather to provide an honest appraisal of their current knowledge and these instructions are included in the survey (see Supplementary Material 3 ).

Some provincial regulatory bodies have established core competencies for entry-level nurses that include MAiD. For example, the BC College of Nurses and Midwives (BCCNM) requires “knowledge about ethical, legal, and regulatory implications of medical assistance in dying (MAiD) when providing nursing care.” (10 p. 6) However, across Canada curricular content and coverage related to end of life care and MAiD is variable [ 23 ]. Given the dynamic nature of the legislation that includes portions of the law that are embargoed until 2024, it is important to ensure that respondents are guided by current and accurate information. As the law changes, nursing curricula, and public attitudes continue to evolve, inclusion of core knowledge and content is essential and relevant for investigators to be able to interpret the portions of the survey focused on attitudes and beliefs about MAiD. Content knowledge portions of the survey may need to be modified over time as legislation and training change and to meet the specific purposes of the investigator.

Given the sensitive nature of the topic, it is strongly recommended that surveys be conducted anonymously and that students be provided with an opportunity to discuss their responses to the survey. A majority of feedback from both the expert panel of faculty and from student participants related to the wording and inclusion of demographic variables, in particular religion, religiosity, gender identity, and sex assigned at birth. These and other demographic variables have the potential to be highly identifying in small samples. In any instance in which the survey could be expected to yield demographic group sizes less than 5, users should eliminate the demographic variables from the survey. For example, the profession of nursing is highly dominated by females with over 90% of nurses who identify as female [ 50 ]. Thus, a survey within a single class of students or even across classes in a single institution is likely to yield a small number of male respondents and/or respondents who report a difference between sex assigned at birth and gender identity. When variables that serve to identify respondents are included, respondents are less likely to complete or submit the survey, to obscure their responses so as not to be identifiable, or to be influenced by social desirability bias in their responses rather than to convey their attitudes accurately [ 51 ]. Further, small samples do not allow for conclusive analyses or interpretation of apparent group differences. Although these variables are often included in surveys, such demographics should be included only when anonymity can be sustained. In small and/or known samples, highly identifying variables should be omitted.

There are several limitations associated with the development of this survey. The expert panel was comprised of faculty who teach nursing students and are knowledgeable about MAiD and curricular content, however none identified as a conscientious objector to MAiD. Ideally, our expert panel would have included one or more conscientious objectors to MAiD to provide a broader perspective. Review by practitioners who participate in MAiD, those who are neutral or undecided, and practitioners who are conscientious objectors would ensure broad applicability of the survey. This study included one student cognitive interview focus group with 5 self-selected participants. All student participants had held discussions about end of life care with at least one patient, 4 of 5 participants had worked with a patient who requested MAiD, and one had been present for a MAiD death. It is not clear that these participants are representative of nursing students demographically or by experience with end of life care. It is possible that the students who elected to participate hold perspectives and reflections on patient care and MAiD that differ from students with little or no exposure to end of life care and/or MAiD. However, previous studies find that most nursing students have been involved with end of life care including meaningful discussions about patients’ preferences and care needs during their education [ 40 , 44 , 47 , 48 , 52 ]. Data collection with additional student focus groups with students early in their training and drawn from other training contexts would contribute to further validation of survey items.

Future studies should incorporate pilot testing with small sample of nursing students followed by a larger cross-program sample to allow evaluation of the psychometric properties of specific items and further refinement of the survey tool. Consistent with literature about the importance of leadership in the context of MAiD [ 12 , 53 , 54 ], a study of faculty knowledge, beliefs, and attitudes toward MAiD would provide context for understanding student perspectives within and across programs. Additional research is also needed to understand the timing and content coverage of MAiD across Canadian nurse training programs’ curricula.

The implementation of MAiD is complex and requires understanding of the perspectives of multiple stakeholders. Within the field of nursing this includes clinical providers, educators, and students who will deliver clinical care. A survey to assess nursing students’ attitudes toward and willingness to participate in MAiD in the Canadian context is timely, due to the legislation enacted in 2016 and subsequent modifications to the law in 2021 with portions of the law to be enacted in 2027. Further development of this survey could be undertaken to allow for use in settings with practicing nurses or to allow longitudinal follow up with students as they enter practice. As the Canadian landscape changes, ongoing assessment of the perspectives and needs of health professionals and students in the health professions is needed to inform policy makers, leaders in practice, curricular needs, and to monitor changes in attitudes and practice patterns over time.

Availability of data and materials

The datasets used and/or analysed during the current study are not publicly available due to small sample sizes, but are available from the corresponding author on reasonable request.

