ArticleBMC palliative care2019
"I go into crisis when …": ethics of care and moral dilemmas in palliative care.
Article in BMC palliative care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.
- Attitudes of undergraduate medical students towards end-of-life decisions: a systematic review of influencing factors.BMC medical education · 2025Pooled it
- Nurse Practitioners' Experiences Navigating Treatment Decision-Making Affecting Older People with Neurocognitive Disorders and Cancer.The Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres · 2026Article
- Moral injury and influencing factors among palliative care nurses : a cross-sectional study.BMC palliative care · 2026Article
- Healthcare professionals' perceptions of ethical issues in palliative sedation: A moral case deliberation study in eight European countries.Palliative care and social practice · 2026Article
- Healthcare Providers' Perspectives on the Communication Challenges When Discussing Palliative Sedation: A Qualitative Study Across Eight European Countries.Journal of clinical medicine · 2025Article
- Moral courage of palliative care nurses and affecting factors.BMC palliative care · 2025Article
- Interdisciplinary strategies for establishing a trusting relation as a pre-requisite for existential conversations in palliative care: a grounded theory study.BMC palliative care · 2025Article
- Ethical issues in palliative care: nursing and quality of life.BMC nursing · 2024Article
- Navigating end-of-life decision-making in nursing: a systematic review of ethical challenges and palliative care practices.BMC nursing · 2024Article
- Development of care quality indicators for palliative care in China: A modified Delphi method study.Asia-Pacific journal of oncology nursing · 2023Article
- "I couldn't": A phenomenological exploration of ethical tensions experienced by bereaved family members during the pandemic.International journal of qualitative studies on health and well-being · 2023Article
- Ethical challenges around thirst in end-of-life care -experiences of palliative care physicians.BMC medical ethics · 2023Article
- 'When a patient chooses to die at home, that's what they want… comfort, home': Brilliance in community-based palliative care nursing.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Article
- Facilitators and barriers to the delivery of palliative care to patients with Parkinson's disease: a qualitative study of the perceptions and experiences of stakeholders using the socio-ecological model.BMC health services research · 2023Article
- 'it was that … specialist … that finally listened to us … that's probably a weird answer to what you were expecting': Clinician and carer perspectives on brilliant feeding care.Health expectations : an international journal of public participation in health care and health policy · 2023Article
- Ethical dilemmas at the end of life: a reflection from the Philosophical Perspective of Luigina Mortari.Revista brasileira de enfermagem · 2023Article
- Nurses' perspectives on workarounds in clinical practice: A phenomenological analysis.Journal of clinical nursing · 2022Article
- Barriers to and facilitators of ethical encounters at the end of life in a nursing home: an ethnographic study.BMC palliative care · 2022Article
- Chinese physicians' perceptions of palliative care integration for advanced cancer patients: a qualitative analysis at a tertiary hospital in Changsha, China.BMC medical ethics · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRecognising and knowing how to manage ethical issues and moral dilemmas can be considered an ethical skill. In this study, ethics of care is used as a theoretical framework and as a regulatory criterion in the relationship among healthcare professionals, patients with palliative care needs and family members. This study is a part of a larger project aimed at developing and implementing a training programme on "ethical communication" addressed to professionals caring for patients with palliative care needs. The aim of this study was comprehending whether and how the ethics of care informs the way healthcare professionals make sense of and handle ethical issues in palliative care.
methodsQualitative study employing a theoretically driven thematic analysis performed on semi-structured interviews. The research was conducted in a clinical cancer centre in northern Italy. Eligible participants were physicians and nurses from eleven hospital wards who assisted patients with chronic advanced disease daily and had previously attended a 4-h training on palliative care held by the hospital Palliative Care Unit.
resultsThe researchers identified five themes: morality is providing global care; morality is knowing how to have a relationship with patients; morality is recognizing moral principles; moral dimension and communication; and moral dilemmas are individual conflicts.
conclusionsEthics of care seems to emerge as a theoretical framework that includes the belief systems of healthcare professionals, especially those assisting patients with palliative care needs; moreover, it allows the values of both the patients and professionals to come to light through the relationship of care. Ethics of care is also appropriate as a framework for ethical training.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.