Who am I? Narratives as a window to transformative moments in critical care

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 experi...

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Autores principales:	Briseida Mema, Andrew Helmers, Cory Anderson, Kyung–Seo (Kay) Min, Laura E. Navne
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/1175cdc92c9d4838bc0ec9e79be0cbfe
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spelling	oai:doaj.org-article:1175cdc92c9d4838bc0ec9e79be0cbfe2021-11-25T05:54:25ZWho am I? Narratives as a window to transformative moments in critical care1932-6203https://doaj.org/article/1175cdc92c9d4838bc0ec9e79be0cbfe2021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592467/?tool=EBIhttps://doaj.org/toc/1932-6203Critical 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.Briseida MemaAndrew HelmersCory AndersonKyung–Seo (Kay) MinLaura E. NavnePublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Briseida Mema Andrew Helmers Cory Anderson Kyung–Seo (Kay) Min Laura E. Navne Who am I? Narratives as a window to transformative moments in critical care
description	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.
format	article
author	Briseida Mema Andrew Helmers Cory Anderson Kyung–Seo (Kay) Min Laura E. Navne
author_facet	Briseida Mema Andrew Helmers Cory Anderson Kyung–Seo (Kay) Min Laura E. Navne
author_sort	Briseida Mema
title	Who am I? Narratives as a window to transformative moments in critical care
title_short	Who am I? Narratives as a window to transformative moments in critical care
title_full	Who am I? Narratives as a window to transformative moments in critical care
title_fullStr	Who am I? Narratives as a window to transformative moments in critical care
title_full_unstemmed	Who am I? Narratives as a window to transformative moments in critical care
title_sort	who am i? narratives as a window to transformative moments in critical care
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/1175cdc92c9d4838bc0ec9e79be0cbfe
work_keys_str_mv	AT briseidamema whoaminarrativesasawindowtotransformativemomentsincriticalcare AT andrewhelmers whoaminarrativesasawindowtotransformativemomentsincriticalcare AT coryanderson whoaminarrativesasawindowtotransformativemomentsincriticalcare AT kyungseokaymin whoaminarrativesasawindowtotransformativemomentsincriticalcare AT lauraenavne whoaminarrativesasawindowtotransformativemomentsincriticalcare
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Who am I? Narratives as a window to transformative moments in critical care

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