Evidence map›Paper›PMID 40958442›Full record

ReviewNursing in critical care2025

The Presence of Family Members During Brainstem Testing: An Ethical Dilemma.

Natalie L McEvoy, Pierce Geoghegan, Sophia Downey, Jos Latour, Alan Gaffney, James O'Rourke, Gerard F Curley

Abstract readReviewCase Reports
In one paragraph

Review in Nursing in critical care, 2025. 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. 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

7 authors.

Natalie L McEvoyDepartment of Anaesthesia and Critical Care, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin, Ireland.ORCID https://orcid.org/0000-0002-7533-166X
Pierce GeogheganDepartment of Anaesthesia and Critical Care, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin, Ireland.
Sophia DowneyUniversity Hospital Limerick, Limerick, Ireland.
Jos LatourSchool of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth, UK.ORCID https://orcid.org/0000-0002-8087-6461
Alan GaffneyBeaumont Hospital, Dublin, Ireland.
James O'RourkeBeaumont Hospital, Dublin, Ireland.
Gerard F CurleyDepartment of Anaesthesia and Critical Care, Royal College of Surgeons in Ireland, University of Medicine and Health Sciences, Dublin, Ireland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The purpose of this article was to discuss the ethical issues relevant to inviting family members to witness brainstem testing in the intensive care unit (ICU). To highlight these issues, we begin by discussing a hypothetical clinical case of a patient admitted to the ICU following an out-of-hospital cardiac arrest. A brief review of the literature on current practice will be presented, followed by a balanced discussion on the practice of permitting relatives to witness brainstem testing under the ethical principles of beneficence, non-maleficence, autonomy and justice. Finally, we will present a discussion on international recommendations surrounding this practice as well as a proposed research agenda to further understand the risks and benefits of family members witnessing brainstem testing. We conclude that offering family members the opportunity to witness brainstem tests in the ICU may support them in understanding the term brain death and might contribute to their closure.

Indexed as

Brain DeathBrain StemFamilyOut-of-Hospital Cardiac ArrestEthical DilemmasHumansIntensive Care Unitscritical careintensive care unitorgan donation

Identifiers

PMID40958442
PMCPMC12441476

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.