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  1. Article ; Online: Stability and Viability of SARS-CoV-2.

    Helmers, Andrew

    The New England journal of medicine

    2020  Volume 382, Issue 20, Page(s) 1964

    MeSH term(s) Aerosols ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Humans ; Pandemics ; Pneumonia, Viral ; Severe acute respiratory syndrome-related coronavirus ; SARS-CoV-2
    Chemical Substances Aerosols
    Keywords covid19
    Language English
    Publishing date 2020-04-13
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2007942
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    Ua VI Zs.34: Show issues Location:
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  2. Article ; Online: The Sword of Damocles: Family Presence and Extracorporeal Life Support During The COVID-19 Pandemic and Beyond.

    Helmers, Andrew J / Guerguerian, Anne-Marie

    ASAIO journal (American Society for Artificial Internal Organs : 1992)

    2022  Volume 68, Issue 6, Page(s) 785

    MeSH term(s) COVID-19 ; Extracorporeal Membrane Oxygenation ; Humans ; Pandemics
    Language English
    Publishing date 2022-05-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 759982-1
    ISSN 1538-943X ; 0162-1432 ; 1058-2916
    ISSN (online) 1538-943X
    ISSN 0162-1432 ; 1058-2916
    DOI 10.1097/MAT.0000000000001656
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  3. Article: Bioethics at the bedside.

    Chad, Lauren / Helmers, Andrew / Kirsch, Roxanne

    Paediatrics & child health

    2022  Volume 27, Issue 4, Page(s) 203–205

    Language English
    Publishing date 2022-04-25
    Publishing country England
    Document type Journal Article
    ZDB-ID 2106767-3
    ISSN 1918-1485 ; 1205-7088
    ISSN (online) 1918-1485
    ISSN 1205-7088
    DOI 10.1093/pch/pxac021
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    Zs.A 5774: Show issues Location:
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  4. Article ; Online: Caregiver COVID-19 Vaccination Status in Pediatric Hospitals-Ethics of Exclusion.

    Helmers, Andrew J / Anderson, James A / Kirsch, Roxanne E

    JAMA pediatrics

    2022  Volume 176, Issue 5, Page(s) 441–442

    MeSH term(s) COVID-19/prevention & control ; COVID-19 Vaccines ; Caregivers ; Child ; Hospitals, Pediatric ; Humans ; Vaccination
    Chemical Substances COVID-19 Vaccines
    Language English
    Publishing date 2022-03-04
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2701223-2
    ISSN 2168-6211 ; 2168-6203
    ISSN (online) 2168-6211
    ISSN 2168-6203
    DOI 10.1001/jamapediatrics.2021.6582
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  5. Article ; Online: Through the looking glass: qualitative study of critical care clinicians engaging in humanities.

    Mema, Briseida / Helmers, Andrew / Proulx, Catherine / Min, Kyung-Seo Kay / Navne, Laura E

    Intensive care medicine

    2024  Volume 50, Issue 3, Page(s) 427–436

    Abstract: Purpose: Critical care medicine is facing an epidemic of burnout and consequent attrition. Interventions are needed to re-establish the medical field as a place of professional growth, resilience, and personal well-being. Humanities facilitate creation, ...

    Abstract Purpose: Critical care medicine is facing an epidemic of burnout and consequent attrition. Interventions are needed to re-establish the medical field as a place of professional growth, resilience, and personal well-being. Humanities facilitate creation, reflection, and meaning-making, holding the promise of personal and community transformation. This study aimed to explore how clinicians engage with a humanities program, and what role and impact do the humanities play in their individual and collective journey.
    Methods: This is a qualitative study employing a phenomenological approach. Participants were faculty and trainees who participated in the program. Data consisted of (a) 60-h observations of humanities evenings, (b) more than 200 humanities artifacts brought by participants, and (c) 15 in-depth participant interviews. Data were analyzed inductively and reflectively by a team of researchers.
    Results: Participants were motivated to engage with the humanities curriculum because of past experiences with art, identifying a desire to re-explore their creativity to make meaning from their clinical experiences and a wish to socialize with and understand their colleagues through a different lens. The evenings facilitated self-expression, and inspired and empowered participants to create art pieces and re-engage with art in their daily lives. More importantly, they found a community where they could be vulnerable and supported, where shared experiences were discussed, emotions were validated, and relationships were deepened between colleagues.
    Conclusions: Humanities may impact resilience and personal and community well-being by facilitating reflection and meaning-making of challenging clinical work and building bonds between colleagues.
    MeSH term(s) Humans ; Education, Medical, Undergraduate ; Humanities/education ; Curriculum ; Emotions
    Language English
    Publishing date 2024-03-07
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80387-x
    ISSN 1432-1238 ; 0340-0964 ; 0342-4642 ; 0935-1701
    ISSN (online) 1432-1238
    ISSN 0340-0964 ; 0342-4642 ; 0935-1701
    DOI 10.1007/s00134-024-07331-9
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    Zs.A 1089: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
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  6. Article ; Online: Vulnerability and virtue.

