Evidence map›Paper›PMID 37641886›Full record

ArticleHospital pediatrics2023

Adherence to the AAP's Institutional Ethics Committee Policy Recommendations.

Meaghann S Weaver, Connie M Ulrich, Margaret R Moon, Jennifer K Walter

Abstract read
In one paragraph

Article in Hospital pediatrics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

4 authors.

Meaghann S WeaverPediatric Palliative Care, University of Nebraska Medical Center, Omaha, Nebraska.
Connie M UlrichSchool of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania.
Margaret R MoonBerman Institute of Bioethics, Johns Hopkins University, Baltimore, Maryland.
Jennifer K WalterDepartment of Medical Ethics and Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.

Funding

Modeling How Moral Distress & Ethical Confidence Impact Nurses' Emotional & Physical Health and Safety CultureR01HS028427 · AHRQ · UNIVERSITY OF PENNSYLVANIA · PI ULRICH, CONNIE MARIE · 2022 to 2025
$1.6M
Supplement to Improving Family Meetings in the Pediatric CICUK23HL141700 · NHLBI · CHILDREN'S HOSP OF PHILADELPHIA · PI WALTER, JENNIFER K · 2019 to 2023
$981k
AHRQ HHS R01 HS028427NHLBI NIH HHS K23 HL141700
6 · The paper itself

Abstract

objectivesIn 2019, the American Academy of Pediatrics (AAP) outlined 8 operational recommendations for pediatric institutional ethics committees (IECs). The study purpose was to quantify the extent to which pediatric IECs adhere to the AAP IEC Policy Statement recommendations.

methodsA convenience sample of ethics points of contact from Children's Hospital Association membership were invited to complete an electronic survey on their ethics programs and practices in spring 2022. Nineteen survey questions were preidentified as reflecting measures specific to best practice standards previously published by the AAP. This subset of questions was analyzed using frequencies and categorized to assess for adherence to the AAP IEC policy recommendations.

resultsA total of 117 out of 181 surveys were completed (65%). Stark IEC practice gaps include: lack of diversity of membership, training needs to maintain members' competencies, quality improvement within the organization, and scope of ethics service. Over one-quarter of IECs do not have a systematic way of informing hospital staff about ethics consultancy services and how to place an ethics consult. Nineteen percent of responding IEC services do not inform patients or families about the existence of ethics consult services. One-third of responding children's hospitals do not provide resources for the IECs to engage in ethics education at the facility.

conclusionsIECs in children's hospitals are not consistently abiding by operational recommendations. Next steps should include assessment of recommendation barriers and enablers with a goal of enhancing strong practices across IECs in children's hospitals.

Indexed as

Ethics CommitteesHospitals, PediatricChildEducational StatusHumansPersonnel, HospitalPolicy

Identifiers

PMID37641886
PMCPMC10468404

What OpenQuestion holds

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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.