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Henry Silverman
University of Maryland at Baltimore
  1.  8
    Moral distress in nurses caring for patients with Covid-19.Henry J. Silverman, Raya Elfadel Kheirbek, Gyasi Moscou-Jackson & Jenni Day - 2021 - Nursing Ethics 28 (7-8):1137-1164.
    Background:Moral distress occurs when constraints prevent healthcare providers from acting in accordance with their core moral values to provide good patient care. The experience of moral distress in nurses might be magnified during the current Covid-19 pandemic.Objective:To explore causes of moral distress in nurses caring for Covid-19 patients and identify strategies to enhance their moral resiliency.Research design:A qualitative study using a qualitative content analysis of focus group discussions and in-depth interviews. We purposively sampled 31 nurses caring for Covid-19 patients in (...)
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  2.  31
    Identifying structures, processes, resources and needs of research ethics committees in Egypt.Hany Sleem, Samer S. El-Kamary & Henry J. Silverman - 2010 - BMC Medical Ethics 11 (1):12-.
    Background: Concerns have been expressed regarding the adequacy of ethics review systems in developing countries. Limited data are available regarding the structural and functional status of Research Ethics Committees (RECs) in the Middle East. The purpose of this study was to survey the existing RECs in Egypt to better understand their functioning status, perceived resource needs, and challenges. Methods: We distributed a self-administered survey tool to Egyptian RECs to collect information on the following domains: general characteristics of the REC, membership (...)
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  3.  17
    Knowledge, Awareness, Attitudes, and Practices towards Research Ethics and Research Ethics Committees among Myanmar Post-graduate Students.Mo Mo Than, Hein Htike & Henry J. Silverman - 2020 - Asian Bioethics Review 12 (4):379-398.
    Health research has increased during the last decade, which has enhanced the importance of research ethics. However, little is known regarding the knowledge, awareness, attitudes, and practices of investigators in Myanmar. To assess awareness, knowledge, and attitudes of post-graduates regarding research ethics and research ethics committees (RECs) and their informed consent practices and to determine the association between their responses and certain independent factors. We conducted a cross-sectional study using a questionnaire that was distributed to a convenience sample of post-graduates (...)
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  4.  36
    Perceived comfort level of medical students and residents in handling clinical ethics issues.Henry J. Silverman, Julien Dagenais, Eliza Gordon-Lipkin, Laura Caputo, Matthew W. Christian, Bert W. Maidment, Anna Binstock, Akinbowale Oyalowo & Malini Moni - 2013 - Journal of Medical Ethics 39 (1):55-58.
    Background Studies have shown that medical students and residents believe that their ethics preparation has been inadequate for handling ethical conflicts. The objective of this study was to determine the self-perceived comfort level of medical students and residents in confronting clinical ethics issues. Methods Clinical medical students and residents at the University of Maryland School of Medicine completed a web-based survey between September 2009 and February 2010. The survey consisted of a demographic section, questions regarding the respondents’ sense of comfort (...)
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  5.  10
    Assessing Research Ethics Committees in Myanmar: Results of a Self-Assessment Tool.Zaw Zaw Oo, Min Wun, Yin Thet Nu Oo, Kyaw Swa Mya & Henry J. Silverman - 2020 - Asian Bioethics Review 12 (1):37-49.
    Human subjects research has increased in Myanmar since 2010 and, accordingly, the establishment of research ethics committees has increased review of these research studies. However, characteristics that reflect the operations of RECs in Myanmar have not been assessed. To assess the structures and processes of RECs at medical institutions in Myanmar, we used a self-assessment tool for RECs operating in low- and middle-income countries. This tool consists of the following ten domains: organizational aspects, membership and ethics training, submission arrangements and (...)
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  6.  23
    Ensuring Quality in Clinical Ethics Consultations: Perspectives of Ethicists Regarding Process and Prior Training of Consultants.Henry J. Silverman, Emily Bellavance & Brian H. Childs - 2013 - American Journal of Bioethics 13 (2):29-31.
    The ASBH Core Competencies Update Task Force (Tarzian and ASBH Core Competencies Update Task Force 2013) provides useful information for individual consultants performing case consultations. A grow...
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  7.  46
    The adequacy of informed consent forms in genetic research in Oman: A pilot study.Asya Al-Riyami, Deepali Jaju, Sanjay Jaju & Henry J. Silverman - 2011 - Developing World Bioethics 11 (2):57-62.
