Aim: To explore how the legalisation of medical assistance in dying (MAiD) has shaped the discourse of MAiD and its relationship with hospice palliative care (HPC) in Canada.

Background: There is perceived tension in the discourse between the goals of MAiD and HPC, but little literature examines this relationship and the effect it has on healthcare providers such as nurses.

Design: Integrative review following Whittemore and Knafl's and Toronto and Remington's methodology.

Review methods: A search was conducted to identify literature discussing MAiD and HPC in Canada. Articles were critically appraised for methodological quality. Data from each article were abstracted, thematically analysed, and synthesised.

Data sources: Initial searches were conducted in CINAHL, PubMed, and professional association and government websites in September 2018 and updated in May 2023.

Results: A total of 457 records were screened for inclusion, and 83 articles were included. Articles included healthcare provider, patient, public, and institutional perspectives. Three themes identified from the data were the relationship between MAiD and HPC, suffering in the context of MAiD, and moral distress and moral uncertainty in providing or not providing MAiD.

Conclusions: The discourse around the relationship between MAiD and HPC is complex and contextual. Personal and professional understandings of end-of-life care differ and influence perspectives on how and whether MAiD and hospice palliative care can be reconciled. More exploration of this topic is recommended, given the changing legislation and beliefs around MAiD.

Impact: Findings consider how the concepts of end of life, MAiD, HPC, suffering, and moral distress influence and are influenced by the discourse of dying. This review provides direction for healthcare professionals working in end-of-life care and future ethical and moral areas for consideration.

Patient or public contribution: No patient or public contribution was necessary for this literature review.

Keywords: MAiD; hospice; integrative review; medical assistance in dying; palliative care.

© 2025 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.

目标： 探讨在加拿大将医疗辅助死亡（MAiD）合法化如何影响了关于MAiD和姑息护理（HPC）之间的关系的讨论。

背景： 在关于MAiD和HPC的目标之间存在感知到的紧张，但很少有文献探讨这种关系及其对护士等卫生保健提供者的影响。

设计： 根据Whittemore和Knafl以及Toronto和Remington的方法进行综合回顾。

回顾方法： 进行了文献检索，以识别讨论加拿大MAiD和HPC的文献。对文章进行了批判性评估，以评估其研究质量。从每篇文章中抽取出数据，并对其进行主题分析和综合。

数据来源： 初步搜索于2018年9月在CINAHL、PubMed以及专业协会和政府网站上进行，并于2023年5月进行了更新。

结果： 总共筛选了457篇记录，其中83篇文章被纳入研究。这些文章涵盖了卫生保健提供者、患者、公众和机构的观点。从数据中确定的三个主题是MAiD与HPC之间的关系，在MAiD背景下的痛苦以及在提供或不提供MAiD时所经历的道德困境和道德不确定性。

结论： 围绕MAiD和HPC之间关系的讨论既复杂又具有情境性。个人和专业对终末期护理的理解不同，并影响了他们如何看待并是否认为可以调和MAiD与姑息护理的关系。鉴于有关医疗辅助死亡（MAiD）立法和信念的变化，建议对此话题进行更多的探讨。

影响： 研究结果考虑了终末期、MAiD、HPC、痛苦以及道德困境如何相互作用并受关于临终讨论的影响。此次回顾为从事终末期护理工作的卫生保健专业人员提供了指导，并指出了未来伦理和道德领域的方向。

患者或公众贡献： 进行此文献综述不需要患者或公众的参与。

关键词： MAiD；临终关怀；综合回顾；医疗辅助死亡；姑息护理。