Evidence map›Paper›PMID 36976435›Full record

ReviewJournal of bioethical inquiry2023

The Ethics of Overlapping Relationships in Rural and Remote Healthcare. A Narrative Review.

Rafael Thomas Osik Szumer, Mark Arnold

Open access · hybridAbstract readReview
In one paragraph

Review in Journal of bioethical inquiry, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.6field-weighted citation impact, top 7% 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

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Educational Needs of Nurses in Remote Islands in Japan Regarding Cancer Pain Management.Journal of cancer education : the official journal of the American Association for Cancer Education · 2026
    Article
  2. Resilience among Rural Public Health Leaders during the COVID-19 Pandemic: A Hermeneutic Phenomenological Study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026
    Article
  3. Article
  4. Acknowledging the Unavoidable: Addressing Dual Relationships in Massage Therapy.International journal of therapeutic massage & bodywork · 2026
    Article
  5. Review
  6. Article
  7. 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

2 authors at 2 institutions in 1 country.

Rafael Thomas Osik SzumerSchool of Rural Health (Dubbo/Orange), Faculty of Medicine and Health, The University of Sydney, Dubbo, NSW, Australia.
Mark ArnoldSchool of Rural Health (Dubbo/Orange), Faculty of Medicine and Health, The University of Sydney, Dubbo, NSW, Australia. mark.arnold@sydney.edu.au.
Dubbo Hospital · AUUniversity of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

It is presently unclear whether a distinct "rural ethics" of navigating professional boundaries exists, and if so, what theoretical approaches may assist practitioners to manage overlapping relationships. To be effective clinicians while concurrently partaking in community life, practitioners must develop and maintain safe, ethical, and sustainable therapeutic relationships in rural and remote healthcare. A narrative review was conducted identifying a significant body of qualitative and theoretical literature which explores the pervasiveness of dual relationships for practitioners working in rural and remote healthcare. Rather than viewing dual relationships as ethically unacceptable, much contemporary work focusses on the lived experiences of healthcare workers and explores what approaches may be available that both protect the therapeutic relationship while recognizing the unique nature of rural and remote healthcare practice. We conclude that practitioners must have a means of operating within a contextually informed ethics of professional boundaries. Drawing on pre-existing work, one schema is proposed that could form the basis for further engagement through interactive teaching sessions, professional development, mentoring, or guidelines.

Indexed as

Rural Health ServicesDelivery of Health CareHealth PersonnelHumansRural PopulationDual relationshipEthicsHealthProfessional boundariesRemoteRural

Identifiers

PMID36976435
PMCPMC10352392
OpenAlexW4361190334

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.