Evidence map›Paper›PMID 34278682›Full record

ArticleInternal medicine journal2021

Supporting cancer care clinicians to 'hold' their patients during and beyond the COVID-19 pandemic: a role for reflective ethics discussions.

Clare Delany, Joanne Benhamu, Rosalind McDougall, Danielle Ko, Hayley Jones, Linda Mileshkin, Geraldine Largey, Alex Clinch, Sarah Heynemann

Open access · bronzeAbstract read
In one paragraph

Article in Internal medicine journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
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

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. COVID-19 recovery: implications for cancer care clinicians.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022
    Review
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

9 authors at 5 institutions in 1 country.

Clare DelanyDepartment of Medical Education, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-6156-2347
Joanne BenhamuCancer Clinical Trials Unit, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Rosalind McDougallMelbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria, Australia.
Danielle KoPalliative Care, Austin Health, Melbourne, Victoria, Australia.
Hayley JonesMcCabe Centre for Law & Cancer, Melbourne, Victoria, Australia.
Linda MileshkinCancer Clinical Trials Unit, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Geraldine LargeySouthern Health Integrated Cancer Services, Monash Health, Melbourne, Victoria, Australia.
Alex ClinchCancer Clinical Trials Unit, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.
Sarah HeynemannPalliative Care, Austin Health, Melbourne, Victoria, Australia.
Peter MacCallum Cancer Centre · AUAustin Health · AUThe University of Melbourne · AUMcCabe Centre for Law and Cancer · AUMonash Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The COVID-19 pandemic has placed an overwhelming burden on healthcare delivery globally. This paper examines how COVID-19 has affected cancer care clinicians' capacity to deliver cancer care in the Australian context. We use the lens of 'holding patients' (drawing from attachment theory, psychology and from Australian Indigenous knowledge) to conceptualise cancer clinicians' processes of care and therapeutic relationships with patients. These notions of 'holding' resonate with the deep responsibility cancer care clinicians feel towards their patients. They enrich ethical language beyond duties to benefit, avoid harm, respect patients' autonomy and provide just treatment. We consider the disruptive effects of COVID-19 on care delivery and on clinicians themselves. We then show how models of clinical ethics and other similar reflective discussion approaches are a relevant support mechanism to assist clinicians to process and make sense of COVID-19's disruptions to their professional ethical role of holding patients during and beyond the pandemic.

Indexed as

COVID-19NeoplasmsAustraliaHumansPandemicsSARS-CoV-2cancer care cliniciansclinical ethicsCOVID-19holding patientsmoral distress

Identifiers

PMID34278682
PMCPMC8447295
OpenAlexW3183346552

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.