Evidence map›Paper›PMID 34691261›Full record

ArticleAsian bioethics review2022

Extending the Ring Theory of Personhood to the Care of Dying Patients in Intensive Care Units.

Natalie Pei Xin Chan, Jeng Long Chia, Chong Yao Ho, Lisa Xin Ling Ngiam, Joshua Tze Yin Kuek, Nur Haidah Binte Ahmad Kamal, Ahmad Bin Hanifah Marican Abdurrahman, Yun Ting Ong, Min Chiam, Alexia Sze Inn Lee and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Asian bioethics review, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 41 citations in OpenAlex.

  1. Pooled it
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  5. Personhood Beliefs in Dementia Care: Influences of Race, Socioeconomic Factors, and Social Vulnerability.International journal of environmental research and public health · 2025
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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

13 authors at 3 institutions in 2 countries.

Natalie Pei Xin ChanYong Loo Lin School of Medicine , National University of Singapore, Singapore.
Jeng Long ChiaYong Loo Lin School of Medicine , National University of Singapore, Singapore.
Chong Yao HoYong Loo Lin School of Medicine , National University of Singapore, Singapore.
Lisa Xin Ling NgiamYong Loo Lin School of Medicine , National University of Singapore, Singapore.
Joshua Tze Yin KuekYong Loo Lin School of Medicine , National University of Singapore, Singapore.
Nur Haidah Binte Ahmad KamalYong Loo Lin School of Medicine , National University of Singapore, Singapore.
Ahmad Bin Hanifah Marican AbdurrahmanYong Loo Lin School of Medicine , National University of Singapore, Singapore.
Yun Ting OngYong Loo Lin School of Medicine , National University of Singapore, Singapore.
Min ChiamDivision of Cancer Education , National Cancer Centre Singapore, Singapore.
Alexia Sze Inn LeeDivision of Cancer Education , National Cancer Centre Singapore, Singapore.
Annelissa Mien Chew ChinMedical Library, National University of Singapore Libraries, National University of Singapore, Singapore.
Stephen MasonPalliative Care Institute Liverpool, Academic Palliative & End of Life Care Centre, University of Liverpool, Liverpool, UK.
Lalit Kumar Radha KrishnaYong Loo Lin School of Medicine , National University of Singapore, Singapore.ORCID 0000-0002-7350-8644
National University of Singapore · SGNational Cancer Centre Singapore · SGUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is evident, in the face of the COVID-19 pandemic that has physicians confronting death and dying at unprecedented levels along with growing data suggesting that physicians who care for dying patients face complex emotional, psychological and behavioural effects, that there is a need for their better understanding and the implementation of supportive measures. Taking into account data positing that effects of caring for dying patients may impact a physician's concept of personhood, or "what makes you, 'you'", we adopt Radha Krishna's Ring Theory of Personhood (RToP) to scrutinise the experiences of physicians working in intensive care units (ICU) using a fictional scenario that was inspired by real events. The impact of death and dying, its catalysts, internal constituents, external factors, dyssynchrony, and buffers, specific to ICU physicians, were identified and explored. Such a framework allows for ramifications to be considered holistically and facilitates the curation of strategies for conflict resolution. This evaluation of the RToP acknowledges the experience and wide-ranging effects it has on ICU physicians. As such, our findings provide insight into their specific needs and highlight the importance of support on a personal and organisational level. Although further research needs to be conducted, the RToP could serve as the basis for a longitudinal assessment tool supported by the use of portfolios or mentorship due to their provision of personalised, appropriate, specific, timely, accessible and long-term support.

Indexed as

COVID-19Death and dyingIntensive care unit (ICU)PersonhoodRing theory of personhood (RToP)

Identifiers

PMID34691261
PMCPMC8526529
OpenAlexW3208542761

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.