We could all benefit from hospitality’s bear hug

In a compelling series, The Bear offers a richer and nuanced redemptive journey.

Krish Kandiah

Krish is a social entrepreneur partnering across civil society, faith communities, government and philanthropy. He founded The Sanctuary Foundation.

A tired-looking chef turns around to look across his shoulder.

Jeremy Allen White plays Carmy.

FXP.

I only need to watch a few minutes of Gordon Ramsey’s Hell’s Kitchen to remind me that toxic environments not only still exist, but all too often are glorified. From bitter previous experience I know that employers can bully, lie and manipulate those beneath them, and apparently get away with it. I have sadly seen how the Christian virtues of turning the other cheek and forgiving your enemies can serve to collude with a toxic environment. However, I also dare to hope that another Christian virtue – that of hospitality – can foster quite a different environment. I have been thinking about this a lot recently as it tallies with themes explored in another chef show - the global smash-hit multi-award-winning US TV series, The Bear.

The drama is set in the high-intensity world of the Chicago hospitality industry. The story revolves around a character called Carmy, played by Jeremy Allen White. Carmy has made his name in gastronomy and has won and retained multiple Michelin stars. But when his beloved brother Mikey commits suicide, Carmy returns to Chicago to take over his brother’s failing sandwich shop called “The Beef.”

Putting a grieving world-class chef in the middle of a bankrupt dysfunctional sandwich shop in the cheap side of Chicago is a great concept for an intense drama. It is set up to be a classic rags-to-riches journey and so we wait to see how, with a bit of spit, polish and hard work, transformation against the odds is possible. Although, inevitably, the narrative arc of the show does follow the well-trodden American Dream theme of outsiders whose hard work turns things around, this is not a simple tale. There’s a richer and more nuanced redemptive journey offered in this compelling series.

The show has won critical acclaim and I believe it is due in part to the fascinating combination of three important overlapping hospitality themes that each offer us some signposts for changing the culture of toxic environments. They also happen to point to how Christian hospitality teaching is as relevant today as ever.

The vulnerability of hospitality

“The more I learn about Michael, the less I understand.”

Ebraheim

Everyone in the relational ecosystem of this television show has a major flaw. There are no messianic figures. Everyone is carrying great deal of pain and vulnerability. The ever-anxious Carmy is a recovering addict and finds solace in total immersion in his work. The rising-star sous-chef, Sydney, played by Ayo Edebiri, is grieving the loss of her mother and the serial failures of her previous businesses. The emotionally illiterate cousin, Richie, played by Ebon Moss-Bachrach, is becoming alienated from his wife and his daughter and as a result causes physical or relational chaos everywhere he goes.

Watching this show is a journey to the dark side. The pyscho-social dysfunction of the characters matches the organisational and financial mess of the sandwich bar itself. Everything goes wrong: crumbling walls, failed safety inspections and the self-sabotage of the staff team. It’s great viewing at the end of a difficult day: any minor chaos I am experiencing is relativised by the all-consuming disarray of The Beef.

Despite their flaws, we find ourselves rooting for the characters. Hollywood seems to have borrowed this idea from the Christian faith: never underestimate the underdogs. From its earliest days the church was made up of a seemingly socially impossible group of people: a suspicious collaborator, a trouble-making insurgent, as well as other socially stigmatised men and women. You don’t have to spend long in a local congregation of Christians to encounter the same social paradoxes. The unlikely, often uncomfortable gathering of believers from different walks of life is both the beauty and the bane of the church. People are both sharp and sweet, weird, awkward and challenging and yet somehow there’s not only something irresistibly moreish about their company, but the persistent belief that these are the ones who will ultimately be vindicated, honoured and rewarded.

The hope of hospitality

“I think this place could be so different from all the other places we’ve been at.”

Sydney

The continuous omnishambles of The Beef feels like a mirror of our own political moment. Swapping the leader at the top does not resolve the systemic problems. There is no overnight transformation. In fact, things must get worse before anything changes for the better. Personal existential demons need to be faced before the restaurant can begin to be turned around, and, even then, they still need an end-of-season miracle.
So much of our public life, whether it is in the politics of the church or the politics of our nation, looks like the early chaos of The Beef. A fancy new menu, a charismatic new leader, a new shiny piece of technology or even a quick-fix new work regime cannot take away the anger and the misery and the brokenness. What does seem to pay dividends in the show is the gradual inculcation of a culture of dignity, respect and commitment to one another.

Every employee at The Beef begins to refer to one other as “Chef.” This recognition of the value of the other, the regular voicing of the importance and equality of your fellow employees is part of a gradual culture change in the restaurant. The change in language is not a magic bullet for the transformation but rather a small, but important, expression of new culture of dignity that is being established. This same kind of culture change is urgently needed in our church and nation. Finding ways to express respect to one another might not be a bad place to start.

It becomes one of the highest honours for the cooks to prepare the “family meal” where the staff gather for food together after the shift is done. It turns into a moment of communion and reconnection in the chaos of the day. It reminds me of how the Lord’s Supper was always meant to be – a reason to come together and remember and hope.

The power of hospitality

“I’m gonna fix this place.”

Carmy

Season 2 tells the story of creating a Michelin-Star-worthy restaurant in the transformed shell of what had been The Beef sandwich shop. Most of the dysfunctional characters go on a series of journeys of discovery and transformation. One of the chefs goes to Denmark and learns the power of discipline and how to produce micro-cuisine. Another goes on a weeklong haute cuisine boot camp at the highest quality restaurant in the world. Beginning with the simple task of washing forks he is gradually inducted into the culture of excellence and service of the restaurant, where nothing is too much trouble in their aim to give guests an unforgettable experience of hospitality. Richie’s 45-minute make-over is the worst and best episode. The transformation is too complete too quickly, but its message is clear: there is hope for even the most dysfunctional person.

