Honoring the moment of death: Lived experiences, practices, and rituals of internal medicine residents

Abstract

Given the limited information on physicians’ practices at the time of pronouncing a patient’s death, this study aimed to learn about the prevalence and purpose of internal medicine residents’ practices, the obstacles to performing them and how they can be overcome. Responses to a questionnaire were analyzed using logistic regression, to compare respondents who did and did not have a ritual. Twenty-one interview transcripts were thematically analyzed. A total of 151 physicians responded to the questionnaire; 35 (22.3%) reported performing a private ritual at the time of patient death. Religious participants were 2.97 times more likely {CI: 1.18–7.41} to perform a ritual following a patient’s death. Three main themes were found, indicating residents’ need to pause and perform a practice to honor the patient, express their humanity, and cope with the overflow of emotions. Senior staff should support opportunities for residents to honor the moment of death.