ArticleJournal of pediatrics. Clinical practice2025
Identifying Ethical Issues Encountered in a Pediatric Postacute Care Setting.
Article in Journal of pediatrics. Clinical practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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
2 citing papers in PubMed.
- Ethical Issues in a Pediatric Post-acute Care Hospital: Implications for Patients, Providers, and Ethicists.Journal of pediatrics. Clinical practice · 2025Article
- Care Beyond the Bedside: Creating Space for Families of Hospitalized Children with Medical Complexity.Children (Basel, Switzerland) · 2025Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives: To identify the nature and frequency of ethical challenges experienced by employees at a pediatric postacute care (PPAC) hospital, and to inform institutional efforts to better meet the needs of employees facing ethical challenges and improve patient care. Study design: We surveyed health care providers at a PPAC hospital in the United States to investigate the ethical challenges they face. The anonymous, mixed-methods survey instrument included 8 multiple choice and free response questions covering the following: demographic information, frequency of encountering 33 potentially ethically-challenging issues, description of 2-3 challenging ethical scenarios, and an assessment of available institutional ethics resources. Results: One hundred four individuals completed the survey (response rate: 30%). The most commonly encountered ethical issues in the PPAC setting included discharge disposition (41%), inter-team (33%) and team-parent communication issues (27%), behavior problems (28%), and goals of care (24%). Further, many (54%) employees did not feel they have appropriate institutional resources to navigate ethical dilemmas, with the development of an institutional ethics committee as the most identified needed resource. Conclusions: The most commonly encountered ethical issues in PPAC settings relate to discharge, communication, behavior, and goals of care and these challenges may be due to the unique nature of PPAC institutions. Several ethically challenging issues arising in the PPAC setting, like admissions and discharge decisions, are underexplored in the pediatric ethics literature and deserve additional research and attention. PPAC employees would likely benefit from additional resources, like the development of an institutional ethics committee to provide education and consultation.
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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.