Evidence map›Paper›PMID 41758323›Full record

ArticleJournal of general internal medicine2026

Exploring Sacred Moments in Japanese Healthcare.

Reiko Sakama, Kota Sakaguchi, Martha Quinn, Serena Wong, Rachel Ehrlinger, Jessica Ameling, Sanjay Saint, Takashi Watari

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Article in Journal of general internal medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Reiko SakamaDepartment of General Medicine, NTT Medical Center Tokyo, Shinagawa, Tokyo, Japan.
Kota SakaguchiGeneral Medicine Center, Shimane University Hospital, Izumo, Shimane, Japan.
Martha QuinnSchool of Public Health, University of Michigan, Ann Arbor, MI, USA.
Serena WongDepartment of Psychiatry, University of Western Ontario, London, ON, Canada.
Rachel EhrlingerPatient Safety Enhancement Program, University of Michigan and Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Jessica AmelingPatient Safety Enhancement Program, University of Michigan and Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Sanjay SaintPatient Safety Enhancement Program, University of Michigan and Veterans Affairs (VA) Ann Arbor Healthcare System, Ann Arbor, MI, USA.
Takashi WatariIntegrated Clinical Education Center, Kyoto University Hospital, Kyoto City, Kyoto, Japan. wataritari@gmail.com.ORCID http://orcid.org/0000-0002-9322-8455

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background"Sacred moments" refer to times when people experience deep mutual connection, accompanied by spiritual emotions. Previous North American studies reveal that such moments can predict overall well-being for patients and clinicians. However, sacred moments have not been studied in Japanese healthcare, where the cultural background differs substantially from previous studies.

objectiveTo examine sacred moments among patients and clinicians in Japan.

designAn exploratory qualitative study featuring two facilities: a Tokyo community hospital and a national university hospital in Western Honshu.

participantsHospital-based clinicians and patients. APPROACH: Semi-structured interviews with 30 participants from January to March 2024. Interviews were audio recorded and transcribed verbatim, and thematic analysis was performed. KEY

resultsMost participants-22 of 26 clinicians (84.6%) and 3 of 4 patients (75.0%)-reported having experienced sacred moments during healthcare visits once the concept had been explained, as most initially expressed unfamiliarity with the term "sacred moments" in either Japanese or English. Twenty of 26 clinicians (76.9%) and 2 of 4 patients (50.0%) highlighted the importance of taking time to build rapport and trust for sacred moments to occur. Twenty-three of 26 clinicians (88.5%) and all 4 patients (100.0%) believed that fostering the mind and spirit was beneficial, while 4 of 26 clinicians (15.4%) and 1 of 4 patients (25.0%) expressed negative views toward religion and spirituality. Qualitative findings were divided into three domains: (1) common elements that characterize sacred moments; (2) discomfort or resistance to religion; (3) elements necessary to foster sacred moments.

conclusionsOur exploratory study highlights the important concept of sacred moments in Japan. The high prevalence of reported sacred moments after the concept had been explained underscores the need for a conceptual translation into the Japanese cultural space. Alternative terms may resonate more naturally within non-Western cultural contexts, such as emphases on deep connection and fate.

Indexed as

integrative medicinesacred moment(s)spiritually integrated healthcarewhole healthworkplace spirituality

Identifiers

PMID41758323

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