TY - JOUR
T1 - “Sacred Pause” in the ICU
T2 - Evaluation of a Ritual and Intervention to Lower Distress and Burnout
AU - Kapoor, Sumit
AU - Morgan, Christopher K.
AU - Siddique, Muhammad Asim
AU - Guntupalli, Kalpalatha K.
N1 - Publisher Copyright:
© The Author(s) 2018.
PY - 2018/10/1
Y1 - 2018/10/1
N2 - Background: Increased exposure to deaths in the intensive care unit (ICU) generate grief among ICU staff, which remains unresolved most of the time. Unresolved grief becomes cumulative and presents a risk factor for burnout. “sacred pause” is a ritual performed at patient’s death to honor the lost life and recognize the efforts of the health-care team. Objective: To study the impact of the ritual of sacred pause on the attitudes and behaviors of the ICU physicians and nurses. Methods: Ten-question online anonymous survey was sent to ICU physicians and nurses in the medical ICU of a tertiary care hospital in July 2017. Results: Thirty-four ICU team members completed the survey including 12 physicians and 22 nurses. Seventy sacred pause rituals were performed from July 2016 to June 2017. Seventy-nine percent respondents 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. Seventy-three percent agreed that the ritual has instilled and encouraged a sense of team effort. Eighty-two percent responded that the ritual makes their efforts feel appreciated. Many felt that the ritual should be a universal phenomenon in all ICUs. Only 55% respondents felt that the practice has a potential to decrease ICU burnout, many of them (42%) were undecided. Conclusion: 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.
AB - Background: Increased exposure to deaths in the intensive care unit (ICU) generate grief among ICU staff, which remains unresolved most of the time. Unresolved grief becomes cumulative and presents a risk factor for burnout. “sacred pause” is a ritual performed at patient’s death to honor the lost life and recognize the efforts of the health-care team. Objective: To study the impact of the ritual of sacred pause on the attitudes and behaviors of the ICU physicians and nurses. Methods: Ten-question online anonymous survey was sent to ICU physicians and nurses in the medical ICU of a tertiary care hospital in July 2017. Results: Thirty-four ICU team members completed the survey including 12 physicians and 22 nurses. Seventy sacred pause rituals were performed from July 2016 to June 2017. Seventy-nine percent respondents 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. Seventy-three percent agreed that the ritual has instilled and encouraged a sense of team effort. Eighty-two percent responded that the ritual makes their efforts feel appreciated. Many felt that the ritual should be a universal phenomenon in all ICUs. Only 55% respondents felt that the practice has a potential to decrease ICU burnout, many of them (42%) were undecided. Conclusion: 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.
KW - ICU
KW - burnout
KW - distress
KW - grief
KW - sacred pause
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U2 - 10.1177/1049909118768247
DO - 10.1177/1049909118768247
M3 - Article
C2 - 29618221
AN - SCOPUS:85045045809
SN - 1049-9091
VL - 35
SP - 1337
EP - 1341
JO - American Journal of Hospice and Palliative Medicine
JF - American Journal of Hospice and Palliative Medicine
IS - 10
ER -