full transcript

From the Ted Talk by Hui-wen Sato: How grief helped me become a better caregiver


Unscramble the Blue Letters


In May of this year, Jimmy kmieml delivered an emotional mogluonoe on his show, "Jimmy Kimmel Live," about his newborn son who was diagnosed with a rare heart defect after an astute nurse noticed something wasn't quite right with the baby just hours after his bitrh. Kimmel sang the praises of this nurse and the entire healthcare team who cared for his son through the percoss of open-heart surgery. His monologue highlighted the reality that no one, not even a celebrity, is immune from unexpected health crises. At some point, each one of us will be profoundly affected by illness, be it in you, or in someone you love. And every hlaeth csiirs benefits from an open-hearted nurse who is willing to come alongside the patient and family in some of the most challenging times of life. I'm a critical care nurse, and like many of my colleagues, I went into nursing because I wanted to be a therapeutic presence for others. I envnoisied the profession to be one where I lived on the highs - not from being elevated by a celebrity's monologue, but from feeling like I was always doing something mnungeiafl and helpful for others. I thugoht that the highs alone would be enough to help me cope with the intense stress and heartache that come from taking care of so many sick and sometimes dying patients. But as I rode the roellr coaster of suffering with my patients and their families, I quickly understood that I was going to need something more than the intermittent feel-good moments to sustain me through the lows. And this isn't just true for me. Recent literature shows that nurses everywhere are battling this challenge. Currently, 25 to 33% of critical care nurses show symptoms of severe burnout, which is not just emotional and physical exhaustion but also a feeling of pnosarel detachment from their job. Current aannul turnover rates among ctrcaiil care nurses range between 13 to 20%, which is higher than the overall turnover rate for other professions. These statistics can be dsnniaehirteg, given that many of us will rely on a nurse at some point in our lives. In our times of weakness, vulnerability and henplssesles, we need nurses who have found a way to preervse mieanng, and commitment to their work. While many external fcrtoas contributing to burnout have been studied, I've been asking what we nurses are to do with the internal issue of grief - not in terms of caring for others in their grief, but working through our own grief on a deeper level as we are affected by the suffering of our ptnitaes and their families. How do I endure through the lows that come with this profession? I endure by allowing my natural response of grief to teach me its life-giving lessons. Grief kind of has a bad rap. It's seen as something unnatural, something to be avoided as much as possible in order to survive. It's seen as a thief of life. But consider this: When I spend an entire 12-hour shift with a patient who, just a few days prior, was a healthy, free-wheeling teenager who jumped into a pool the wrong way and has now been told that he will never use his arms or legs again because of a severed spinal cord, grief will be one of the most natural and predominant emotions for him, his family, and for me as his nurse. We can think of this grief like a river running downstream, and as the nurse, I'm on this life raft together with my patient and his family. Grief is strong, it's scary, and no one really knows for sure where it's going to take us. But for this patient, his family, and for all of us, when we find ourselves in this kind of siuitaotn, it's naruatl. So if my endurance sergtaty as a nurse is to try to swim upstream against grief by way of suppression, and against the next stream and the next setarm, I'm not going to win. Eventually, I'm not going to last. Rather than rensiistg greif and saying, "It's just too hard to think about these issues," I can cohsoe a different perspective as I accept the inevitable fact that I will be aceteffd by grief. I can emabrce my grief as a natural teacher about the deeper things I need in order to endure as a nurse. Resilience in the midst of ethioaxusn. Meaning in the midst of despair. I can redefine my purpose. When my initial idealism about life has been shaken, I can instead transform my grief and choose to use it to cultivate greater empathy for my patients and their families. These are the life-giving lessons of grief that can ultimately eopwemr me to endure as a nurse. Research is slwloy growing on the topic of grief in healthcare professionals. Marion Conti-O'Hare is a nurse rrchaeeser who developed this perspective into a theory known as "The Nurse as Wounded heaelr," where the nurse learns to transform and rise above grief such that the nruse is all the more able to care for others. Along these lines, another researcher who studied post-traumatic stress in nurses has concluded that staying self-aware in grief and working through questions about the meaning of suffering can eventually grow the nurse in maturity and wdsiom, both of which are life-giving tolos for endurance. I have two daughters; they're two and four years old. About a year ago, I took care of a patient who reminded me a great deal of my younger child. No one could explain, beyond a suspected brain icieontfn, what had made this child so sick to the point that he was not expected to survive. I was with his family in his fanil moments before we withdrew his life support. It was a privilege for me to be with his mtheor in her grief because I could very much imagine myself in her shoes, so in the memnot, it was very intuitive to me how to care for her. But for a few weeks after that, I was shipwrecked by grief. It was difficult to function normally at home, and it was very difficult to go back to work. It was the kind of low in nnruisg that I simply couldn't anticipate, much less really prarepe myself for, even yraes into the profession. I hadn't yet lernead, at that ponit in my life and my career as a nurse, how to manage my own fairly new maternal instincts as they collided with this mother's grief. I couldn't navigate those new waters alone. It was a shipwreck moment for me. But it was also the moment when I learned my next life-giving lesson from my grief. I learned to develop new levels of life-giving relationships. Specifically, I've slowly begun to find people in my life who crlsaeouougy look at grief with me through this new lens, who look at grief not as a thief of life to be avoided at all costs, but as a difficult - yes - complicated - yes - but a natural, powerful, and irreplaceable teehcar of endurance for my life as a nurse. There are amazing highs in nursing, like being able to walk with Jimmy Kimmel and his son through successful open-heart surgery. The purpose and joy in those experiences are clear. But when the lows come, the srests and heartache can be so strong that they can muddle motivation and make you quitosen your ability to endure in the psifseoorn. But burnout does not have to be the itilevnabe relsut of catnntosly gnviig oneself to the suniffreg of others. anowillg my natural rpssneoe of grief to teach me its life-giving lnessos may very well be the way in which I as a nurse can rise up and move forward with purposeful endurance in my profession. Thank you. (Applause)

