Evidence map›Paper›PMID 34994015›Full record

ArticleChild: care, health and development2022

Decision-making experiences of health professionals in withdrawing treatment for children and young people: A qualitative study.

Shanara Abdin, Gemma Heath, Susan Neilson, James Byron-Daniel, Nic Hooper

Open access · hybridAbstract read
In one paragraph

Article in Child: care, health and development, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 22% 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, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Review
  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

5 authors at 5 institutions in 1 country.

Shanara AbdinFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.ORCID 0000-0002-3886-9508
Gemma HeathSchool of Psychology, Aston University, Birmingham, UK.ORCID 0000-0002-1569-5576
Susan NeilsonSchool of Nursing, University of Birmingham, Birmingham, UK.ORCID 0000-0003-4275-9341
James Byron-DanielFaculty of Health and Applied Sciences, University of the West of England, Bristol, UK.ORCID 0000-0002-3446-2380
Nic HooperSchool of Psychology, Cardiff University, Cardiff, UK.ORCID 0000-0001-5140-1187
Aston University · GBCardiff University · GBUniversity of Birmingham · GBUniversity of the West of England · GBUniversity of Wolverhampton · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo explore factors that influence professionals in deciding whether to withdraw treatment from a child and how decision making is managed amongst professionals as an individual and as a team. STUDY

designSemi-structured interviews were conducted with a purposive sample of health professionals working at a UK Children's Hospital, with children with life-limiting illnesses whose treatment has been withdrawn. Data were transcribed verbatim, anonymized and analysed using a thematic framework method.

resultsA total of 15 participants were interviewed. Five interrelated themes with associated subthemes were generated to help understand the experiences of health professionals in decision making on withdrawing a child's treatment: (1) understanding the child's best interests, (2) multidisciplinary approach, (3) external factors, (4) psychological well-being and (5) recommendations to support shared decision making.

conclusionA shared decision-making approach should be adopted to support professionals, children and their families to make decisions collectively.

Indexed as

ParentsProfessional-Family RelationsAdolescentChildDecision MakingHealth PersonnelHumansQualitative ResearchWithholding Treatmentdecision makinghealthcareprofessionalstreatment

Identifiers

PMID34994015
PMCPMC9306775
OpenAlexW4205468985

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.