Evidence map›Paper›PMID 35623624›Full record

ArticleNursing ethics2022

Duty of care trumps utilitarianism in multi-professional obesity management decisions.

Toni McAloon, Vivien Coates, Donna Fitzsimons

Abstract 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 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Toni McAloonDepartment of Nursing, 42259Ulster University - Jordanstown Campus, Newtownabbey, UK.ORCID 0000-0003-0070-9880
Vivien CoatesDepartment of Nursing, 2596Ulster University - Coleraine Campus, Coleraine, UK.
Donna FitzsimonsDepartment of Nursing, 1596Queen's University Belfast, Belfast, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEscalating levels of obesity place enormous and growing demands on Health care provision in the (U.K.) United Kingdom. Resources are limited with increasing and competing demands upon them. Ethical considerations underpin clinical decision making generally, but there is limited evidence regarding the relationship between these variables particularly in terms of treating individuals with obesity. RESEARCH

aimTo investigate the views of National Health Service (NHS) clinicians on navigating the ethical challenges and decision making associated with obesity management in adults with chronic illness. RESEARCH

designA cross-sectional, multi-site survey distributed electronically.

participantsA consensus sample of nurses, doctors, dietitians and final year students in two NHS Trusts and two Universities. ETHICAL CONSIDERATIONS: Ethical and governance approvals obtained from a National Ethics Committee (11NIR035), two universities and two teaching hospitals.

resultsOf the total ( DISCUSSION: While clinicians were clear about patient responsibility and obligations, the majority prioritised their duty of care and would not invoke a utilitarian approach to decision making. This may reflect awareness of obesity as a multi-faceted entity, with responsibility for support and management shared amongst society in general.

conclusionsThe attitudes of this sample of clinicians complemented the concept of the health service as being built on a principle of community, with each treated according to their need. However limited resources challenge the concept of needs-based decisions consequently societal engagement is necessary to agree a pragmatic way forward.

Indexed as

Ethical TheoryObesity ManagementAdultCross-Sectional StudiesFemaleHumansObesityState Medicineequitymulti-professionalObesity managementrightsutility

Identifiers

PMID35623624
PMCPMC9527366

What OpenQuestion holds

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Registered trials

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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.