Evidence map›Paper›PMID 37516828›Full record

ArticleBMC medical ethics2023

Communication of patients' and family members' ethical concerns to their healthcare providers.

Mariam Noorulhuda, Christine Grady, Paul Wakim, Talia Bernhard, Hae Lin Cho, Marion Danis

Open access · goldAbstract read
In one paragraph

Article in BMC medical ethics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
4.4field-weighted citation impact, top 6% 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

3 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
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

6 authors at 3 institutions in 1 country.

Mariam NoorulhudaNational Institutes of Health Clinical Center, 10 Center Drive, Bethesda, MD, 20892, USA.
Christine GradyNational Institutes of Health Clinical Center, 10 Center Drive, Bethesda, MD, 20892, USA.
Paul WakimNational Institutes of Health Clinical Center, 10 Center Drive, Bethesda, MD, 20892, USA.
Talia BernhardThomas Jefferson University, 26 E Red Bank Ave, Woodbury, NJ, 08096, USA.
Hae Lin ChoHarvard Medical School, 25 Shattuck St, Boston, MA, 02115, USA.
Marion DanisNational Institutes of Health Clinical Center, 10 Center Drive, Bethesda, MD, 20892, USA. mdanis@cc.nih.gov.
National Institutes of Health Clinical Center · USLemuel Shattuck Hospital · USThomas Jefferson University · US

Funding

Hospital-Based Survey of Patients' and Families' Experiences with Ethical QuestionsZIACL010543 · CLC · CLINICAL CENTER · PI DANIS, MARION · 2018 to 2023
$0k
6 · The paper itself

Abstract

backgroundLittle is known about communication between patients, families, and healthcare providers regarding ethical concerns that patients and families experience in the course of illness and medical care. To address this gap in the literature, we surveyed patients and family members to learn about their ethical concerns and the extent to which they discussed them with their healthcare providers.

methodsWe surveyed adult, English-speaking patients and family members receiving inpatient care in five hospitals in the Washington DC-Baltimore metropolitan area from July 2017 to March 2020. Descriptive statistics were used to determine the frequency, comfortableness, and helpfulness of discussions regarding ethical concerns experienced when sick or receiving medical care. Univariable and multivariable stepwise logistic regression models were used to identify associations between healthcare provider and respondent characteristics and attitudes and (1) the likelihood of speaking to a healthcare provider about their ethical concern and (2) their level of comfort during these discussions.

resultsOf 468 respondents who experienced ethical issues, 299 (64%) reported discussing the situation with a member of their healthcare team; 74% (197/265) of respondents who had such a discussion found the discussion comfortable, and 77% (176/230) of respondents found the discussion helpful. To make discussions more comfortable and helpful, respondents proposed suggestions in open-ended responses involving (1) content and quality of communication; (2) positive healthcare provider qualities such as empathy, open-mindedness, knowledge, honesty, and trustworthiness; and (3) other contextual factors including having adequate time and available resources.

conclusionsPatients and families often have ethical concerns that they discuss with clinicians, and they want clinicians to be routinely receptive and attentive to such discussions.

Indexed as

CommunicationFamilyAdultEmpathyHealth PersonnelHospitalizationHumansClinical ethicsCommunicationFamily membersProfessional-patient relationsSurveys and questionnaires

Identifiers

PMID37516828
PMCPMC10385941
OpenAlexW4385381121

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.