Real-world ethics in palliative care: protocol for a systematic review of the ethical challenges reported by specialist palliative care practitioners in their clinical practice.
empirical ethics
ethical challenges
medical ethics
palliative care
systematic review
Journal
BMJ open
ISSN: 2044-6055
Titre abrégé: BMJ Open
Pays: England
ID NLM: 101552874
Informations de publication
Date de publication:
27 May 2019
27 May 2019
Historique:
entrez:
29
5
2019
pubmed:
28
5
2019
medline:
5
6
2020
Statut:
epublish
Résumé
Ethical issues arise daily in the delivery of palliative care. Despite much (largely theoretical) literature, evidence from specialist palliative care practitioners (SPCPs) about real-world ethical challenges has not previously been synthesised. This evidence is crucial to inform education and training and adequately support staff. The aim of this systematic review is to synthesise the evidence regarding the ethical challenges which SPCPs encounter during clinical practice.
We will conduct a systematic review with narrative synthesis of empirical studies that use inductive methods to describe the ethical challenges reported by SPCPs. We will search multiple databases (MEDLINE, Philosopher's Index, EMBASE, PsycINFO, LILACS, WHOLIS, Web of Science and CINAHL) without time, language or geographical restrictions. Keywords will be developed from scoping searches, consultation with information specialists and reference to key systematic reviews in palliative care and bioethics. Reference lists of included studies will be hand-searched. 10% of retrieved titles and abstracts will be independently dual screened, as will all full text papers. Quality will be dual assessed using the Mixed-Methods Appraisal Tool (2018). Narrative synthesis following Popay
As this review will include only published data, no specific ethical approval is required. We anticipate that the systematic review will be of interest to palliative care practitioners of all backgrounds and educators in palliative care and medical ethics. Findings will be presented at conferences and published open access in a peer-reviewed journal. CRD42018105365.
Identifiants
pubmed: 31133595
pii: bmjopen-2018-028480
doi: 10.1136/bmjopen-2018-028480
pmc: PMC6538058
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e028480Subventions
Organisme : Wellcome Trust
ID : 208129/Z/17/Z
Pays : United Kingdom
Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Am J Hosp Palliat Care. 2003 Mar-Apr;20(2):97-8
pubmed: 12693640
J Med Ethics. 2001 Apr;27(2):98-103
pubmed: 11314166
BMJ. 2015 Jan 02;350:g7647
pubmed: 25555855
Am J Bioeth. 2011 Jun;11(6):62-4
pubmed: 21678227
BMJ. 2009 Jul 21;339:b2535
pubmed: 19622551
Palliat Med. 2001 Sep;15(5):425-31
pubmed: 11591095
BMJ Support Palliat Care. 2017 Jun;7(2):128-132
pubmed: 26391751
Palliat Med. 2014 Mar 31;28(7):931-940
pubmed: 24685648
BMC Med. 2017 May 18;15(1):102
pubmed: 28514961
Med Health Care Philos. 2005;8(2):243-53
pubmed: 16215803
Bioethics. 2014 Jul;28(6):302-12
pubmed: 23444909
J Pain Symptom Manage. 2013 Jun;45(6):1094-106
pubmed: 23017628
Prev Med. 2012 May;54 Suppl:S38-41
pubmed: 22178469
J Pain Symptom Manage. 2014 Jan;47(1):123-36
pubmed: 23742736
BMC Med Ethics. 2015 Feb 26;16:11
pubmed: 25890355
Palliat Med. 2011 Jun;25(4):378-81
pubmed: 21248178
J Pain. 2001 Jun;2(3):171-80
pubmed: 14622827
Lancet. 2018 Apr 7;391(10128):1391-1454
pubmed: 29032993
BMC Med Res Methodol. 2008 Jul 10;8:45
pubmed: 18616818
Implement Sci. 2018 Jan 25;13(Suppl 1):2
pubmed: 29384079
J Health Serv Res Policy. 2007 Jan;12(1):42-7
pubmed: 17244397
J Pain Symptom Manage. 2017 Feb;53(2):171-177
pubmed: 27765706
J Med Ethics. 2008 Jun;34(6):472-7
pubmed: 18511623
Nurs Ethics. 2009 Mar;16(2):184-91
pubmed: 19237472
Med Health Care Philos. 2003;6(3):263-72
pubmed: 14620463
J Pain Symptom Manage. 2001 Sep;22(3):797-801
pubmed: 11532593