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Attention Score in Context
| Title |
Ethical competence in DNR decisions –a qualitative study of Swedish physicians and nurses working in hematology and oncology care
|
|---|---|
| Published in |
BMC Medical Ethics, June 2018
|
| DOI | 10.1186/s12910-018-0300-7 |
| Pubmed ID | |
| Authors |
Mona Pettersson, Mariann Hedström, Anna T. Höglund |
| Abstract |
DNR decisions are frequently made in oncology and hematology care and physicians and nurses may face related ethical dilemmas. Ethics is considered a basic competence in health care and can be understood as a capacity to handle a task that involves an ethical dilemma in an adequate, ethically responsible manner. One model of ethical competence for healthcare staff includes three main aspects: being, doing and knowing, suggesting that ethical competence requires abilities of character, action and knowledge. Ethical competence can be developed through experience, communication and education, and a supportive environment is necessary for maintaining a high ethical competence. The aim of the present study was to investigate how nurses and physicians in oncology and hematology care understand the concept of ethical competence in order to make, or be involved in, DNR decisions and how such skills can be learned and developed. A further aim was to investigate the role of guidelines in relation to the development of ethical competence in DNR decisions. Individual interviews were conducted with fifteen nurses and sixteen physicians. The interviews were analyzed using thematic content analysis. Physicians and nurses in the study reflected on their ethical competence in relation to DNR decisions, on what it should comprise and how it could be developed. The ethical competence described by the respondents related to the concepts being, doing and knowing. In order to make ethically sound DNR decisions in oncology and hematology care, physicians and nurses need to develop appropriate virtues, improve their knowledge of ethical theories and relevant clinical guidelines. Ethical competence also includes the ability to act upon ethical judgements. Continued ethical education and discussions for further development of a common ethical language and a good ethical working climate can improve ethical competence and help nurses and physicians cooperate better with regard to patients in relation to DNR decisions, in their efforts to act in the best interest of the patient. |
Mendeley readers
The data shown below were compiled from readership statistics for 131 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 131 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 20 | 15% |
| Student > Bachelor | 19 | 15% |
| Student > Doctoral Student | 7 | 5% |
| Student > Ph. D. Student | 6 | 5% |
| Other | 4 | 3% |
| Other | 20 | 15% |
| Unknown | 55 | 42% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 36 | 27% |
| Medicine and Dentistry | 18 | 14% |
| Social Sciences | 4 | 3% |
| Psychology | 3 | 2% |
| Arts and Humanities | 3 | 2% |
| Other | 10 | 8% |
| Unknown | 57 | 44% |
Attention Score in Context
This research output has an Altmetric Attention Score of 6. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 June 2018.
All research outputs
#5,829,019
of 23,090,520 outputs
Outputs from BMC Medical Ethics
#491
of 999 outputs
Outputs of similar age
#100,104
of 328,030 outputs
Outputs of similar age from BMC Medical Ethics
#25
of 38 outputs
Altmetric has tracked 23,090,520 research outputs across all sources so far. This one has received more attention than most of these and is in the 74th percentile.
So far Altmetric has tracked 999 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 14.6. This one is in the 48th percentile – i.e., 48% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 328,030 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 68% of its contemporaries.
We're also able to compare this research output to 38 others from the same source and published within six weeks on either side of this one. This one is in the 28th percentile – i.e., 28% of its contemporaries scored the same or lower than it.