Evidence map›Paper›PMID 34427135›Full record

ArticleNursing ethics2022

Clinician distress in seriously ill patient care: A dimensional analysis.

Anessa M Foxwell, Salimah H Meghani, Connie M Ulrich

Open access · greenAbstract read
In one paragraph

Article in Nursing ethics, 2022. 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
2.0field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Trial
  2. Provision of Appropriate Care as a Source of Clinician Distress.The American journal of bioethics : AJOB · 2026
    Article
  3. 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

3 authors at 1 institution in 1 country.

Anessa M Foxwell6572University of Pennsylvania School of Nursing, Philadelphia, USA; Perlman Center for Advanced Medicine, Philadelphia, USA.ORCID https://orcid.org/0000-0003-4665-0108
Salimah H Meghani
Connie M Ulrich6572University of Pennsylvania School of Nursing, Philadelphia, USA; Leonard Davis Institute for Health Economics, USA.ORCID https://orcid.org/0000-0001-5681-3463
University of Pennsylvania · US

Funding

Individualized Care for At Risk Older AdultsT32NR009356 · NINR · UNIVERSITY OF PENNSYLVANIA · PI Lauren M Massimo, MARY D NAYLOR · 2007 to 2026
$7.8M
NINR NIH HHS T32 NR009356
6 · The paper itself

Abstract

backgroundCaring for patients with serious illness may severely strain clinicians causing distress and probable poor patient outcomes. Unfortunately, clinician distress and its impact historically has received little attention. RESEARCH PURPOSE: The purpose of this article was to investigate the nature of clinician distress. RESEARCH

designQualitative inductive dimensional analysis. PARTICIPANTS AND RESEARCH CONTEXT: After review of 577 articles from health sciences databases, a total of 33 articles were eligible for analysis. ETHICAL CONSIDERATIONS: This study did not require ethical review and the authors adhered to appropriate academic standards in their analysis.

findingsA narrative of clinician distress in the hospital clinician in the United States emerged from the analysis. This included clinicians' DISCUSSION: This study adds three unique contributions to the concept of clinician distress by (1) including the emotional aspects of caring for seriously ill patients, (2) providing a new framework for understanding clinician distress within the clinician's own perceptions, and (3) looking at action outside of a purely moral lens by dimensionalizing data, thereby pulling apart what has been socially constructed.

conclusionFor clinicians, learning to recognize one's perceptions and emotional reactions is the first step in mitigating distress. There is a critical need to understand the full scope of clinician distress and its impact on the quality of patient-centered care in serious illness.

Indexed as

MoralsPatient CareEmotionsHumansPatient-Centered CareClinical ethicsend-of-life issuesmoral distresspalliative careprofessional ethicsqualitative research

Identifiers

PMID34427135
PMCPMC8866161
OpenAlexW3195953990

What OpenQuestion holds

Textmetadata
LicenceTDM
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.