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Factors contributing to practitioner choice when declining involvement in legally available care: A scoping protocol
Janine Brown1,2, Donna Goodridge3, Lilian Thorpe4
1Faculty of Nursing, University of Regina, Saskatoon, Saskatchewan, Canada.
BMJ Open
|August 20, 2018
Summary
This review explores factors influencing healthcare practitioners
Area of Science:
- Medical Ethics
- Healthcare Policy
- Health Services Research
Background:
- Healthcare practitioners face complex ethical dilemmas when legal treatments conflict with personal beliefs.
- Existing research suggests practitioner non-participation in care may stem from factors beyond ethical abstention.
- This highlights a tension between patient access to care and practitioner autonomy.
Purpose of the Study:
- To systematically review and synthesize existing knowledge on factors influencing practitioner choices.
- To identify all factors influencing decisions to decline involvement in legally available healthcare options.
- To understand the nuances of practitioner decision-making in healthcare.
Main Methods:
- Systematic scoping review guided by Arksey and O'Malley's framework.
- Comprehensive search of multiple databases (Medline, CINAHL, JSTOR, EMBASE, etc.) for English language documents from 1998 to present.
- Thematic analysis of extracted data from included studies.
Main Results:
- The review will synthesize findings on practitioner decision-making in healthcare.
- Analysis will identify key themes and factors influencing choices.
- Results will be presented descriptively and thematically.
Conclusions:
- Findings will inform healthcare policy and ethical guidelines.
- Understanding these factors is crucial for balancing patient rights and practitioner autonomy.
- Dissemination through professional networks, journals, and conferences is planned.
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