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August 22, 2026BMJ Supportive & Palliative Care

Supporting resident and senior doctors as they navigate ethical issues in end-of-life care: a qualitative inquiry informed by co-design

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Authors

SDSinéad DonnellySWSimon WalkerJMJohn McMillan

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Overview

Qualitative study reveals key relational strategies to support physicians facing end-of-life ethical dilemmas, highlighting the need for dedicated time and informal debriefing.

Key Points

  • To identify collaborative support strategies for resident and senior doctors navigating ethical dilemmas during end-of-life patient care.
  • Qualitative inquiry informed by co-design principles across 6 collaborative workshops.
  • Enrolled 12 resident doctors and 15 senior doctors.
  • Conducted inductive content analysis on recorded group discussions.
  • Senior and resident doctors unanimously identified prioritizing time for support as the most critical intervention.
  • Acknowledging human vulnerability was identified as the second most valued strategy, followed by informal debriefing during or after events.
  • Participants recognized that systemic clinical demands contribute to resident distress and that failing to provide ethical support constitutes an ethical issue itself.

Cite This Study

Donnelly et al. (2026) studied this question.

synapsesocial.com/papers/6a895eeeca7ade938187d328https://doi.org/10.1136/spcare-2026-006533
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1How do senior hospital doctors perceive their role in supporting junior colleagues with navigating ethical issues in end-of-life care?2026 · 1 citations
  2. 2Facilitating Decision Making at End of Life: How Physicians’ Experiences Can Inform the Work of Clinical Ethicists2026
  3. 3End-of-life situations in cardiology: a qualitative study of physicians' and nurses’ experience in a large university hospital2018 · 33 citations
  4. 4Terminality of life from the perspective of pre-hospital care doctors2024
  5. 5Diverging Perspectives: A Qualitative Study of How Physicians and Informal Caregivers Perceive End-of-Life Communication2026