Abbreviations

British Columbia College of Nurses and Midwives

Medical assistance in dying

Nurse practitioner

Registered nurse

University of British Columbia Okanagan

Nicol J, Tiedemann M. Legislative Summary: Bill C-14: An Act to amend the Criminal Code and to make related amendments to other Acts (medical assistance in dying). Available from: https://lop.parl.ca/staticfiles/PublicWebsite/Home/ResearchPublications/LegislativeSummaries/PDF/42-1/c14-e.pdf .

Downie J, Scallion K. Foreseeably unclear. The meaning of the “reasonably foreseeable” criterion for access to medical assistance in dying in Canada. Dalhousie Law J. 2018;41(1):23–57.

Nicol J, Tiedeman M. Legislative summary of Bill C-7: an act to amend the criminal code (medical assistance in dying). Ottawa: Government of Canada; 2021.

Google Scholar  

Council of Canadian Academies. The state of knowledge on medical assistance in dying where a mental disorder is the sole underlying medical condition. Ottawa; 2018. Available from: https://cca-reports.ca/wp-content/uploads/2018/12/The-State-of-Knowledge-on-Medical-Assistance-in-Dying-Where-a-Mental-Disorder-is-the-Sole-Underlying-Medical-Condition.pdf .

Council of Canadian Academies. The state of knowledge on advance requests for medical assistance in dying. Ottawa; 2018. Available from: https://cca-reports.ca/wp-content/uploads/2019/02/The-State-of-Knowledge-on-Advance-Requests-for-Medical-Assistance-in-Dying.pdf .

Council of Canadian Academies. The state of knowledge on medical assistance in dying for mature minors. Ottawa; 2018. Available from: https://cca-reports.ca/wp-content/uploads/2018/12/The-State-of-Knowledge-on-Medical-Assistance-in-Dying-for-Mature-Minors.pdf .

Health Canada. Third annual report on medical assistance in dying in Canada 2021. Ottawa; 2022. [cited 2023 Oct 23]. Available from: https://www.canada.ca/en/health-canada/services/medical-assistance-dying/annual-report-2021.html .

Banner D, Schiller CJ, Freeman S. Medical assistance in dying: a political issue for nurses and nursing in Canada. Nurs Philos. 2019;20(4): e12281.

Article   PubMed   Google Scholar  

Pesut B, Thorne S, Stager ML, Schiller CJ, Penney C, Hoffman C, et al. Medical assistance in dying: a review of Canadian nursing regulatory documents. Policy Polit Nurs Pract. 2019;20(3):113–30.

Article   PubMed   PubMed Central   Google Scholar  

College of Registered Nurses of British Columbia. Scope of practice for registered nurses [Internet]. Vancouver; 2018. Available from: https://www.bccnm.ca/Documents/standards_practice/rn/RN_ScopeofPractice.pdf .

Pesut B, Thorne S, Schiller C, Greig M, Roussel J, Tishelman C. Constructing good nursing practice for medical assistance in dying in Canada: an interpretive descriptive study. Global Qual Nurs Res. 2020;7:2333393620938686. https://doi.org/10.1177/2333393620938686 .

Article   Google Scholar  

Pesut B, Thorne S, Schiller CJ, Greig M, Roussel J. The rocks and hard places of MAiD: a qualitative study of nursing practice in the context of legislated assisted death. BMC Nurs. 2020;19:12. https://doi.org/10.1186/s12912-020-0404-5 .

Pesut B, Greig M, Thorne S, Burgess M, Storch JL, Tishelman C, et al. Nursing and euthanasia: a narrative review of the nursing ethics literature. Nurs Ethics. 2020;27(1):152–67.

Pesut B, Thorne S, Storch J, Chambaere K, Greig M, Burgess M. Riding an elephant: a qualitative study of nurses’ moral journeys in the context of Medical Assistance in Dying (MAiD). Journal Clin Nurs. 2020;29(19–20):3870–81.

Lamb C, Babenko-Mould Y, Evans M, Wong CA, Kirkwood KW. Conscientious objection and nurses: results of an interpretive phenomenological study. Nurs Ethics. 2018;26(5):1337–49.

Wright DK, Chan LS, Fishman JR, Macdonald ME. “Reflection and soul searching:” Negotiating nursing identity at the fault lines of palliative care and medical assistance in dying. Social Sci & Med. 2021;289: 114366.

Beuthin R, Bruce A, Scaia M. Medical assistance in dying (MAiD): Canadian nurses’ experiences. Nurs Forum. 2018;54(4):511–20.

