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

Introduction This 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...

Full description

Saved in:
Bibliographic Details
Main Authors: Cécile Jaques, Ralf J Jox, Martyna Tomczyk
Format: Article
Language:English
Published: BMJ Publishing Group 2022-07-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/12/7/e059189.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1832576087308107776
author Cécile Jaques
Ralf J Jox
Martyna Tomczyk
author_facet Cécile Jaques
Ralf J Jox
Martyna Tomczyk
author_sort Cécile Jaques
collection DOAJ
description Introduction This 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 analysis We 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 dissemination This 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.
format Article
id doaj-art-3487abca372d45ccb72875a49ce63e4b
institution Kabale University
issn 2044-6055
language English
publishDate 2022-07-01
publisher BMJ Publishing Group
record_format Article
series BMJ Open
spelling doaj-art-3487abca372d45ccb72875a49ce63e4b2025-01-31T11:15:10ZengBMJ Publishing GroupBMJ Open2044-60552022-07-0112710.1136/bmjopen-2021-059189Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelinesCécile Jaques0Ralf J Jox1Martyna Tomczyk22 Medical Library, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland5 Palliative and Supportive Care Service and Service of Geriatric Medicine and Geriatric Rehabilitation, Chair of Geriatric Palliative Care, Lausanne University Hospital and University of Lausanne, Lausanne, Vaud, SwitzerlandInstitute of Humanities in Medicine, Lausanne University Hospital and University of Lausanne, Lausanne, SwitzerlandIntroduction This 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 analysis We 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 dissemination This 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.https://bmjopen.bmj.com/content/12/7/e059189.full
spellingShingle Cécile Jaques
Ralf J Jox
Martyna Tomczyk
Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines
BMJ Open
title Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines
title_full Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines
title_fullStr Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines
title_full_unstemmed Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines
title_short Ethical challenges in palliative sedation of adults: protocol for a systematic review of current clinical practice guidelines
title_sort ethical challenges in palliative sedation of adults protocol for a systematic review of current clinical practice guidelines
url https://bmjopen.bmj.com/content/12/7/e059189.full
work_keys_str_mv AT cecilejaques ethicalchallengesinpalliativesedationofadultsprotocolforasystematicreviewofcurrentclinicalpracticeguidelines
AT ralfjjox ethicalchallengesinpalliativesedationofadultsprotocolforasystematicreviewofcurrentclinicalpracticeguidelines
AT martynatomczyk ethicalchallengesinpalliativesedationofadultsprotocolforasystematicreviewofcurrentclinicalpracticeguidelines