The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping review
Abstract Context Surgeons are taking central roles in caring for patients leaving them prone to the emotional turmoil and grief of patients and families and the moral, psychological and existential distress of members of the interprofessional team and trainees. This has implications on patient safet...
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| Format: | Article |
| Language: | English |
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BMC
2025-02-01
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| Series: | BMC Surgery |
| Online Access: | https://doi.org/10.1186/s12893-025-02792-1 |
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| author | Jun Rong Tan Yun Ting Ong Victoria Jia En Fam Annushkha Sinnathamby Nila Ravindran Yaoyi Ng Lalit Kumar Radha Krishna |
| author_facet | Jun Rong Tan Yun Ting Ong Victoria Jia En Fam Annushkha Sinnathamby Nila Ravindran Yaoyi Ng Lalit Kumar Radha Krishna |
| author_sort | Jun Rong Tan |
| collection | DOAJ |
| description | Abstract Context Surgeons are taking central roles in caring for patients leaving them prone to the emotional turmoil and grief of patients and families and the moral, psychological and existential distress of members of the interprofessional team and trainees. This has implications on patient safety and surgeon welfare. Objectives A systematic scoping review was carried out to address the primary research question “what is known of the effects of caring for the dying and the impact of patient’s death on surgeons?”. It is hoped that the insights gained will better guide support and assessment of surgeons in their evolving roles. Methods Guided by the Systematic Evidence-based Approach (SEBA), we conducted a systematic scoping review (SSR). This review included articles published between 1st January 2000 and 2nd September 2024 on Pubmed, Embase, Scopus, Google Scholar, ERIC databases. To enhance trustworthiness and enhance the comprehensiveness of our review the articles identified were also evaluated using ChatGPT 4o and Notebook LM. The findings of these assistive processes were compared with the independent thematic and content analysis carried out by the two research teams. Results In total, 4966 titles and abstracts were identified, 174 full-text articles were reviewed, and 26 full-text articles analysed. With the findings of the assistive analysis by the AI tools echoing the findings of the research teams- two key domains were identified: (1) the impact on personhood, (2) predisposing factors. Conclusion This AI assisted SSR in SEBA confirms that surgeons do suffer from the cumulative effects of caring for dying patients and their families and from the death of the patient and supporting the family and members of the interprofessional team and trainees. Without timely and personalized support surgeons are prone to depression, burnout, and substance abuse, and compromises to patient and family experiences, outcomes, safety and satisfaction. The need for effective longitudinal and personalized assessment tools is clear. |
| format | Article |
| id | doaj-art-819d3daca3304dd9bf0ed67201da59eb |
| institution | Kabale University |
| issn | 1471-2482 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj-art-819d3daca3304dd9bf0ed67201da59eb2025-02-09T12:09:07ZengBMCBMC Surgery1471-24822025-02-0125111010.1186/s12893-025-02792-1The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping reviewJun Rong Tan0Yun Ting Ong1Victoria Jia En Fam2Annushkha Sinnathamby3Nila Ravindran4Yaoyi Ng5Lalit Kumar Radha Krishna6Yong Loo Lin School of Medicine, National University of Singapore, NUHS Tower BlockDivision of Cancer Education, National Cancer Centre SingaporeDivision of Cancer Education, National Cancer Centre SingaporeKhoo Teck Puat National University Children’s Medical Institute, National University Health SystemYong Loo Lin School of Medicine, National University of Singapore, NUHS Tower BlockYong Loo Lin School of Medicine, National University of Singapore, NUHS Tower BlockYong Loo Lin School of Medicine, National University of Singapore, NUHS Tower BlockAbstract Context Surgeons are taking central roles in caring for patients leaving them prone to the emotional turmoil and grief of patients and families and the moral, psychological and existential distress of members of the interprofessional team and trainees. This has implications on patient safety and surgeon welfare. Objectives A systematic scoping review was carried out to address the primary research question “what is known of the effects of caring for the dying and the impact of patient’s death on surgeons?”. It is hoped that the insights gained will better guide support and assessment of surgeons in their evolving roles. Methods Guided by the Systematic Evidence-based Approach (SEBA), we conducted a systematic scoping review (SSR). This review included articles published between 1st January 2000 and 2nd September 2024 on Pubmed, Embase, Scopus, Google Scholar, ERIC databases. To enhance trustworthiness and enhance the comprehensiveness of our review the articles identified were also evaluated using ChatGPT 4o and Notebook LM. The findings of these assistive processes were compared with the independent thematic and content analysis carried out by the two research teams. Results In total, 4966 titles and abstracts were identified, 174 full-text articles were reviewed, and 26 full-text articles analysed. With the findings of the assistive analysis by the AI tools echoing the findings of the research teams- two key domains were identified: (1) the impact on personhood, (2) predisposing factors. Conclusion This AI assisted SSR in SEBA confirms that surgeons do suffer from the cumulative effects of caring for dying patients and their families and from the death of the patient and supporting the family and members of the interprofessional team and trainees. Without timely and personalized support surgeons are prone to depression, burnout, and substance abuse, and compromises to patient and family experiences, outcomes, safety and satisfaction. The need for effective longitudinal and personalized assessment tools is clear.https://doi.org/10.1186/s12893-025-02792-1 |
| spellingShingle | Jun Rong Tan Yun Ting Ong Victoria Jia En Fam Annushkha Sinnathamby Nila Ravindran Yaoyi Ng Lalit Kumar Radha Krishna The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping review BMC Surgery |
| title | The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping review |
| title_full | The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping review |
| title_fullStr | The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping review |
| title_full_unstemmed | The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping review |
| title_short | The impact of death and caring for the dying and their families on surgeons - an AI assisted systematic scoping review |
| title_sort | impact of death and caring for the dying and their families on surgeons an ai assisted systematic scoping review |
| url | https://doi.org/10.1186/s12893-025-02792-1 |
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