Bruce A, Beuthin R. Medically assisted dying in Canada: "Beautiful Death" is transforming nurses' experiences of suffering. The Canadian J Nurs Res | Revue Canadienne de Recherche en Sci Infirmieres. 2020;52(4):268–77. https://doi.org/10.1177/0844562119856234 .

Canadian Nurses Association. Code of ethics for registered nurses. Ottawa; 2017. Available from: https://www.cna-aiic.ca/en/nursing/regulated-nursing-in-canada/nursing-ethics .

Canadian Nurses Association. National nursing framework on Medical Assistance in Dying in Canada. Ottawa: 2017. Available from: https://www.virtualhospice.ca/Assets/cna-national-nursing-framework-on-maidEng_20170216155827.pdf .

Pesut B, Thorne S, Greig M. Shades of gray: conscientious objection in medical assistance in dying. Nursing Inq. 2020;27(1): e12308.

Durojaiye A, Ryan R, Doody O. Student nurse education and preparation for palliative care: a scoping review. PLoS ONE. 2023. https://doi.org/10.1371/journal.pone.0286678 .

McMechan C, Bruce A, Beuthin R. Canadian nursing students’ experiences with medical assistance in dying | Les expériences d’étudiantes en sciences infirmières au regard de l’aide médicale à mourir. Qual Adv Nurs Educ - Avancées en Formation Infirmière. 2019;5(1). https://doi.org/10.17483/2368-6669.1179 .

Adler M, Ziglio E. Gazing into the oracle. The Delphi method and its application to social policy and public health. London: Jessica Kingsley Publishers; 1996

Keeney S, Hasson F, McKenna H. Consulting the oracle: ten lessons from using the Delphi technique in nursing research. J Adv Nurs. 2006;53(2):205–12.

Keeney S, Hasson F, McKenna H. The Delphi technique in nursing and health research. 1st ed. City: Wiley; 2011.

Willis GB. Cognitive interviewing: a tool for improving questionnaire design. 1st ed. Thousand Oaks, Calif: Sage; 2005. ISBN: 9780761928041

Lamb C, Evans M, Babenko-Mould Y, Wong CA, Kirkwood EW. Conscience, conscientious objection, and nursing: a concept analysis. Nurs Ethics. 2017;26(1):37–49.

Lamb C, Evans M, Babenko-Mould Y, Wong CA, Kirkwood K. Nurses’ use of conscientious objection and the implications of conscience. J Adv Nurs. 2018;75(3):594–602.

de Vaus D. Surveys in social research. 6th ed. Abingdon, Oxon: Routledge; 2014.

Boateng GO, Neilands TB, Frongillo EA, Melgar-Quiñonez HR, Young SL. Best practices for developing and validating scales for health, social, and behavioral research: A primer. Front Public Health. 2018;6:149. https://doi.org/10.3389/fpubh.2018.00149 .

Puchta C, Potter J. Focus group practice. 1st ed. London: Sage; 2004.

Book   Google Scholar  

Streiner DL, Norman GR, Cairney J. Health measurement scales: a practical guide to their development and use. 5th ed. Oxford: Oxford University Press; 2015.

Hsieh H-F, Shannon SE. Three approaches to qualitative content analysis. Qual Health Res. 2005;15(9):1277–88.

Adesina O, DeBellis A, Zannettino L. Third-year Australian nursing students’ attitudes, experiences, knowledge, and education concerning end-of-life care. Int J of Palliative Nurs. 2014;20(8):395–401.

Bator EX, Philpott B, Costa AP. This moral coil: a cross-sectional survey of Canadian medical student attitudes toward medical assistance in dying. BMC Med Ethics. 2017;18(1):58.

Beuthin R, Bruce A, Scaia M. Medical assistance in dying (MAiD): Canadian nurses’ experiences. Nurs Forum. 2018;53(4):511–20.

Brown J, Goodridge D, Thorpe L, Crizzle A. What is right for me, is not necessarily right for you: the endogenous factors influencing nonparticipation in medical assistance in dying. Qual Health Res. 2021;31(10):1786–1800.

Falconer J, Couture F, Demir KK, Lang M, Shefman Z, Woo M. Perceptions and intentions toward medical assistance in dying among Canadian medical students. BMC Med Ethics. 2019;20(1):22.

Green G, Reicher S, Herman M, Raspaolo A, Spero T, Blau A. Attitudes toward euthanasia—dual view: Nursing students and nurses. Death Stud. 2022;46(1):124–31.

Hosseinzadeh K, Rafiei H. Nursing student attitudes toward euthanasia: a cross-sectional study. Nurs Ethics. 2019;26(2):496–503.