    Proulx, Catherine / Mema, Briseida / Helmers, Andrew

    CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

    2021  Volume 193, Issue 32, Page(s) E1257–E1258

    MeSH term(s) COVID-19/complications ; COVID-19/prevention & control ; COVID-19/psychology ; Humans ; Parent-Child Relations ; Physicians/psychology
    Language English
    Publishing date 2021-08-16
    Publishing country Canada
    Document type Journal Article ; Personal Narrative
    ZDB-ID 215506-0
    ISSN 1488-2329 ; 0008-4409 ; 0820-3946
    ISSN (online) 1488-2329
    ISSN 0008-4409 ; 0820-3946
    DOI 10.1503/cmaj.210625
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    Ua VI Zs.136: Show issues Location:
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  7. Article ; Online: Arts and ARDS: The Critical Importance of Medical Humanities.

    Mema, Briseida / Helmers, Andrew / Min, Kyung-Seo Kay / Navne, Laura E

    Chest

    2021  Volume 160, Issue 4, Page(s) 1568–1571

    MeSH term(s) Art ; Critical Care ; Curriculum ; Education, Medical, Graduate ; Humanities/education ; Humans ; Pediatrics/education
    Language English
    Publishing date 2021-08-07
    Publishing country United States
    Document type Editorial ; Research Support, Non-U.S. Gov't
    ZDB-ID 1032552-9
    ISSN 1931-3543 ; 0012-3692
    ISSN (online) 1931-3543
    ISSN 0012-3692
    DOI 10.1016/j.chest.2021.05.028
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    Ui III Zs.45: Show issues Location:
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  8. Article ; Online: Moral distress: Developing strategies from experience.

    Helmers, Andrew / Palmer, Karen Dryden / Greenberg, Rebecca A

    Nursing ethics

    2020  Volume 27, Issue 4, Page(s) 1147–1156

    Abstract: Background: Moral distress was first described by Jameton in 1984, and has been defined as distress experienced by an individual when they are unable to carry out what they believe to be the right course of action because of real or perceived ... ...

    Abstract Background: Moral distress was first described by Jameton in 1984, and has been defined as distress experienced by an individual when they are unable to carry out what they believe to be the right course of action because of real or perceived constraints on that action. This complex phenomenon has been studied extensively among healthcare providers, and intensive care professionals in particular report high levels of moral distress. This distress has been associated with provider burnout and associated consequences such as job attrition, with potential impacts on patient and family care. There is a paucity of literature exploring how middle and late career healthcare providers experience and cope with moral distress.
    Objectives: We explore the experience of moral distress and the strategies and resources invoked to mitigate that distress in mid- and late-career healthcare providers practicing in paediatric intensive care, in order to identify ways in which the work environment can build a culture of moral resilience.
    Research design: An exploratory, qualitative quality improvement project utilizing focus group and semi-structured interviews with pediatric intensive care front-line providers.
    Participants: Mid-and-later career (10 + years in practice) pediatric intensive care front line providers in a tertiary pediatric hospital.
    Research context: This work focuses on paediatric intensive care providers in a single critical care unit, in order to explore the site-specific perspectives of health care providers in that context with respect to moral distress coping strategies.
    Ethical considerations: The study was approved by the Quality Management Office at the institution; consent was obtained from participants, and no identifying data was included in this project.
    Findings: Participants endorsed perspective-building and described strategies for positive adaptation including; active, reflective and structured supports. Participants articulated interest in enhanced and accessible formal supports.
    Discussion: Findings in this study resonate with the current literature in healthcare provider moral distress, and exposed ways in which the work environment could support a culture of moral resilience. Avenues are described for the management and mitigation of moral distress in this setting.
    Conclusion: This exploratory work lays the groundwork for interventions that facilitate personal growth and meaning in the midst of moral crises in critical care practice.
    MeSH term(s) Adaptation, Psychological ; Adult ; Canada ; Female ; Focus Groups ; Health Personnel/ethics ; Health Personnel/psychology ; Humans ; Intensive Care Units, Pediatric ; Male ; Middle Aged ; Morals ; Qualitative Research ; Resilience, Psychological ; Stress, Psychological
    Language English
    Publishing date 2020-04-02
    Publishing country England
    Document type Journal Article
    ZDB-ID 1200467-4
    ISSN 1477-0989 ; 0969-7330
    ISSN (online) 1477-0989
    ISSN 0969-7330
    DOI 10.1177/0969733020906593
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    Zs.A 4041: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  9. Article ; Online: Cracking the Code: COVID-19 and the Future of Professional Promises.

