Hospital Workers Find Solace In Pausing After A Death
For trauma workers like Jonathan Bartels, a nurse who has worked in emergency care and palliative care, witnessing death over and over again takes a toll. Over time, they can become numb or burned out.
But about two years ago, after Bartels and his team at the University of Virginia Medical Center in Charlottesville tried and failed to resuscitate a patient, something happened.

鈥淲e had worked on this patient for hours and the chaplain came in and kind of stopped everyone from leaving the room, and I’m like, ‘Wow, that’s really bold,’ 鈥 he said. 鈥淪he said, 鈥業鈥檓 just going to pray over this patient and then you all can leave.鈥 And I watched it and I felt 颅鈥 it was the act of stopping people — really inspired me.鈥
While the prayer wasn鈥檛 totally comfortable to him because Bartels, like many at the hospital, is from a different religious tradition, the pause felt right.
鈥淪o the next time we worked on another person who didn鈥檛 make it, I decided to be bold and stop people from leaving,鈥 he said. 鈥淚 just said, 鈥楥an we stop just for a moment and聽recognize this person in the bed? You know this person before they came in here were alive, they were interacting with family, they were loved by others, they had a life.鈥 鈥
The team did it 鈥 they stopped, just for a minute.
鈥淲hen it was done, I said, 鈥楾hank you all and thank you all for the efforts that we did to try and save them.鈥 People walked out of the room and they thanked me and they thought it was really awesome,鈥 he said.
The idea began to spread throughout the hospital, particularly to emergency department workers. The Pause, as it has become known, also is being taught as part of the curriculum at UVA nursing school. Emergency medical technician Jack Berner says it helps him handle the toughest cases.

鈥淚t makes it so we can actually view the person as a person rather than as a patient that we see on an everyday basis,鈥 he said. 鈥淵ou can relate more to the case [knowing] it鈥檚 somebody鈥檚 father or their mother, their sister or their uncle, rather than somebody you just see for five minutes.鈥
Bartels hopes The Pause will help medical workers like Berner accept the loss without disconnecting emotionally.
鈥淪o you are able to feel and you are also able to sense and give back,鈥 he said, even if it鈥檚 not a relative, a worker can have a sense of being a part of a loss. 鈥淚 can also acknowledge the pain that I bore witness to in caring for that family and caring for that patient,鈥 he explained.
The concept is spreading beyond UVA. After the dean of UVA鈥檚 school of nursing talked about the practice in a speech at a national conference, a nurse from Providence Sacred Heart Medical Center brought it across the country to Spokane, Wash.
This story is part of a reporting partnership with NPR, local member stations and Kaiser Health News.