SynthesisNursing in critical care2025
End-of-Life Care Experiences, Attitudes and Perceptions of Intensive Care Clinicians in Middle Eastern Countries: A Systematic Integrative Review.
Synthesis 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 7 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
7 citing papers in PubMed, 1 synthesis or guideline pooled it.
- End-of-Life Care Experiences, Attitudes and Perceptions of Intensive Care Clinicians in Middle Eastern Countries: A Systematic Integrative Review.Nursing in critical care · 2025Pooled it
- Supporting Families During End-of-Life Care in Intensive Care Units: A Qualitative Descriptive Study of Nurses' Experiences in Saudi Arabia.Healthcare (Basel, Switzerland) · 2026Article
- Knowledge, attitudes, and applied practices regarding "Do Not Attempt Resuscitation" among healthcare workers in Aljouf, Saudi Arabia: a multicenter cross-sectional questionnaire-based survey.Resuscitation plus · 2026Article
- Determinants of ICU Admission Care Limitation in Patients Younger Than 65 Years: A Prospective, Observational, Multicenter Study.Critical care explorations · 2026Observational
- Quality of communication in intensive care units: how families view interactions with doctors versus nurses.BMC health services research · 2026Article
- Branching-scenario games in acute end-of-life care education: cultural adaptation and health equity from a public health implementation perspective.Frontiers in public health · 2026Review
- Physicians' Agreement on the Use of NECPAL as a Tool for Identifying Patients Suitable for Palliative Care: A Cross-Sectional Study.Sage open agingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundEnd-of-life care (EoLC) in Intensive Care Units (ICUs) in Middle Eastern (ME) countries is influenced by cultural and legal constraints, creating unique ethical dilemmas and challenges for clinicians. Ethical debates surround the acceptability of withholding and withdrawing treatments that sustain patients' lives.
aimTo collate and synthesise existing evidence on the EoLC experiences, attitudes and perspectives of ICU clinicians in Middle Eastern countries. STUDY
designA systematic integrative review was conducted. Searches were completed in AMED, CINAHL, EMBASE, Medline, PubMed and Google Scholar for studies published between 2012 and 2024. Quantitative results were translated into textual data and, along with the qualitative findings, were analysed using the thematic synthesis approach.
resultsTwenty-seven studies met the inclusion criteria: 16 quantitative, 10 qualitative and one mixed methods. Five themes were developed: (1) Challenges in EoLC decision-making in ICUs; (2) Cultural and ethical issues impacting the delivery of EoLC; (3) The need for comprehensive EoLC guidelines; (4) EoLC education and training for ICU clinicians; and (5) holistic support systems for ICU clinicians.
conclusionsChallenges in providing EoLC in Middle Eastern ICUs concern communication, problematic interactions with families and decision-making. Cultural and ethical issues are also found to affect EoLC delivery, pointing to the importance of comprehensive and clear guidelines. Future research could explore EoLC from the perspective of a wider range of stakeholders in Middle Eastern countries and determine how international best practices can be adjusted to Middle Eastern ICUs to enhance EoLC provision. RELEVANCE TO CLINICAL PRACTICE: To enhance EoLC in Middle Eastern ICUs, clinicians need to undergo training on communication skills, cultural sensitivity and family involvement strategies. Organisational support is required to better guide communication with families and palliative care decisions.
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Registered trials
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.