Balancing perspectives: a critical reflection on autonomy, respect and communication in end-of-life choice-making processes

Our findings highlight the limitations of framing end-of-life choices primarily as autonomous acts. We argue for a shift toward a more fundamentally relational conception, emphasizing interdependence and dialogue over more common notions of independence and non-interference. This approach may better align with the experiences of older adults and their close ones and provide a foundation for end-of-life care practices and policies that acknowledge and respond to the complexity of end-of-life decision-making.

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Publication Details

Journal
BMC Medical Ethics
Published
2026-01-27
DOI
https://doi.org/10.1186/s12910-026-01389-4
Primary Topic
Palliative Care and End-of-Life Issues
Type
article
Field-Weighted Citation Impact
0.00

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article

Balancing perspectives: a critical reflection on autonomy, respect and communication in end-of-life choice-making processes

Marte Fleur Antonides, Yvonne Engels, Els van Wijngaarden, Dominique Girard
BMC Medical Ethics
Palliative Care and End-of-Life Issues
article

Balancing perspectives: a critical reflection on autonomy, respect and communication in end-of-life choice-making processes

Marte Fleur Antonides, Yvonne Engels, Els van Wijngaarden, Dominique Girard
article en

Abstract

Our findings highlight the limitations of framing end-of-life choices primarily as autonomous acts. We argue for a shift toward a more fundamentally relational conception, emphasizing interdependence and dialogue over more common notions of independence and non-interference. This approach may better align with the experiences of older adults and their close ones and provide a foundation for end-of-life care practices and policies that acknowledge and respond to the complexity of end-of-life decision-making.

BMC Medical EthicsVol. 27(1)
Radboud University Nijmegen (NL), Université du Québec à Rimouski (CA), University Medical Center (US), Radboud University Medical Center (NL), Cégep de Rimouski (CA), Radboud Institute for Molecular Life Sciences (NL)
Nederlandse Organisatie voor Wetenschappelijk Onderzoek
Peace, Justice and strong institutions
Openalex Percentile: Top 78%
Palliative Care and End-of-Life Issues
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Balancing perspectives: a critical reflection on autonomy, respect and communication in end-of-life choice-making processes — Marte Fleur Antonides, Yvonne Engels, et al. · BMC Medical Ethics (2026) | TGRS Research Map | TGRS