“Sacred Pause” in the ICU: Evaluation of a Ritual and Intervention to Lower Distress and Burnout

Kapoor, Sumit; Morgan, Christopher K.; Siddique, Muhammad Asim; Guntupalli, Kalpalatha K.

doi:10.1177/1049909118768247

Cited by 36 publications

(30 citation statements)

References 42 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In our study we did not name the moments of rituals as 'pauses'. However, like Kapoor et al (2018), we found that when nurses were performing rituals, these moments were also significant in themselves.…”

Section: Discussionmentioning

confidence: 51%

“…The Pause permits nurses to feel present and composed, provides a moment for reflection, and is a method to honour a deceased patient. Kapoor et al (2018) performed a quantitative study demonstrating that the majority of ICU physicians and nurses participating in the study who practised a 'sacred pause' believed that the ritual brought closure and helped them overcome the feelings of disappointment, grief, distress and failure after the death of their patient in ICU. They also found that a majority agreed that the ritual had implanted a sense of team cohesion.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Qualitative analysis of European and Middle East intensive care unit nursing death rituals

Benbenishty

Bennun

Lind

2019

Nursing in Critical Care

View full text Add to dashboard Cite

Background-Grieving and death rituals vary widely across cultures and often are influenced geographical regions, religions, local norms. Nursing rituals reflect forms of cultural behavior that assist in communicating traditional knowledge and practices. They help nurses maintain social order through cohesion and interaction. Aim: Exploration of European and Middle Eastern intensive care nursing ceremonies and rituals surrounding care provided to patients after death has occurred.The key question researchers asked was "can you describe your practice of caring for a patient who has died". Method: Prospective qualitative thematic analysis investigating nursing practice and rituals when caring for patients who have died in intensive care. The interviews were conducted face-to-face with nurses consenting to be interviewed for research purposes. During the interviews, researchers noted sentences and topics, which they later classified into categories and sub-categories. The interview settings were international and national conferences, workshops, meetings and seminars over a twoyear period. Thematic analysis was performed. This analysis allowed the researchers to understand and make sense of collective meanings and experiences of participants. Findings: 23 interviews with critical care nurses from 16 countries in Europe and Middle East were conducted. Through reflective and meaningful analytical interpretation, two main themes (with subthemes) emerged: Sacredness and Dignity. More similarities than differences among the nurses' experiences were found. Rituals included, opening a window, lighting a candle, blessing the deceased, and bereaving with the family. Conclusions: Post-death ritual reflect local guidelines regulating the handling of the deceased body, culturally approved expressions of mourning, and acts to perform at specific times following death. Nursing rituals expressed here demonstrated the dignity, which nurses show towards the deceased and relationships between deceased and bereaved. Relevance to clinical practice: The investigators perceived nursing culture, beliefs, ceremonies and rituals surrounding caring for patients who have died to be creative, spiritual, meaningful and relevant for nurses

show abstract

Section: Discussionmentioning

confidence: 51%

Section: Discussionmentioning

confidence: 99%

Qualitative analysis of European and Middle East intensive care unit nursing death rituals

Benbenishty

Bennun

Lind

2019

Nursing in Critical Care

View full text Add to dashboard Cite

show abstract

“…Por otra parte, narran que con el tiempo van generando estrategias individuales y grupales para superar la pérdida de los pacientes, como es el aceptar el apoyo dado por pares y sus propios familiares 12,14 . En cuanto a los pares, este apoyo se materializa en la posibilidad de compartir las vivencias de pérdida a través de conversaciones informales entre un grupo pequeño de funcionarios y/o la posibilidad de expresar libremente sus emociones en un ambiente protegido 15,17,18 . En el caso de su familia, Gálvez et al señala que es dentro de ésta donde los profesionales se sienten mayormente contenidos, al encontrar comprensión y apoyo emocional 14 .…”

Section: Discussionunclassified

“…Los profesionales de unidades de UCI pediátricos requieren que las muertes de sus pacientes sean reconocidas como pérdidas profesionales, para lo que se considera fundamental recibir el apoyo de sus compañeros, familiares y de la propia institución donde trabajan. A pesar que existen obstáculos que no les permiten despedirse y dar un cierre a la relación con los pacientes 15,16 , ellos consideran que se podrían desarrollar ritos que favorezcan la elaboración de procesos de cierre a través de una pausa corta de tiempo dentro de su rutina laboral, considerándolas como "pausas sagradas" 17 . A eso se suma, el crear instancias para poder conversar de su pesar y de las propias vivencias 13 , pudiendo mejorar las instancias de comunicación dentro de equipo, y favorecer la cohesión entre compañeros, elemento clave en este tipo de procesos 24 .…”