Ozcelik H, Tekir O, Samancioglu S, Fadiloglu C, Ozkara E. Nursing students’ approaches toward euthanasia. Omega (Westport). 2014;69(1):93–103.

Canning SE, Drew C. Canadian nursing students’ understanding, and comfort levels related to medical assistance in dying. Qual Adv Nurs Educ - Avancées en Formation Infirmière. 2022;8(2). https://doi.org/10.17483/2368-6669.1326 .

Edo-Gual M, Tomás-Sábado J, Bardallo-Porras D, Monforte-Royo C. The impact of death and dying on nursing students: an explanatory model. J Clin Nurs. 2014;23(23–24):3501–12.

Freeman LA, Pfaff KA, Kopchek L, Liebman J. Investigating palliative care nurse attitudes towards medical assistance in dying: an exploratory cross-sectional study. J Adv Nurs. 2020;76(2):535–45.

Brown J, Goodridge D, Thorpe L, Crizzle A. “I am okay with it, but I am not going to do it:” the exogenous factors influencing non-participation in medical assistance in dying. Qual Health Res. 2021;31(12):2274–89.

Dimoula M, Kotronoulas G, Katsaragakis S, Christou M, Sgourou S, Patiraki E. Undergraduate nursing students’ knowledge about palliative care and attitudes towards end-of-life care: A three-cohort, cross-sectional survey. Nurs Educ Today. 2019;74:7–14.

Matchim Y, Raetong P. Thai nursing students’ experiences of caring for patients at the end of life: a phenomenological study. Int J Palliative Nurs. 2018;24(5):220–9.

Canadian Institute for Health Research. Sex and gender in health research [Internet]. Ottawa: CIHR; 2021 [cited 2023 Oct 23]. Available from: https://cihr-irsc.gc.ca/e/50833.html .

Canadian Nurses’ Association. Nursing statistics. Ottawa: CNA; 2023 [cited 2023 Oct 23]. Available from: https://www.cna-aiic.ca/en/nursing/regulated-nursing-in-canada/nursing-statistics .

Krumpal I. Determinants of social desirability bias in sensitive surveys: a literature review. Qual Quant. 2013;47(4):2025–47. https://doi.org/10.1007/s11135-011-9640-9 .

Ferri P, Di Lorenzo R, Stifani S, Morotti E, Vagnini M, Jiménez Herrera MF, et al. Nursing student attitudes toward dying patient care: a European multicenter cross-sectional study. Acta Bio Medica Atenei Parmensis. 2021;92(S2): e2021018.

PubMed   PubMed Central   Google Scholar  

Beuthin R, Bruce A. Medical assistance in dying (MAiD): Ten things leaders need to know. Nurs Leadership. 2018;31(4):74–81.

Thiele T, Dunsford J. Nurse leaders’ role in medical assistance in dying: a relational ethics approach. Nurs Ethics. 2019;26(4):993–9.

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We would like to acknowledge the faculty and students who generously contributed their time to this work.

JS received a student traineeship through the Principal Research Chairs program at the University of British Columbia Okanagan.

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JS made substantial contributions to the conception of the work; data acquisition, analysis, and interpretation; and drafting and substantively revising the work. JS has approved the submitted version and agreed to be personally accountable for the author's own contributions and to ensure that questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature. BP made substantial contributions to the conception of the work; data acquisition, analysis, and interpretation; and drafting and substantively revising the work. BP has approved the submitted version and agreed to be personally accountable for the author's own contributions and to ensure that questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature. LO made substantial contributions to the conception of the work; data acquisition, analysis, and interpretation; and substantively revising the work. LO has approved the submitted version and agreed to be personally accountable for the author's own contributions and to ensure that questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature. NDO made substantial contributions to the conception of the work; data acquisition, analysis, and interpretation; and substantively revising the work. NDO has approved the submitted version and agreed to be personally accountable for the author's own contributions and to ensure that questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature. HS made substantial contributions to drafting and substantively revising the work. HS has approved the submitted version and agreed to be personally accountable for the author's own contributions and to ensure that questions related to the accuracy or integrity of any part of the work, even ones in which the author was not personally involved, are appropriately investigated, resolved, and the resolution documented in the literature.

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Schroeder, J., Pesut, B., Olsen, L. et al. Developing a survey to measure nursing students’ knowledge, attitudes and beliefs, influences, and willingness to be involved in Medical Assistance in Dying (MAiD): a mixed method modified e-Delphi study. BMC Nurs 23 , 326 (2024). https://doi.org/10.1186/s12912-024-01984-z

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