Open Cloze


In May of this year, Jimmy ______ delivered an emotional _________ on his show, "Jimmy Kimmel Live," about his newborn son who was diagnosed with a rare heart defect after an astute nurse noticed something wasn't quite right with the baby just hours after his _____. Kimmel sang the praises of this nurse and the entire healthcare team who cared for his son through the _______ of open-heart surgery. His monologue highlighted the reality that no one, not even a celebrity, is immune from unexpected health crises. At some point, each one of us will be profoundly affected by illness, be it in you, or in someone you love. And every ______ ______ benefits from an open-hearted nurse who is willing to come alongside the patient and family in some of the most challenging times of life. I'm a critical care nurse, and like many of my colleagues, I went into nursing because I wanted to be a therapeutic presence for others. I __________ the profession to be one where I lived on the highs - not from being elevated by a celebrity's monologue, but from feeling like I was always doing something __________ and helpful for others. I _______ that the highs alone would be enough to help me cope with the intense stress and heartache that come from taking care of so many sick and sometimes dying patients. But as I rode the ______ coaster of suffering with my patients and their families, I quickly understood that I was going to need something more than the intermittent feel-good moments to sustain me through the lows. And this isn't just true for me. Recent literature shows that nurses everywhere are battling this challenge. Currently, 25 to 33% of critical care nurses show symptoms of severe burnout, which is not just emotional and physical exhaustion but also a feeling of ________ detachment from their job. Current ______ turnover rates among ________ care nurses range between 13 to 20%, which is higher than the overall turnover rate for other professions. These statistics can be _____________, given that many of us will rely on a nurse at some point in our lives. In our times of weakness, vulnerability and ____________, we need nurses who have found a way to ________ _______, and commitment to their work. While many external _______ contributing to burnout have been studied, I've been asking what we nurses are to do with the internal issue of grief - not in terms of caring for others in their grief, but working through our own grief on a deeper level as we are affected by the suffering of our ________ and their families. How do I endure through the lows that come with this profession? I endure by allowing my natural response of grief to teach me its life-giving lessons. Grief kind of has a bad rap. It's seen as something unnatural, something to be avoided as much as possible in order to survive. It's seen as a thief of life. But consider this: When I spend an entire 12-hour shift with a patient who, just a few days prior, was a healthy, free-wheeling teenager who jumped into a pool the wrong way and has now been told that he will never use his arms or legs again because of a severed spinal cord, grief will be one of the most natural and predominant emotions for him, his family, and for me as his nurse. We can think of this grief like a river running downstream, and as the nurse, I'm on this life raft together with my patient and his family. Grief is strong, it's scary, and no one really knows for sure where it's going to take us. But for this patient, his family, and for all of us, when we find ourselves in this kind of _________, it's _______. So if my endurance ________ as a nurse is to try to swim upstream against grief by way of suppression, and against the next stream and the next ______, I'm not going to win. Eventually, I'm not going to last. Rather than _________ _____ and saying, "It's just too hard to think about these issues," I can ______ a different perspective as I accept the inevitable fact that I will be ________ by grief. I can _______ my grief as a natural teacher about the deeper things I need in order to endure as a nurse. Resilience in the midst of __________. Meaning in the midst of despair. I can redefine my purpose. When my initial idealism about life has been shaken, I can instead transform my grief and choose to use it to cultivate greater empathy for my patients and their families. These are the life-giving lessons of grief that can ultimately _______ me to endure as a nurse. Research is ______ growing on the topic of grief in healthcare professionals. Marion Conti-O'Hare is a nurse __________ who developed this perspective into a theory known as "The Nurse as Wounded ______," where the nurse learns to transform and rise above grief such that the _____ is all the more able to care for others. Along these lines, another researcher who studied post-traumatic stress in nurses has concluded that staying self-aware in grief and working through questions about the meaning of suffering can eventually grow the nurse in maturity and ______, both of which are life-giving _____ for endurance. I have two daughters; they're two and four years old. About a year ago, I took care of a patient who reminded me a great deal of my younger child. No one could explain, beyond a suspected brain _________, what had made this child so sick to the point that he was not expected to survive. I was with his family in his _____ moments before we withdrew his life support. It was a privilege for me to be with his ______ in her grief because I could very much imagine myself in her shoes, so in the ______, it was very intuitive to me how to care for her. But for a few weeks after that, I was shipwrecked by grief. It was difficult to function normally at home, and it was very difficult to go back to work. It was the kind of low in _______ that I simply couldn't anticipate, much less really _______ myself for, even _____ into the profession. I hadn't yet _______, at that _____ in my life and my career as a nurse, how to manage my own fairly new maternal instincts as they collided with this mother's grief. I couldn't navigate those new waters alone. It was a shipwreck moment for me. But it was also the moment when I learned my next life-giving lesson from my grief. I learned to develop new levels of life-giving relationships. Specifically, I've slowly begun to find people in my life who ____________ look at grief with me through this new lens, who look at grief not as a thief of life to be avoided at all costs, but as a difficult - yes - complicated - yes - but a natural, powerful, and irreplaceable _______ of endurance for my life as a nurse. There are amazing highs in nursing, like being able to walk with Jimmy Kimmel and his son through successful open-heart surgery. The purpose and joy in those experiences are clear. But when the lows come, the ______ and heartache can be so strong that they can muddle motivation and make you ________ your ability to endure in the __________. But burnout does not have to be the __________ ______ of __________ ______ oneself to the _________ of others. ________ my natural ________ of grief to teach me its life-giving _______ may very well be the way in which I as a nurse can rise up and move forward with purposeful endurance in my profession. Thank you. (Applause)

