Surgical portfolios: A systematic scoping review

Chong, Eleanor Jia Xin; Wang, Ming Jia; Lim, Jia Yin; Shen, Grace Shen; Chow, Misha Jing Yi; Koh, Kai Kee; Lim, Abner Herbert; Hong, Daniel Zhihao; Ting, Jacquelin Jia Qi; Pisupati, Anushka; Lam, Betrand Kai Yang; Ong, Yun Ting; Chiam, Min; Mason, Stephen; Krishna, Lalit Kumar Radha; Tan, Si Ying

doi:10.1016/j.sipas.2022.100107

Cited by 3 publications

(1 citation statement)

References 64 publications

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“…In the face of so many considerations, this SSR in SEBA charted current accounts, insights and the impact of stories; distilled key characteristics of storytelling to formulate and summarise actionable and applicable information across different settings; and highlighted gaps in current concepts [75][76][77][78][79][80][81][82]. A SSR in SEBA's wide reach that included grey literature was also well-placed to contend with the conflation of the terms 'narratives' and 'storytelling' .…”

Section: Methodsmentioning

confidence: 99%

The role of patients’ stories in medicine: a systematic scoping review

Quah,

Chua,

Lin

et al. 2023

BMC Palliat Care

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Background Patients’ stories provide Palliative Care physicians with a glimpse into the former’s lives and their psycho-emotional, sociocultural, and contextual considerations. Yet, few physicians are trained to interpret and apply patients’ stories in their practice. Inherent variability in how stories are transmitted and interpreted raises questions over their potential effects on care. Amidst a dearth of accounts in Palliative Care, we map current use of patient stories to guide the training, assessment, and oversight of this ‘care influencing’ practice in medicine. Methods This systematic scoping review was guided by the Systematic Evidence-Based Approach (SEBA) to ensure a reproducible and structured approach. The themes and categories identified through the Split Approach’s concurrent and independent thematic and directed content analyses provided a comprehensive sketch of the included articles. The Jigsaw Perspective combined the themes and categories identified. The last stage of SEBA compared these results with two recent reviews of storytelling to ensure consistency of the domains created that guided the discussion. Results Ten thousand two hundred seven articles were reviewed, 963 full text articles were evaluated, and 199 articles were included. The four domains identified were study characteristics, benefits, approaches, and positive effects and concerns. Conclusion Stories support patient-centered, personalized, and holistic clinical care. However, variability in the stories, their interpretations and use in care decisions underscore the need for further study on the structuring, teaching, assessing, and delivery of this ‘care influencing’ practice.

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Section: Methodsmentioning

confidence: 99%

The role of patients’ stories in medicine: a systematic scoping review

Quah,

Chua,

Lin

et al. 2023

BMC Palliat Care

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Twelve tips for optimising learning for postgraduate doctors in the operating theatre

et al. 2023

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Physician-patient boundaries in palliative care

Lim

Rahman

et al. 2023

BMC Palliat Care

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Background Nurturing effective physician-patient relationships is essential to the provision of patient-centred care. Palliative care physicians may apply boundary-crossings or breaches in professional standards to nurture effective physician-patient relationships. Being highly individualized and shaped by the physician’s narratives, clinical experience, and contextual considerations, boundary-crossings are susceptible to ethical and professional violations. To better appreciate this concept, we employ the Ring Theory of Personhood (RToP) to map the effects of boundary-crossings on the physician’s belief systems. Methods As part of the Tool Design SEBA methodology, a Systematic Evidence-Based Approach (SEBA) guided systematic scoping review was employed to guide the design of a semi-structured interview questionnaire with palliative care physicians. The transcripts were simultaneously content and thematically analysed. The themes and categories identified were combined using the Jigsaw Perspective and the resulting domains formed the basis for the discussion. Results The domains identified from the 12 semi-structured interviews were catalysts and boundary-crossings. Boundary-crossings attempt to address threats to a physician’s belief systems (catalysts) and are highly individualized. Employ of boundary-crossings depend on the physician’s sensitivity to these ‘catalysts’, their judgement and willingness to act, and their ability to balance various considerations and reflect on their actions and their ramifications. These experiences reshape belief systems, understandings of boundary-crossings and may influence decision-making and practice, underscoring the potential for greater professional breaches when unchecked. Conclusion Underlining its longitudinal effects, the Krishna Model underscores the importance of longitudinal support, assessment and oversight of palliative care physicians, and lays the foundation for a RToP-based tool to be employed within portfolios.

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Surgical portfolios: A systematic scoping review

Cited by 3 publications

References 64 publications

The role of patients’ stories in medicine: a systematic scoping review

The role of patients’ stories in medicine: a systematic scoping review

Twelve tips for optimising learning for postgraduate doctors in the operating theatre

Physician-patient boundaries in palliative care

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