Section: Conclusiónunclassified

See 1 more Smart Citation

Percepción de apoyo en duelo por profesionales y técnicos de cuidados intensivos pediátricos de hospitales públicos

et al. 2019

View full text Add to dashboard Cite

Introducción: La muerte en la infancia es una realidad a la que se ven enfrentados los profesionales de salud, especialmente en unidades de alta complejidad como son los cuidados intensivos. Esto genera en los profesionales impotencia y frustración, comprometiendo su salud física, emocional y mental, agravada por la sensación de bajo soporte social y deficiente preparación para el afrontamiento de la muerte y el apoyo a los familiares de sus pacientes.Objetivo: Develar la percepción de apoyo en duelo de profesionales y técnicos en unidades de cuidado intensivo pediátrico de hospitales públicos, tras la muerte de los pacientes. Sujetos y Método: Estudio cualitativo con enfoque fenomenológico. Se realizaron 16 entrevistas en profundidad a profesionales y técnicos de cuidados intensivos pediátricos de cinco hospitales públicos de Santiago. Como criterios de inclusión se consideraron el trabajar por más de un año en la unidad, haber vivenciado la muerte de pacientes, y reconocer que ha cursado un duelo profesional. La entrevista fue guiada por la siguiente pregunta: ¿Cómo ha vivenciado usted el apoyo en duelo recibido, tras la muerte de pacientes en su unidad? Una vez trascritas las narrativas se realizó el análisis fenomenológico y posterior triangulación de los datos, logrando la saturación.Resultados: Se develo que los participantes se sienten poco apoyados en sus duelos tras la muerte de los pacientes, existiendo obstáculos para su afrontamiento. Aunque enfrentar la muerte es algo complejo para ellos, reconocen que son capaces de generar estrategias de protección y además se sienten apoyados por personas de su entorno. A pesar de lo compleja de esta experiencia, ellos consideran que existen aprendizajes al enfrentar la muerte que los lleva a dar sentido a su labor profesional.Conclusión: Los profesionales requieren que las pérdidas en el ámbito laboral sean reconocidas, y por ello, contar con un apoyo formal y continuo de su equipo de trabajo e institución

show abstract

A transition programme to enhance ICU new graduate nurses' professional identity and intention to remain employed: A pre‐ and postevaluation

Ding

Zhang

et al. 2022

Nursing Open

View full text Add to dashboard Cite

Aims To investigate the effect of a transition programme including cognitive‐behaviour‐based preceptorship intervention on ICU new graduate nurses' (NGNs)' professional identity and their intention to remain employed. Design One‐arm pre‐ and post‐test design followed the TREND Statement. Methods NGNs' professional identity and intention to remain employed were measured at baseline (T1), postintervention (1 month, T2) and 6‐month follow‐up (T3). Results Fifty‐three NGNs completed the programme, and their professional identity score significantly increased postintervention [from 111.5 (SD = 16.72) at T1 to 114.2 (SD = 9.12) at T2, p < 0.05], but decreased at T3 [105.8 (SD = 9.44) compared with T1 and T2, p < 0.05]. There was no significant difference in ICU NGNs' intention of remain employed outcomes at three time points ( p > 0.05). The transition programme was effective to improve ICU NGNs' professional identity immediately after the intervention, but the increment did not maintain at the 6‐month follow‐up.

show abstract

“Sacred Pause” in the ICU: Evaluation of a Ritual and Intervention to Lower Distress and Burnout

Abstract: Sacred pause brings closure, prevents cumulative grief and distress, builds resilience, promotes team effort, and improves professional satisfaction of ICU team. It may lower burnout syndrome in ICU, but further studies are warranted.

Cited by 36 publications

References 42 publications

Qualitative analysis of European and Middle East intensive care unit nursing death rituals

Qualitative analysis of European and Middle East intensive care unit nursing death rituals

Percepción de apoyo en duelo por profesionales y técnicos de cuidados intensivos pediátricos de hospitales públicos

A transition programme to enhance ICU new graduate nurses' professional identity and intention to remain employed: A pre‐ and postevaluation

Contact Info

Product

Resources

About