Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines

Tomczyk, Martyna; Jaques, Cécile; Jox, Ralf J.

doi:10.1136/bmjopen-2021-059189

Cited by 4 publications

(2 citation statements)

References 35 publications

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“…This question was motivated by the desire to gain insights into the global distribution of research on servant leadership and the collaborative networks among researchers from different countries. Understanding country contributions and collaborations can shed light on the dissemination of knowledge (Maggio et al, 2021), potential cultural influences (Tomczyk et al, 2022), and opportunities for international cooperation (Fan et al, 2020).…”

Section: Research Questionsmentioning

confidence: 99%

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The 100 Most-Cited Research Publications on Servant Leadership: A Bibliometric Analysis

Hu,

Thien,

Ahmi

et al. 2023

SAGE Open

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This study analyzed the 100 most-cited servant leadership publications in the Scopus database from 1991 to 2021 by using bibliometric analysis. The analysis includes visualization, bibliographic coupling, co-occurrence, and co-authorship analysis. Country contributions were examined, with the United States emerging as the dominant contributor, followed by the Netherlands, Australia, China, and Canada. van Dierendonck and Liden being the most influential contributors. Their work has focused on areas related to servant leadership scales, organizational behavior, and the conceptual development of servant leadership. The analysis of top keywords revealed a diverse range of research interests, underscoring the breadth and complexity of servant leadership as a concept. The study highlights the importance of international collaborations in advancing servant leadership research and emphasizes the need for increased research engagement from non-dominant countries to address the existing knowledge imbalance. The findings shed light on research trends, country contributions, influential authors, and important research themes, helping researchers identify gaps and future directions in servant leadership research. The findings could promote the development and application of servant leadership theory to enhance leadership practices and organizational outcomes.

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Section: Research Questionsmentioning

confidence: 99%

“…Understanding country contributions and collaborations can shed light on the dissemination of knowledge (Maggio et al, 2021), potential cultural influences (Tomczyk et al, 2022), and opportunities for international cooperation (Fan et al, 2020).…”

Section: Research Questionsmentioning

confidence: 99%

The 100 Most-Cited Research Publications on Servant Leadership: A Bibliometric Analysis

Hu,

Thien,

Ahmi

et al. 2023

SAGE Open

View full text Add to dashboard Cite

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Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines

2022

Self Cite

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IntroductionThis study aims to identify the full spectrum of ethical challenges of all forms of palliative sedation for adults as presented in current clinical practice guidelines (CPGs) and to determine whether CPGs specify ethical challenges of this therapy for patients with cancer and non-cancer and, if so, how exactly they do this. To the best of our knowledge, no studies have yet investigated this topic. The purpose is purely descriptive; our aim is not to make any kind of normative judgements on these challenges. Nor is our aim to assess the quality of the CPGs.Methods and analysisWe will perform a systematic review of CPGs on palliative sedation for adults via five electronic databases, grey literature search tools, citation tracking and contact with palliative care experts. Current CPGs accredited by an international, national or regional authority, published in English, German, French, Italian or Polish, from 2000 to the date of the search, will be subjected to content analysis at the textual, linguistic and thematic levels.Ethics and disseminationThis is a protocol for a systematic review and no human will be involved in this research. Therefore, ethics approval and consent to participate are not applicable to this context. This study protocol is reported in accordance with the Preferred Reporting Items for Systematic Review and Meta-Analysis for Protocols criteria and registered on PROSPERO. Moreover, the integral version of this study protocol is published as a preprint on Research Square. The results of this study will be actively disseminated through peer-reviewed journals and books, international, national and local conference presentations, social media and media in general.

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Palliative sedation: ethics in clinical practice guidelines – systematic review

Tomczyk¹,

Jaques²,

Jox³

2023

BMJ Support Palliat Care

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ObjectivesThe objective of our study was to determine whether, and to what degree, the ethical dimension was present in clinical practice guidelines (CPGs) on palliative sedation, and to identify the ethical issues with respect to the different forms of this practice. The purpose was purely to be descriptive; our aim was not to make any kind of normative judgements on these ethical issues or to develop our own ethical recommendations.MethodsWe performed a systematic review of CPGs on the palliative sedation of adults, focusing our analysis on the ethical dimension of these texts and the ethical issues of this practice. The study protocol is registered on PROSPERO.ResultsIn total, 36 current CPGs from four continents (and 14 countries) were included in our analysis. Generally, ethics was rarely referred to or absent from the CPGs. Only six texts contained a specific section explicitly related to ethics. Ethical issues were named, conceptualised and presented in heterogeneous, often confusing ways. It was impossible to identify the ethical issues of each form of palliative sedation. Ethics expertise was not involved in the development of most of the CPGs and, if it was, this did not always correlate with the ethical dimension of the document.ConclusionsEffective cooperation between palliative care clinicians and ethicists should be encouraged, in order to integrate in particular the crucial ethical issues of continuous deep sedation until death when developing or updating CPGs on palliative sedation.

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Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines

Cited by 4 publications

References 35 publications

The 100 Most-Cited Research Publications on Servant Leadership: A Bibliometric Analysis

The 100 Most-Cited Research Publications on Servant Leadership: A Bibliometric Analysis

Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines

Palliative sedation: ethics in clinical practice guidelines – systematic review

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