    Helmers, Andrew / McCradden, Melissa / Kirsch, Roxanne / Shaul, Randi Zlotnik

    The American journal of bioethics : AJOB

    2020  Volume 21, Issue 1, Page(s) 19–21

    MeSH term(s) COVID-19 ; Ethics, Medical ; Humans ; SARS-CoV-2
    Language English
    Publishing date 2020-12-29
    Publishing country United States
    Document type Journal Article ; Comment
    ZDB-ID 2060433-6
    ISSN 1536-0075 ; 1526-5161
    ISSN (online) 1536-0075
    ISSN 1526-5161
    DOI 10.1080/15265161.2020.1845864
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    Zs.A 6814: Show issues Location:
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  10. Article ; Online: Who am I? Narratives as a window to transformative moments in critical care.

    Mema, Briseida / Helmers, Andrew / Anderson, Cory / Min, Kyung-Seo Kay / Navne, Laura E

    PloS one

    2021  Volume 16, Issue 11, Page(s) e0259976

    Abstract: Critical care clinicians practice a liminal medicine at the border between life and death, witnessing suffering and tragedy which cannot fail to impact the clinicians themselves. Clinicians' professional identity is predicated upon their iterative ... ...

    Abstract Critical care clinicians practice a liminal medicine at the border between life and death, witnessing suffering and tragedy which cannot fail to impact the clinicians themselves. Clinicians' professional identity is predicated upon their iterative efforts to articulate and contextualize these experiences, while a failure to do so may lead to burnout. This journey of self-discovery is illuminated by clinician narratives which capture key moments in building their professional identity. We analyzed a collection of narratives by critical care clinicians to determine which experiences most profoundly impacted their professional identity formation. After surveying 30 critical care journals, we identified one journal that published 84 clinician narratives since 2013; these constituted our data source. A clinician educator, an art historian, and an anthropologist analyzed these pieces using a narrative analysis technique identifying major themes and subthemes. Once the research team agreed on a thematic structure, a clinician-ethicist and a trainee read all the pieces for analytic validation. The main theme that emerged across all these pieces was the experience of existing at the heart of the dynamic tension between life and death. We identified three further sub-themes: the experience of bridging the existential divide between dissimilar worlds and contexts, fulfilling divergent roles, and the concurrent experience of feeling dissonant emotions. Our study constitutes a novel exploration of transformative clinical experiences within Critical Care, introducing a methodology that equips medical educators in Critical Care and beyond to better understand and support clinicians in their professional identity formation. As clinician burnout soars amidst increasing stressors on our healthcare systems, a healthy professional identity formation is an invaluable asset for personal growth and moral resilience. Our study paves the way for post-graduate and continuing education interventions that foster mindful personal growth within the medical subspecialties.
    MeSH term(s) Critical Care/methods ; Critical Care/psychology ; Humans ; Information Storage and Retrieval ; Intensive Care Units ; Narration ; Physicians/psychology
    Language English
    Publishing date 2021-11-15
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 1932-6203
    ISSN (online) 1932-6203
    DOI 10.1371/journal.pone.0259976
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