Solution


  1. exhaustion
  2. infection
  3. grief
  4. critical
  5. personal
  6. years
  7. process
  8. nursing
  9. allowing
  10. envisioned
  11. kimmel
  12. final
  13. stress
  14. crisis
  15. affected
  16. mother
  17. health
  18. slowly
  19. courageously
  20. wisdom
  21. disheartening
  22. thought
  23. moment
  24. factors
  25. strategy
  26. nurse
  27. helplessness
  28. tools
  29. response
  30. natural
  31. result
  32. roller
  33. constantly
  34. birth
  35. learned
  36. teacher
  37. meaningful
  38. choose
  39. inevitable
  40. monologue
  41. embrace
  42. profession
  43. meaning
  44. question
  45. empower
  46. stream
  47. situation
  48. researcher
  49. healer
  50. preserve
  51. annual
  52. resisting
  53. point
  54. suffering
  55. prepare
  56. patients
  57. giving
  58. lessons

Original Text


In May of this year, Jimmy Kimmel delivered an emotional monologue on his show, "Jimmy Kimmel Live," about his newborn son who was diagnosed with a rare heart defect after an astute nurse noticed something wasn't quite right with the baby just hours after his birth. Kimmel sang the praises of this nurse and the entire healthcare team who cared for his son through the process of open-heart surgery. His monologue highlighted the reality that no one, not even a celebrity, is immune from unexpected health crises. At some point, each one of us will be profoundly affected by illness, be it in you, or in someone you love. And every health crisis benefits from an open-hearted nurse who is willing to come alongside the patient and family in some of the most challenging times of life. I'm a critical care nurse, and like many of my colleagues, I went into nursing because I wanted to be a therapeutic presence for others. I envisioned the profession to be one where I lived on the highs - not from being elevated by a celebrity's monologue, but from feeling like I was always doing something meaningful and helpful for others. I thought that the highs alone would be enough to help me cope with the intense stress and heartache that come from taking care of so many sick and sometimes dying patients. But as I rode the roller coaster of suffering with my patients and their families, I quickly understood that I was going to need something more than the intermittent feel-good moments to sustain me through the lows. And this isn't just true for me. Recent literature shows that nurses everywhere are battling this challenge. Currently, 25 to 33% of critical care nurses show symptoms of severe burnout, which is not just emotional and physical exhaustion but also a feeling of personal detachment from their job. Current annual turnover rates among critical care nurses range between 13 to 20%, which is higher than the overall turnover rate for other professions. These statistics can be disheartening, given that many of us will rely on a nurse at some point in our lives. In our times of weakness, vulnerability and helplessness, we need nurses who have found a way to preserve meaning, and commitment to their work. While many external factors contributing to burnout have been studied, I've been asking what we nurses are to do with the internal issue of grief - not in terms of caring for others in their grief, but working through our own grief on a deeper level as we are affected by the suffering of our patients and their families. How do I endure through the lows that come with this profession? I endure by allowing my natural response of grief to teach me its life-giving lessons. Grief kind of has a bad rap. It's seen as something unnatural, something to be avoided as much as possible in order to survive. It's seen as a thief of life. But consider this: When I spend an entire 12-hour shift with a patient who, just a few days prior, was a healthy, free-wheeling teenager who jumped into a pool the wrong way and has now been told that he will never use his arms or legs again because of a severed spinal cord, grief will be one of the most natural and predominant emotions for him, his family, and for me