Caring for Pregnant Patients with Cancer: A Framework for Ethical and Patient-Centred Care
(1) Background: Caring for pregnant cancer patients is clinically and ethically complex. There is no structured ethical guidance for healthcare professionals caring for these patients. (2) Objective: This concept paper proposes a theoretically grounded framework to support ethical and patient-centre...
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| Format: | Article |
| Language: | English |
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MDPI AG
2024-01-01
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| Series: | Cancers |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2072-6694/16/2/455 |
| _version_ | 1797344446492180480 |
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| author | Alma Linkeviciute Rita Canario Fedro Alessandro Peccatori Kris Dierickx |
| author_facet | Alma Linkeviciute Rita Canario Fedro Alessandro Peccatori Kris Dierickx |
| author_sort | Alma Linkeviciute |
| collection | DOAJ |
| description | (1) Background: Caring for pregnant cancer patients is clinically and ethically complex. There is no structured ethical guidance for healthcare professionals caring for these patients. (2) Objective: This concept paper proposes a theoretically grounded framework to support ethical and patient-centred care of pregnant cancer patients. (3) Methodological approach: The framework development was based on ethical models applicable to cancer care during pregnancy—namely principle-based approaches (biomedical ethics principles developed by Beauchamp and Childress and the European principles in bioethics and biolaw) and relational, patient-focused approaches (relational ethics, ethics of care and medical maternalism)—and informed by a systematic review of clinical practice guidelines. (4) Results: Five foundational discussion themes, summarising the key ethical considerations that should be taken into account by healthcare professionals while discussing treatment and care options with these patients, were identified. This was further developed into a comprehensive ethics checklist that can be used during clinical appointments and highlights the need for a holistic view to patient treatment, care and counselling while providing ethical, patient-centric care. (5) Conclusion: The proposed framework was further operationalised into an ethics checklist for healthcare professionals that aims to help them anticipate and address ethical concerns that may arise when attending to pregnant cancer patients. Further studies exploring clinicians’ attitudes towards cancer treatment in the course of pregnancy and patient experiences when diagnosed with cancer while pregnant and wider stakeholder engagement are needed to inform the development of further ethical, patient-centred guidance. |
| first_indexed | 2024-03-08T11:02:38Z |
| format | Article |
| id | doaj.art-d490842366db4e6fa6171cde69823434 |
| institution | Directory Open Access Journal |
| issn | 2072-6694 |
| language | English |
| last_indexed | 2024-03-08T11:02:38Z |
| publishDate | 2024-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Cancers |
| spelling | doaj.art-d490842366db4e6fa6171cde698234342024-01-26T15:39:04ZengMDPI AGCancers2072-66942024-01-0116245510.3390/cancers16020455Caring for Pregnant Patients with Cancer: A Framework for Ethical and Patient-Centred CareAlma Linkeviciute0Rita Canario1Fedro Alessandro Peccatori2Kris Dierickx3Fertility and Procreation Unit, Division of Gynecologic Oncology, European Institute of Oncology, IRCCS, 20141 Milan, ItalyCancer Metastasis i3S-Institute for Research & Innovation in Health, R. Alfredo Allen 208, 4200-135 Porto, PortugalFertility and Procreation Unit, Division of Gynecologic Oncology, European Institute of Oncology, IRCCS, 20141 Milan, ItalyCentre for Biomedical Ethics and Law, KU Leuven, 3000 Leuven, Belgium(1) Background: Caring for pregnant cancer patients is clinically and ethically complex. There is no structured ethical guidance for healthcare professionals caring for these patients. (2) Objective: This concept paper proposes a theoretically grounded framework to support ethical and patient-centred care of pregnant cancer patients. (3) Methodological approach: The framework development was based on ethical models applicable to cancer care during pregnancy—namely principle-based approaches (biomedical ethics principles developed by Beauchamp and Childress and the European principles in bioethics and biolaw) and relational, patient-focused approaches (relational ethics, ethics of care and medical maternalism)—and informed by a systematic review of clinical practice guidelines. (4) Results: Five foundational discussion themes, summarising the key ethical considerations that should be taken into account by healthcare professionals while discussing treatment and care options with these patients, were identified. This was further developed into a comprehensive ethics checklist that can be used during clinical appointments and highlights the need for a holistic view to patient treatment, care and counselling while providing ethical, patient-centric care. (5) Conclusion: The proposed framework was further operationalised into an ethics checklist for healthcare professionals that aims to help them anticipate and address ethical concerns that may arise when attending to pregnant cancer patients. Further studies exploring clinicians’ attitudes towards cancer treatment in the course of pregnancy and patient experiences when diagnosed with cancer while pregnant and wider stakeholder engagement are needed to inform the development of further ethical, patient-centred guidance.https://www.mdpi.com/2072-6694/16/2/455cancer during pregnancyethicsguidelinespatient centricitypatient engagement |
| spellingShingle | Alma Linkeviciute Rita Canario Fedro Alessandro Peccatori Kris Dierickx Caring for Pregnant Patients with Cancer: A Framework for Ethical and Patient-Centred Care Cancers cancer during pregnancy ethics guidelines patient centricity patient engagement |
| title | Caring for Pregnant Patients with Cancer: A Framework for Ethical and Patient-Centred Care |
| title_full | Caring for Pregnant Patients with Cancer: A Framework for Ethical and Patient-Centred Care |
| title_fullStr | Caring for Pregnant Patients with Cancer: A Framework for Ethical and Patient-Centred Care |
| title_full_unstemmed | Caring for Pregnant Patients with Cancer: A Framework for Ethical and Patient-Centred Care |
| title_short | Caring for Pregnant Patients with Cancer: A Framework for Ethical and Patient-Centred Care |
| title_sort | caring for pregnant patients with cancer a framework for ethical and patient centred care |
| topic | cancer during pregnancy ethics guidelines patient centricity patient engagement |
| url | https://www.mdpi.com/2072-6694/16/2/455 |
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