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Faculty Image Helena Hoas
Office: Corbin 343
Phone: (406) 243-5775


Current Position:


Research Professor

Research Interests:

My research interests include healthcare ethics in the rural environment. Twelve years of research pursuing those interests include empirical studies that span a wide variety of topics.  These include ethical decisionmaking among rural healthcare providers and patients, patient safety, environmental ethics and decisionmaking, and research ethics.

International Experience:

I was born, raised, and educated in Sweden, but moved to the US in the early 1970s.  I continue my contacts in Sweden and visit frequently.  In 2008 I received an Erasmus Mundus visiting scholarship to the MPH program at the University of Linköping, Sweden. Almost all of the students admitted to this program were from countries all over the world. Many came from third world countries in Africa and South America.

Selected Publications:

Selected Publications

Cook, A., Hoas, H., Guttmannova, K. & Joyner, J. (2004). An error by any other name.  American Journal of Nursing 104(6):32-44.

Cook, A. & Hoas, H. (2004).  You have to see errors to fix them.  Modern Healthcare. December 6, p22

Cook, A, Hoas, H. & Kennedy, J.  (2005). R.Ph.s’. take on patient safety: They’re caught in the middle. Drug Topics, a publication of Advanstar Medical Economics (July 25):6-8.

Cook, A., & Hoas, H.  (2006). Re-framing the question: A commentary on rural bioethics.  American Journal of Bioethics, 6(2):51-53.

Cook, A., & Hoas, H. (2007). Hide and seek: The elusive rural psychiatrist. Academic Psychiatry, 31(6) 419-422.

Cook, A., & Hoas, H.  (2008). Ethics and rural healthcare: What really happens, what might help?   American Journal of Bioethics 8(4):52-56.

Cook, A., & Hoas, H.  (2008). Revisiting ethics and rural healthcare: What really happens, what might help?   American Journal of Bioethics. In Focus, June. Available at:

Cook, A., & Hoas, H. (2008). The landscape of asbestos: Libby and Beyond. International Journal of Risk Research. 12(1);105-113.


Cook, A., Hoas, H., Guttmannova, K. (2005). From here to there: Lessons from an integrative patient safety project in rural healthcare settings.  In (Kerm Henriksen, James B. Battles, Eric Marks, and David I. Lewin, Eds.).  Advances in Patient Safety:  From Research to Implementation, 1: 381-90.  Agency for Healthcare Research and Quality.

Cook, A. & Hoas, H. (2006).  From good intentions to good actions: A patient safety manual for rural healthcare settings.  Available at:

Cook, A. & Hoas, H. (2006). Ethics: A bridge for Communities and Scientists – A curriculum for community education and outreach. Available at:

Cook, A. & Hoas, H. (2008). Healthcare in rural communities: Ethics, errors and where we go from here. In: Craig M. Klugman and Pamela M. Dalinis, (eds). Ethical Issues in Rural Health Care. Baltimore: The Johns Hopkins University Press.

Cook, A & Hoas H. (2009). Ethics conflicts in rural communities; Recognizing and disclosing medical errors. In William Nelson (ed) Handbook for Rural Healthcare Ethics. Hanover, NH:Trustrees of Dartmouth College.  Available at:

Other Publications:

Other Publications

Cook, A., & Hoas, H. (June 1999). Are healthcare ethics committees necessary in rural hospitals?  Healthcare Ethics Committee Forum, 11, 2, 134-39.

Cook, A, Hoas, H. and Guttmannova, K. (2000).  A description of bioethics activities in rural hospitals Cambridge Quarterly of Healthcare Ethics 9, 2:230-238.

Cook, A., Hoas, H., and Joyner, J. (2000).  Ethics and the rural nurse: A study of problems, values and needs. Journal of Nursing Law 7,1: 41-53.

Cook, A. & Hoas, H. (2000). Where the rubber hits the road. Healthcare Ethics Committee Forum, 12 (4):331-340

Cook, A, Hoas, H., & Joyner, J. (2001). No secrets on Main Street.American Journal of Nursing, 101(8): 67-71.

Cook, A., & Hoas, H. (2001). Voices from the margins: A context for developing bioethics-related resources in rural areas. American Journal of Bioethics 1 (3) 1-20.

Cook, A., Hoas, H. & Guttmannova, K. (2002). Ethical Issues Faced by Rural Physicians.  South Dakota Journal of Medicine, 55(6):221-24.

Cook, A & Hoas, H. (2002).  Irreconcilable differences: Seeking boundaries for privacy and technology. American Journal of Bioethics 2 (2).

Cook, A. (2002).  Is our healthcare good enough?  Rural Nurse Connection, Summer. P:1-2.

Cook, A. Hoas, H. & Grayson, C. (2003).  Asking for organs: Different needs and different values. Journal of Clinical Ethics 14 (1/2): 37- 48.

Cook, A., Hoas, H. & Guttmannova, K. (2003). Not by technology alone: Optimizing a process for patient safety.  Biomedical Instrumentation and Technology, 37(2):128-13-130.