Evidence map›Paper›PMID 38982459›Full record

ArticleBMC nursing2024

Navigating end-of-life decision-making in nursing: a systematic review of ethical challenges and palliative care practices.

Majed Awad Alanazi, Marwa Mamdouh Shaban, Osama Mohamed Elsayed Ramadan, Mohammed Elsayed Zaky, Huda Hamdy Mohammed, Fatma Gomaa Mohamed Amer, Mostafa Shaban

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In one paragraph

Article in BMC nursing, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
–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

47 citing papers in PubMed, 5 syntheses or guidelines pooled it.

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  7. [When the one who heals dies. The physician at the end of life].Revista medica del Instituto Mexicano del Seguro Social · 2026
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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.

Majed Awad AlanaziCollege of Nursing, Jouf University, Sakaka, Al Jouf, 72388, Saudi Arabia.
Marwa Mamdouh ShabanCommunity Health Nursing- Faculty of Nursing- Cairo University, Cairo, Egypt. marwa.mamdouh@cu.edu.eg.
Osama Mohamed Elsayed RamadanCollege of Nursing, Jouf University, Sakaka, Al Jouf, 72388, Saudi Arabia.
Mohammed Elsayed ZakyCollege of Nursing, Jouf University, Sakaka, Al Jouf, 72388, Saudi Arabia.
Huda Hamdy MohammedFaculty of Nursing- Cairo University, Cairo, Egypt.
Fatma Gomaa Mohamed AmerCommunity Health Nursing- Faculty of Nursing- Cairo University, Cairo, Egypt.
Mostafa ShabanCollege of Nursing, Jouf University, Sakaka, Al Jouf, 72388, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis systematic review aimed to synthesize evidence on the ethical dilemma's nurses encounter in end-of-life care and effective palliative care practices. The objectives were to understand key ethical issues, evaluate communication and decision-making strategies, and identify approaches to support nurses and patients.

methodsA comprehensive search of major databases was conducted according to the PRISMA guidelines. Studies directly relating to nursing ethics, challenges in end-of-life decision-making, and palliative care practices were included. The risk of bias was assessed using ROBVIS-II. Data on ethical issues, palliative interventions, and outcomes was extracted and analyzed thematically.

results22 studies met the inclusion criteria. Key themes that emerged were: (1) Effective communication and involving patients in decision-making are essential but complex. (2) Nurses face dilemmas around balancing autonomy, beneficence and relational issues. (3) Integrating palliative care principles enhances symptom management and aligns care with patient values. (4) Education and organizational support are needed to equip nurses with skills and coping strategies.

conclusionNavigating end-of-life care requires addressing interconnected ethical, communication and support needs. While studies provided insights, further research is required on cultural competence training, standardized education programs and longitudinal evaluations.

Indexed as

CommunicationEducationEnd-of-life decision-makingNursing ethicsPalliative care

Identifiers

PMID38982459
PMCPMC11232160

What Socratic holds

Textmetadata
LicenceCC BY
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 Socratic graph.