Evidence map›Paper›PMID 38374022›Full record

ArticleBMC medical ethics2024

The role of bioethics services in paediatric intensive care units: a qualitative descriptive study.

Denise Alexander, Mary Quirke, Jo Greene, Lorna Cassidy, Carol Hilliard, Maria Brenner

Open access · goldAbstract read
In one paragraph

Article in BMC medical ethics, 2024. 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
5.5field-weighted citation impact, top 5% 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, 5 citations in OpenAlex.

  1. Article
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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.

Denise AlexanderSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Mary QuirkeSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Jo GreeneMaynooth University, Maynooth, Ireland.
Lorna CassidySchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
Carol HilliardChildren's Health Ireland at Crumlin, Dublin, Ireland.
Maria BrennerSchool of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland. maria.brenner1@ucd.ie.
University College Dublin · IEChildren's Health Ireland at Crumlin · IENational University of Ireland, Maynooth · IE

Funding

HORIZON EUROPE European Research Council 208586 / 15591
6 · The paper itself

Abstract

backgroundThere is considerable variation in the functionality of bioethical services in different institutions and countries for children in hospital, despite new challenges due to increasing technology supports for children with serious illness and medical complexity. We aimed to understand how bioethics services address bioethical concerns that are increasingly encountered in paediatric intensive care.

methodsA qualitative descriptive design was used to describe clinician's perspectives on the functionality of clinical bioethics services for paediatric intensive care units. Clinicians who were members of formal or informal clinical bioethics groups, or who were closely involved with the process of working through ethically challenging decisions, were interviewed. Interviews took place online. Resulting transcripts were analysed using thematic analysis.

resultsFrom 33 interviews, we identified four themes that described the functionality of bioethics services when a child requires technology to sustain life: striving for consensus; the importance of guidelines; a structure that facilitates a time-sensitive and relevant response; and strong leadership and teamwork.

conclusionsClinical bioethics services have the potential to expand their role due to the challenges brought by advancing medical technology and the increasing options it brings for treatment. Further work is needed to identify where and how bioethics services can evolve and adapt to fully address the needs of the decision-makers in PICU.

Indexed as

BioethicsChildConsensusDecision MakingHumansIntensive Care Units, PediatricQualitative ResearchChildClinical bioethicsFunctionalityInnovationInvasive long-term ventilationTechnology dependence

Identifiers

PMID38374022
PMCPMC10877773
OpenAlexW4391944439

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.