as his nurse. We can think of this grief like a river running downstream, and as the nurse, I'm on this life raft together with my patient and his family. Grief is strong, it's scary, and no one really knows for sure where it's going to take us. But for this patient, his family, and for all of us, when we find ourselves in this kind of situation, it's natural. So if my endurance strategy as a nurse is to try to swim upstream against grief by way of suppression, and against the next stream and the next stream, I'm not going to win. Eventually, I'm not going to last. Rather than resisting grief and saying, "It's just too hard to think about these issues," I can choose a different perspective as I accept the inevitable fact that I will be affected by grief. I can embrace my grief as a natural teacher about the deeper things I need in order to endure as a nurse. Resilience in the midst of exhaustion. Meaning in the midst of despair. I can redefine my purpose. When my initial idealism about life has been shaken, I can instead transform my grief and choose to use it to cultivate greater empathy for my patients and their families. These are the life-giving lessons of grief that can ultimately empower me to endure as a nurse. Research is slowly growing on the topic of grief in healthcare professionals. Marion Conti-O'Hare is a nurse researcher who developed this perspective into a theory known as "The Nurse as Wounded Healer," where the nurse learns to transform and rise above grief such that the nurse is all the more able to care for others. Along these lines, another researcher who studied post-traumatic stress in nurses has concluded that staying self-aware in grief and working through questions about the meaning of suffering can eventually grow the nurse in maturity and wisdom, both of which are life-giving tools for endurance. I have two daughters; they're two and four years old. About a year ago, I took care of a patient who reminded me a great deal of my younger child. No one could explain, beyond a suspected brain infection, what had made this child so sick to the point that he was not expected to survive. I was with his family in his final moments before we withdrew his life support. It was a privilege for me to be with his mother in her grief because I could very much imagine myself in her shoes, so in the moment, it was very intuitive to me how to care for her. But for a few weeks after that, I was shipwrecked by grief. It was difficult to function normally at home, and it was very difficult to go back to work. It was the kind of low in nursing that I simply couldn't anticipate, much less really prepare myself for, even years into the profession. I hadn't yet learned, at that point in my life and my career as a nurse, how to manage my own fairly new maternal instincts as they collided with this mother's grief. I couldn't navigate those new waters alone. It was a shipwreck moment for me. But it was also the moment when I learned my next life-giving lesson from my grief. I learned to develop new levels of life-giving relationships. Specifically, I've slowly begun to find people in my life who courageously look at grief with me through this new lens, who look at grief not as a thief of life to be avoided at all costs, but as a difficult - yes - complicated - yes - but a natural, powerful, and irreplaceable teacher of endurance for my life as a nurse. There are amazing highs in nursing, like being able to walk with Jimmy Kimmel and his son through successful open-heart surgery. The purpose and joy in those experiences are clear. But when the lows come, the stress and heartache can be so strong that they can muddle motivation and make you question your ability to endure in the profession. But burnout does not have to be the inevitable result of constantly giving oneself to the suffering of others. Allowing my natural response of grief to teach me its life-giving lessons may very well be the way in which I as a nurse can rise up and move forward with purposeful endurance in my profession. Thank you. (Applause)

