Tag Archives: healthcare

“Quiet” Superstition in Healthcare

Nationality: American
Age: 53
Occupation: Respiratory Therapist
Residence: Chico, CA
Performance Date: April 18, 2020
Primary Language: English

Main Piece:

Here is a transcription of my (CB) interview with my informant (PB).

PB: “I work in the healthcare field, and nobody is allowed anywhere in the hospital to say the word ‘quiet’. Because if you say the word quiet, then all you know what will break loose and your quiet moment will turn into chaos. And its in every hospital everywhere in the country, I don’t know about in the world. And if anyone is heard saying the word quiet, they are admonished by everyone around them. And usually we just say ‘you can’t say the q-word!’ And instead we would just say, you know, ‘it’s very calm’, or ‘I like the way things are going right now’. But if you use the word quiet you have broken the cardinal rule.”

CB: “So, why do you think its important that people believe in this?”

PB: “Um, I think that when you work in field such as the medical field where a lot of times things are just not in your control even though you want them to be, you know, you just want to make people better, and you want to have a workload that is manageable, and some sense that there is something that you are controlling. And so by not using that word, you have the idea that you are not bringing on the chaos.”

CB: “What does the quiet superstition mean to you?”

PB: “Uh, to me it means, it’s sorta a part of a brotherhood or sisterhood from being a part of that community in a hospital. It’s something that you all believe in and you all can joke about but its also something like I don’t want your night to get worse and i don’t want my day to get worse, and so we can all do this one sort of silly thing to try and help each other.”

Background:

My informant has worked as a respiratory therapist for about 8 years. This position requires that she work with every part of the medical personnel and with every department. She has also worked in about 4 hospitals in the Northern California area. Because of this, she has become very integrated into the overarching healthcare culture surrounding her work.

Context:
I interviewed my informant in person. We were in my bedroom on my bed, and the conversation was very comfortable and casual. I had heard many stories from her work beforehand.
Thoughts:
When my informant first told me about the quiet superstition, I was really intrigued because healthcare workers are so heavily associated with clinical scientific thinking. However, there are many holes in science. As we have it now, it cannot predict everything, and it certainly can’t predict what will or won’t be a crazy night. In the face of this uncertainty, healthcare workers have begun to believe in this superstition in order to regain a sense of agency. I think that this bad luck superstition is particularly interesting because there is no way to undo it. Once the bad luck has been brought, the entire hospital will be affected until the next shift. I was also really intrigued about how following the superstition was seen as a sign of respect. My informant seemed to acknowledge that the superstition was likely untrue in the moment, but I wouldn’t be surprised if she became a wholehearted believer once she entered the hospital setting.

For more variations of healthcare superstitions see SSMHealth’s blog post “10 ER superstitions for a full moon Friday the 13th”. https://www.ssmhealth.com/blogs/ssm-health-matters/september-2019/10-er-superstitions-for-a-full-moon-friday-the-13

Healthcare Full Moon Friday

Nationality: American
Age: 53
Occupation: Respiratory Therapist
Residence: Chico, CA
Performance Date: April 18, 2020
Primary Language: English

Main Piece:

Here is a transcription of my (CB) interview with my informant (PB).

CB: “So tell me about the full moon friday night”

PB: “Well everyone in the hospital knows that on a full moon friday night, not only is the emergency room going to be crazy busy, but it’s going to be very bizarre, odd, and horrific things that you haven’t seen before. Somebody’s gonna come in with a severed foot, or you know, something really disturbing that you haven’t seen before, that because of the full moon and the full moon being out on a friday night where they are just more risk takers. So yeah, its also in the rest of the hospital. If you’re working in the ICU someone is probably gonna code, or go into cardiac arrest. Someone on the floor is gonna have something bizarre happening. More people are gonna have sort of crazy behaviors, the dememnted people are going to have more severe delusions or hallucinations that haven’t had any other time they’ve been there. It’s just that you believe on a full moon friday night that its just going to be a crazy night.”

CB: “Why do you think people believe that?”

PB: “Um, I think they believe that because one, there is some science behind the full moon having an effect on human behavior, uh, but also because when the night is just going very crazy you have to have an explanation. And we are the type of people, in the healthcare world, where we want to just explain everything. So we’re gonna say well, its a full moon and that’s why this is happening.”

CB: “What does the superstition mean to you?”

PB: “To me, it means that we can explain things we can’t explain, and accept things that are out of our control. You know that the full moon happens once a month, and once a month you’re just gonna have that crazy shift. And it’s a way of giving reason to what can’t have reason.”

Background:

My informant has worked as a respiratory therapist for about 8 years. This position requires that she work with every part of the medical personnel and with every department. She has also worked in about 4 hospitals in the Northern California area. Because of this, she has become very integrated into the overarching healthcare culture surrounding her work. Despite the focus on the scientific, the healthcare field has many superstitions. They often help give the healthcare workers a sense of agency and meaning over the situations they find themselves in.

Context:
I interviewed my informant in person. We were in my bedroom on my bed, and the conversation was very comfortable and casual. I had heard many stories from her work beforehand.

Thoughts:

Within healthcare, the professionals are constantly faced with unpredictable factors. They face all sorts of horrible situations while seeing people in some of the worst circumstances of their lives. These situations make human behaviors even less predictable than they usually are. With the start of every shift, healthcare workers have to accept a lot of uncertainty, and be open to facing difficult and potentially traumatic events. Because of this, a culture of trying to predict the unpredictable has arisen and led to the development of many healthcare superstitions. By labeling and accepting one night out of the month as a horrible, crazy shift healthcare workers are able to regain the ability to prepare for the unpredictable. It also allows for an explanation as to why patients they might normally like are behaving erratically, or out of character. The superstition also bonds the community as a whole. They are able to prepare for their crazy night as though they are going into battle. They might see something disturbing, but they will do it together, and they will come out the otherside having helped people.

For more variations of healthcare superstitions see SSMHealth’s blog post “10 ER superstitions for a full moon Friday the 13th”. https://www.ssmhealth.com/blogs/ssm-health-matters/september-2019/10-er-superstitions-for-a-full-moon-friday-the-13