Evidence map›Paper›PMID 34309056›Full record

ArticleDisasters2022

'We will never give up': a qualitative study of ethical challenges Syrian health workers face in situations of extreme violence.

Namrita S Singh, Brittany Redman, Grant Broussard, Matthew DeCamp, Diana Rayes, Lara S Ho, W Courtland Robinson, Abdulghani Sankari, Wasim Maziak, Leonard Rubenstein

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Disasters, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

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

11 citing papers in PubMed.

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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

10 authors.

Namrita S SinghPhD, MSc is Owner/Founder and Principal Advisor of Health Research Toolbox, LLC, and a Faculty Associate at the Department of International Health and Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, United States.
Brittany RedmanMA, LPC is a Research Associate at Health Research Toolbox, LLC, and a Research Associate with the Humanitarian Assistance Applied Research Group, International Disaster Psychology Program, University of Denver, United States.
Grant BroussardMSPH is a Research Assistant at the Department of International Health and Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, United States.
Matthew DeCampMD, PhD is an Associate Professor at the Center for Bioethics and Humanities and Division of General Internal Medicine, University of Colorado School of Medicine, United States.
Diana RayesMHS is a Doctoral Student at the Department of International Health, Johns Hopkins Bloomberg School of Public Health, United States.
Lara S HoPhD, RN is Director of Strategic Initiatives at the Health Unit, International Rescue Committee, and a Faculty Associate at the Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, United States.
W Courtland RobinsonPhD is an Associate Professor at the Department of International Health and Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, United States.
Abdulghani SankariMD, PhD is a Professor and Assistant Dean at the Department of Internal Medicine, Wayne State University-School of Medicine, and Director of the Department of Medical Education, Ascension Providence Hospital, United States.
Wasim MaziakMD, PhD is a Professor at the Department of Epidemiology, Robert Stempel College of Public Health and Social Work, Florida International University, United States.
Leonard RubensteinJD is Professor of the Practice at the Center for Public Health and Human Rights and Center for Humanitarian Health, Johns Hopkins Bloomberg School of Public Health, and core faculty at Johns Hopkins Berman Institute of Bioethics, United States.

Funding

Global Mental Health Training ProgramT32MH103210 · NIMH · JOHNS HOPKINS UNIVERSITY · PI Judith Karen Bass, Sarah Sutherlin-McIvor Murray · 2015 to 2026
$4.0M
NIMH NIH HHS T32 MH103210
6 · The paper itself

Abstract

Active conflict settings constitute challenging operating environments for humanitarian health organisations and workers. An emerging feature of some conflicts is direct violence against health workers, facilities, and patients. Since the start of the war in 2011, Syria has endured extreme and deliberate violent attacks on health facilities and workers. This paper reports on the findings from a qualitative study that examined the lived experiences of Syrian humanitarian health workers facing extreme ethical challenges and coping with moral distress. In-depth interviews were carried out with 58 front-line health workers in north-western and southern Syria. Participants described a number of ethical and operational challenges experienced while providing services in extreme conditions, as well as strategies used to deal with them. The complex intersection of personal and organisational challenges is considered and findings are linked to key ethical and humanitarian principles. Both practical recommendations and action steps are provided to guide humanitarian health organisations.

Indexed as

Health PersonnelViolenceHumansMoralsQualitative ResearchSyriaaidconflictethicshumanitarian healthqualitativeSyriaviolence

Identifiers

PMID34309056
PMCPMC9987559

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.