{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T20:35:30Z","timestamp":1694118930833},"reference-count":14,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T00:00:00Z","timestamp":1577664000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["aornjournal.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["AORN Journal"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Perioperative and procedure area nurses can encounter barriers during the time\u2010out process. In March 2016, a mock regulatory agency surveyor identified a gap during a time out in our cardiac catheterization laboratory. We worked with our facility's holistic nursing group to identify a solution to gain the full attention of all procedure area team members during each time out. Historically, ceremonial leaders used a gong to begin events because they thought that the sound helped participants focus on the ceremony. Because we wanted staff members to participate in a mindful practice during time outs, we decided to use a Tibetan gong to draw attention to the process. After implementing this change, staff members were more engaged during the time\u2010out process than they were before the change. In addition, facility leaders requested that we share our process with the staff members in the perioperative and endoscopic areas.<\/jats:p>","DOI":"10.1002\/aorn.12898","type":"journal-article","created":{"date-parts":[[2019,12,30]],"date-time":"2019-12-30T13:16:36Z","timestamp":1577711796000},"page":"81-86","update-policy":"http:\/\/dx.doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Using a Tibetan Gong to Increase Staff Member Engagement During Time Outs"],"prefix":"10.1002","volume":"111","author":[{"given":"Erica A.","family":"Brenckle","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Delia","family":"Gealer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marsha","family":"Milligan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,12,30]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"The Joint Commission. National Patient Safety Goals Effective January 2019.https\u200b:\/\/www.joint\u200bcommi\u200bssion.org\/asset\u200bs\/1\/6\/NPSG_Chapt\u200ber_HAP_Jan20\u200b19.pdf. Accessed September 11 2019."},{"key":"e_1_2_10_3_1","unstructured":"The Joint Commission. Summary Data of Sentinel Events Reviewed by The Joint Commission.https\u200b:\/\/www.joint\u200bcommi\u200bssion.org\/asset\u200bs\/1\/18\/Summa\u200bry_2Q_2019.pdf. Published July 1 2019. Accessed September 3 2019."},{"issue":"6","key":"e_1_2_10_4_1","first-page":"58","article-title":"Support surgical time outs on National Time Out Day\u2014and all year long","volume":"101","author":"Pellegrini CA","year":"2016","journal-title":"Bull Am Coll Surg"},{"key":"e_1_2_10_5_1","unstructured":"Mission vision and values. Ascension.https\u200b:\/\/ascen\u200bsion.org\/Our-Missi\u200bon\/Missi\u200bon-Vision-Values. Accessed September 11 2019."},{"key":"e_1_2_10_6_1","unstructured":"What is holistic nursing? American Holistic Nurses Association.https\u200b:\/\/www.ahna.org\/About-Us\/What-is-Holis\u200btic-Nursing. Accessed September 11 2019."},{"key":"e_1_2_10_7_1","unstructured":"Gongs. Delamora Transformational Experiences.https\u200b:\/\/www.delam\u200bora.life\/sound-thera\u200bpy\/the-gong-instr\u200bument\/\u200b. Accessed September 11 2019."},{"key":"e_1_2_10_8_1","unstructured":"Local hospital is using a gong to improve surgical procedures. CBSDetroit.http:\/\/detro\u200bit.cbslo\u200bcal.com\/2017\/06\/26\/local-hospi\u200btal-is-using-a-gong-to-impro\u200bve-surgi\u200bcal-proce\u200bdures\/\u200b. Published June 26 2017. Accessed September 3 2019."},{"issue":"16","key":"e_1_2_10_9_1","article-title":"Sound of safety: gong strike concentrates attention of cath team","volume":"33","author":"Minda J","year":"2017","journal-title":"Catholic Health World"},{"issue":"6","key":"e_1_2_10_10_1","first-page":"12","article-title":"Ideas that work: how to make your time outs resonate","volume":"18","author":"Brenckle EA","year":"2017","journal-title":"Outpatient Surgery Magazine"},{"key":"e_1_2_10_11_1","unstructured":"Why one Michigan hospital uses a gong in the OR. Becker's Clinical Leadership & Infection Control.https\u200b:\/\/www.becke\u200brshos\u200bpital\u200breview.com\/quali\u200bty\/why-one-michi\u200bgan-hospi\u200btal-uses-a-gong-in-the-or.html. Published June 27 2017. Accessed September 11 2019."},{"issue":"8","key":"e_1_2_10_12_1","first-page":"44","article-title":"Letter to the editor, re: time out in the cardiac cath lab at St. John Macomb Hospital","volume":"24","author":"Gealer D","year":"2016","journal-title":"Cath Lab Digest"},{"key":"e_1_2_10_13_1","volume-title":"Determining if Patient Identifiers Can Help or Hinder Patient Outcomes","author":"Milligan M","year":"2018"},{"key":"e_1_2_10_14_1","unstructured":"Caring science theory. 10 Caritas processes. Watson Caring Science Institute.https\u200b:\/\/www.watso\u200bncar\u200bi\u200bngsci\u200bence.org\/jean-bio\/caring-scien\u200bce-theor\u200by\/. Accessed September 11 2019."},{"key":"e_1_2_10_15_1","article-title":"Interruptions and distractions in health care: improved safety with mindfulness","author":"Beyea S","journal-title":"AHRQ PSNet"}],"container-title":["AORN Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Faorn.12898","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.12898","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/aorn.12898","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/aorn.12898","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,6]],"date-time":"2023-09-06T08:13:32Z","timestamp":1693988012000},"score":1,"resource":{"primary":{"URL":"https:\/\/aornjournal.onlinelibrary.wiley.com\/doi\/10.1002\/aorn.12898"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,12,30]]},"references-count":14,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,1]]}},"alternative-id":["10.1002\/aorn.12898"],"URL":"https:\/\/doi.org\/10.1002\/aorn.12898","archive":["Portico"],"relation":{},"ISSN":["0001-2092","1878-0369"],"issn-type":[{"value":"0001-2092","type":"print"},{"value":"1878-0369","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,12,30]]},"assertion":[{"value":"2019-12-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}