Table 4 Themes of physicians’ attitudes and influencing factors identified in QUAGOL-Guided analysis and synthesis
Theme | Included articles (n = 23) |
|---|---|
General Attitudes of Physicians About Withholding/Withdrawing LST | |
General trends | 16, 40–42, 49, 51, 52, 55 |
General Arguments Justifying Physicians’ Attitudes | 16, 40, 41, 51, 52 |
Influencing Factors | 16, 39, 41, 49, 51, 52, 55 |
Physicians’ Attitudes About Withholding/Withdrawing LST at the Request of Parents and/or Patients | |
General trends | 39–42, 45–48, 57, 58 |
Parents Alone or Parents with Patients Requested Withholding/Withdrawing LST | 39, 40, 45–57 |
Parents Requested Continuing LST | 39–42, 47, 48 |
Parents and Patients Have Different Opinions | 46, 58 |
Arguments Justifying Physicians’ Attitudes When Faced with Requests from Parents and/or Patients | 46, 48, 55 |
Influencing Factors | 45–48, 51 |
Physicians’ Perceptions of Stakeholders Involved in the Decision-Making about Withholding/Withdrawing LST | |
Perceptions of Physicians’ Involvement | 16, 39, 41, 46, 56, 58 |
Perceptions of Parents’ Involvement | 17, 42, 46, 47, 51, 53, 54, 56, 57, 59 |
Perceptions of Pediatric Patients’ Involvement | 17, 46, 51, 53, 54, 56–59 |
Physicians’ Past Experiences in Decision-Making about Withholding/Withdrawing LST | |
Experiences Communicating with Parents and/or Patients | 17, 41, 43, 44, 50, 51, 53, 54, 58 |
Experiences Dealing with Ethically Sensitive Decisions | 44, 50, 51, 59 |
Experiences Dealing with DNAR | 44, 50, 56 |
Physician-Perceived Barriers and Facilitators in Decision-Making about Withholding/Withdrawing LST | |
Barriers | 43, 48, 53, 54, 57, 58 |
Facilitators | 17, 39–41, 43, 48, 52, 56, 58, 59 |