Evidence map›Paper›PMID 33938651›Full record

ArticleCroatian medical journal2021

How health care professionals confront and solve ethical dilemmas - a tale of two countries: Slovenia and Croatia.

Štefan Grosek, Rok Kučan, Jon Grošelj, Miha Oražem, Urh Grošelj, Vanja Erčulj, Jaro Lajovic, Blaž Ivanc, Milivoj Novak, Larisa Prpić Massari and 4 more

Abstract read
In one paragraph

Article in Croatian medical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Tough Clinical Decisions: Experiences of Polish Physicians.HEC forum : an interdisciplinary journal on hospitals' ethical and legal issues · 2024
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Štefan Grosek
Rok Kučan
Jon Grošelj
Miha Oražem
Urh Grošelj
Vanja Erčulj
Jaro Lajovic
Blaž Ivanc
Milivoj Novak
Larisa Prpić Massari
Suzana Mimica Matanović
Vesna Čerfalvi
Julije Meštrović
Ana BorovečkiAna Borovečki, Andrija Štampar School of Public Health, Rockfellerova 4, 10000 Zagreb, Croatia, ana.borovecki@mef.hr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo assess the differences in the way how Slovenian and Croatian health care professionals (HCPs) confront ethical dilemmas and perceive the role of hospital ethics committees (HECs).

methodsThis cross-sectional, survey-based study involved HCPs from three Slovenian and five Croatian university medical centers (UMC). The final sample sizes were 308 (244 or 79.2% women) for Slovenia and 485 (398 or 82.1% women) for Croatia.

resultsCompared with Croatian physicians, Slovenian physicians reported a higher share of ethical dilemmas regarding waiting periods for diagnostics or treatment, suboptimal working conditions due to interpersonal relationships in the ward, and end-of-life treatment withdrawal, and a lower share regarding access to palliative care and patient information protection. Compared with Croatian nurses, Slovenian nurses reported a lower share of ethical dilemmas regarding the distribution of limited resources, recognizing the patient's best interests, and access to palliative care. Compared with Croatian other HCPs, Slovenian other HCPs reported a lower burden of ethical dilemmas regarding waiting periods for diagnostics or treatment, distribution of limited resources, and access to palliative care. When encountering an ethical dilemma, all HCPs in both countries would first consult their colleagues. Slovenian and Croatian HCPs recognized the importance of the HECs to a similar extent, but viewed their role differently.

conclusionCroatian and Slovenian HCPs are confronted with different ethical dilemmas and perceive the role of HECs differently.

Indexed as

Health PersonnelPhysiciansCroatiaCross-Sectional StudiesFemaleHumansMaleSlovenia

Identifiers

PMID33938651
PMCPMC8107988

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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.