    Genetic research presents ethical challenges to the achievement of valid informed consent, especially in developing countries with areas of low literacy. During the last several years, a number of genetic research proposals involving Omani nationals were submitted to the Department of Research and Studies, Ministry of Health, Oman.The objective of this paper is to report on the results of an internal quality assurance initiative to determine the extent of the information being provided in genetic research informed consent forms. In order (...)
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  8.  17
    Were There “Additional Foreseeable Risks” in the SUPPORT Study? Lessons Not Learned from the ARDSnet Clinical Trials.Henry J. Silverman & Didier Dreyfuss - 2015 - Hastings Center Report 45 (1):21-29.
    SUPPORT, a study involving approximately 1,300 premature infants who were randomly assigned to treatment protocols that differed in whether they offered higher or lower levels of oxygen saturation, was purportedly an example of comparative effectiveness research performed in the intensive care unit. However, SUPPORT became highly controversial. One source of controversy involved the proper determination of “reasonably foreseeable risks.” Commentators debated whether randomization to contrasting restrictive strategies that are within existing standard‐of‐care treatments imposed additional “reasonably foreseeable risks” greater than what (...)
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  9.  34
    Expression of therapeutic misconception amongst Egyptians: a qualitative pilot study.Mayyada Wazaify, Susan S. Khalil & Henry J. Silverman - 2009 - BMC Medical Ethics 10 (1):7-.
    BackgroundStudies have shown that research participants fail to appreciate the difference between research and medical care, labeling such phenomenon as a "therapeutic misconception" (TM). Since research activity involving human participants is increasing in the Middle East, qualitative research investigating aspects of TM is warranted. Our objective was to assess for the existence of therapeutic misconception amongst Egyptians.MethodsStudy Tool: We developed a semi-structured interview guide to elicit the knowledge, attitudes, and perspectives of Egyptians regarding medical research.Setting: We recruited individuals from the (...)
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  10.  36
    Revitalizing a hospital ethics committee.Henry J. Silverman - 1994 - HEC Forum 6 (4):189-222.
  11.  64
    Capacity mapping of national ethics committees in the Eastern Mediterranean Region.Alaa Abou-Zeid, Mohammad Afzal & Henry J. Silverman - 2009 - BMC Medical Ethics 10 (1):8.
    Ethics issues in the areas of science, technology and medicine have emerged during the last few decades. Many countries have responded by establishing ethics committees at the national level. Identification of National Ethics Committees (NECs) in the Eastern Mediterranean (EM) region and the extent of their functions and capacity would be helpful in developing capacity building programs that address the needs of these committees. Accordingly, we conducted a survey to determine the characteristics of existing NECs in the EM region.
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  12.  10
    Nurses’ Perspectives on Implementation of the Patient Self-Determination Act.Henry J. Silverman, Sara T. Fry & Niti Armistead - 1994 - Journal of Clinical Ethics 5 (1):30-37.
  13.  16
    Applicability of a Function-Based Approach to Informed Consent in International Settings.Henry J. Silverman & Shahd Osman - 2017 - American Journal of Bioethics 17 (12):25-27.
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  14.  6
    What Counts as Equipoise?Henry J. Silverman & Didier Dreyfuss - 2015 - Hastings Center Report 45 (3):3-4.
    A commentary on “SUPPORT: Risks, Harms, and Equipoise,” by Robert M. Nelson; “The Controversy over SUPPORT Continues and the Hyperbole Increases,” by Alan R. Fleischman; and “SUPPORT and the Ethics of Study Implementation,” by John D. Lantos and Chris Feudtner, all in the January‐February 2015 issue.
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  15.  75
    Organizational ethics in healthcare organizations: Proactively managing the ethical climate to ensure organizational integrity. [REVIEW]Henry J. Silverman - 2000 - HEC Forum 12 (3):202-215.
  16.  50
    Attitudes, understanding, and concerns regarding medical research amongst Egyptians: A qualitative pilot study. [REVIEW]Susan S. Khalil, Henry J. Silverman, May Raafat, Samer El-Kamary & Maged El-Setouhy - 2007 - BMC Medical Ethics 8 (1):9.
    Medical research must involve the participation of human subjects. Knowledge of patients' perspectives and concerns with their involvement in research would enhance recruitment efforts, improve the informed consent process, and enhance the overall trust between patients and investigators. Several studies have examined the views of patients from Western countries. There is limited empirical research involving the perspectives of individuals from developing countries. The purpose of this study is to examine the attitudes of Egyptian individuals toward medical research. Such information would (...)
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