Frequently Occurring Word Combinations


ngrams of length 2

collocation frequency
critical care 3
jimmy kimmel 2
care nurses 2
natural response 2

ngrams of length 3

collocation frequency
critical care nurses 2


Important Words


  1. ability
  2. accept
  3. affected
  4. allowing
  5. amazing
  6. annual
  7. anticipate
  8. applause
  9. arms
  10. astute
  11. avoided
  12. baby
  13. bad
  14. battling
  15. begun
  16. benefits
  17. birth
  18. brain
  19. burnout
  20. care
  21. cared
  22. career
  23. caring
  24. celebrity
  25. challenge
  26. challenging
  27. child
  28. choose
  29. clear
  30. coaster
  31. colleagues
  32. collided
  33. commitment
  34. complicated
  35. concluded
  36. constantly
  37. contributing
  38. cope
  39. cord
  40. costs
  41. courageously
  42. crises
  43. crisis
  44. critical
  45. cultivate
  46. current
  47. days
  48. deal
  49. deeper
  50. defect
  51. delivered
  52. despair
  53. detachment
  54. develop
  55. developed
  56. diagnosed
  57. difficult
  58. disheartening
  59. downstream
  60. dying
  61. elevated
  62. embrace
  63. emotional
  64. emotions
  65. empathy
  66. empower
  67. endurance
  68. endure
  69. entire
  70. envisioned
  71. eventually
  72. exhaustion
  73. expected
  74. experiences
  75. explain
  76. external
  77. fact
  78. factors
  79. families
  80. family
  81. feeling
  82. final
  83. find
  84. function
  85. giving
  86. great
  87. greater
  88. grief
  89. grow
  90. growing
  91. hard
  92. healer
  93. health
  94. healthcare
  95. healthy
  96. heart
  97. heartache
  98. helpful
  99. helplessness
  100. higher
  101. highlighted
  102. highs
  103. home
  104. hours
  105. idealism
  106. illness
  107. imagine
  108. immune
  109. inevitable
  110. infection
  111. initial
  112. instincts
  113. intense
  114. intermittent
  115. internal
  116. intuitive
  117. irreplaceable
  118. issue
  119. issues
  120. jimmy
  121. job
  122. joy
  123. jumped
  124. kimmel
  125. kind
  126. learned
  127. learns
  128. legs
  129. lens
  130. lesson
  131. lessons
  132. level
  133. levels
  134. life
  135. lines
  136. literature
  137. live
  138. lived
  139. lives
  140. love
  141. lows
  142. manage
  143. marion
  144. maternal
  145. maturity
  146. meaning
  147. meaningful
  148. midst
  149. moment
  150. moments
  151. monologue
  152. mother
  153. motivation
  154. move
  155. muddle
  156. natural
  157. navigate
  158. newborn
  159. noticed
  160. nurse
  161. nurses
  162. nursing
  163. oneself
  164. order
  165. patient
  166. patients
  167. people
  168. personal
  169. perspective
  170. physical
  171. point
  172. pool
  173. powerful
  174. praises
  175. predominant
  176. prepare
  177. presence
  178. preserve
  179. prior
  180. privilege
  181. process
  182. profession
  183. professionals
  184. professions
  185. profoundly
  186. purpose
  187. purposeful
  188. question
  189. questions
  190. quickly
  191. raft
  192. range
  193. rap
  194. rare
  195. rate
  196. rates
  197. reality
  198. redefine
  199. relationships
  200. rely
  201. reminded
  202. research
  203. researcher
  204. resilience
  205. resisting
  206. response
  207. result
  208. rise
  209. river
  210. rode
  211. roller
  212. running
  213. sang
  214. scary
  215. severe
  216. severed
  217. shaken
  218. shift
  219. shipwreck
  220. shipwrecked
  221. shoes
  222. show
  223. shows
  224. sick
  225. simply
  226. situation
  227. slowly
  228. son
  229. specifically
  230. spend
  231. spinal
  232. statistics
  233. staying
  234. strategy
  235. stream
  236. stress
  237. strong
  238. studied
  239. successful
  240. suffering
  241. support
  242. suppression
  243. surgery
  244. survive
  245. suspected
  246. sustain
  247. swim
  248. symptoms
  249. teach
  250. teacher
  251. team
  252. teenager
  253. terms
  254. theory
  255. therapeutic
  256. thief
  257. thought
  258. times
  259. told
  260. tools
  261. topic
  262. transform
  263. true
  264. turnover
  265. ultimately
  266. understood
  267. unexpected
  268. unnatural
  269. upstream
  270. vulnerability
  271. walk
  272. wanted
  273. waters
  274. weakness
  275. weeks
  276. win
  277. wisdom
  278. withdrew
  279. work
  280. working
  281. wounded
  282. wrong
  283. year
  284. years
  285. younger