“You have this minute when you’re watching the fire and you’re thinking: If I don’t do anything, this place will burn down and all my anxiety will go away with it. And then you put the fire out. Then you put the fire out.”

Carmy

As I binge-watched this series, I found myself thinking long and hard about the church. I have tasted the toxicity that too often seeps in and spreads pain, causes harm and thwarts whatever good they are trying to do. I have also tasted the opposite, when the church has extended welcome to the homeless, refugees or children in care, and people encounter hope and transformation. When I feel like giving up on the church, I remember how delicious that really is and am re-motivated to do whatever I can to make it the best place in town.

Article

Change

26 July 2024

6 min read

Are we forgetting how to care?

The profound act at the heart of nursing.

Helen Cowan

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A nurse bends beside a bed and talks to a patient

Marie Curie.

Recently, at a nursing leadership programme in Oxford, attendees focused on the fundamentals of care. Have we forgotten how to care? What can we re-learn from those who pioneered an ordinary yet profound act that affects millions?

Anam Cara is an old Gaelic term for ‘soul friend’, a person with whom you can share your innermost self, your mind and your heart. It is a term that Tom Hill, former chief executive at Helen House Hospice in Oxford, used to describe the relationship between his staff and the thousands of children and their families who passed through their ‘big red door’ in its first twenty-five years. The hospice (or ‘loving respice’ as it became known) had been founded by Sister Frances Dominica in 1982.

Other care in this country can also trace its religious roots. Between 1048 and 1070 in Jerusalem, the Order of St. John was founded for the purpose of helping pilgrims (“our Lords, The Sick”) who had become lost, weary, or beset by other difficulties while on their way to the Holy Land. Today, in the United Kingdom, the British Association of the Order has extended care to older people first in almshouses and later in care homes. A trustee for ten years was John Monckton, a man of ‘considerable talent, enormous integrity and deep religious conviction’; his tragic murder in 2004 led to the creation of the John Monckton Memorial Prize, which recognised and rightly celebrated commitment to care by care workers.

Today, across the world, seen and unseen, nurses, carers and families continue to provide compassionate care. “Assisting individuals, sick or well, in the performance of those activities contributing to health or its recovery (or to peaceful death) that he would perform unaided if he had the necessary strength, will or knowledge” is the very essence of nursing, captured by ‘architect of nursing’, researcher and author Virginia Henderson in 1966. Meeting more than basic needs such as breathing, eating, drinking and eliminating bodily waste (which are of essential importance), Henderson recognised the role of the nurse in enabling humans to communicate with others, worship according to their faith, satisfy curiosity and sense accomplishment.

In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care?

An uncomfortable truth brought out in healthcare reports such as the Final Report of the Special Commission of Inquiry (The Garling Report) 2008, and the Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry (The Francis Report) 2013 is though that this type of nursing is too often done badly or even missed, leading to pressure injury, medication errors, hospital-acquired infection, falls, unplanned readmission, critical incidents and mortality. According to nurse scientist and scholar Professor Debra Jackson, “missed care occurs much more frequently than we might think”. She cites a systematic review in which ‘care left undone’ on the last shift ranged from 75 per cent in England, to 93 per cent in Germany, with an overall estimate of 88 per cent across 12 European countries’.

In one offensively-titled paper, “Shitty nursing - the new normal?” (in which the authors apologise for the title but not the questions raised), real-life pen portraits are drawn of patients lying for hours on hospital trolleys, immobile through infection or injury, ignored by staff. Whilst acknowledging contextual factors for poor care, such as a shortage of nurses and resources, the authors argue that circumstances cannot be the sole cause of missed nursing care.

A report published by the University of Adelaide, School of Nursing, has called for nurses to ‘reclaim and redefine’ the fundamentals of care. It asks whether the cause of the problem (of missed nursing care) lies “deep in the psyche of the nursing profession itself?” “Has something happened to the way modern nursing views and values caring?” it continues. “Indeed, is nursing in danger of losing its claim to care? In the desire for modernisation and professionalisation, have we lost sight of the core values and activities central to patient care? Or is this a broader social pattern where individuals are less inclined to show kindness, compassion, and care for others even if it is a necessary requirement of the job?”

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness.

Writing in the British Medical Journal, Professor of critical care medicine Peter Brindley and Consultant in intensive care Matt Morgan wonder whether doctors also “too often default to high-tech and low-touch” when patients are dying – a time “when community and connection matter most”. They powerfully begin with a mother’s comment: “Humans are gardens to tend – not machines to fix.”

Professor Sir Al Aynsley-Green, the first National Clinical Director for Children in Government and former Children’s Commissioner for England, and past president of the British Medical Association, suggests that we as a society need a “momentum for compassion”. Struck by the extremes of compassion witnessed during his wife’s treatment in the last years of her life, Sir Al wants to see a cultural transformation in healthcare: for compassion to be a key operating principle in NHS and care settings, led by the Chief Nurse’s Office; for every organisation to promote the importance of compassion at the professional level; for the views of patients and families to be sought regularly; for much earlier and better focus on compassion in undergraduate and postgraduate teaching programmes for all staff; for compassion to be inspected against by the Care Quality Commission; and for a willingness to encourage staff at all levels to expose poor practice as well as celebrating excellent care.

Compassion, he emphasises, is more than empathy - and way "less fluffy" but much more measurable than kindness. “It’s putting yourself into somebody else’s shoes – and doing something about it.” Recently appointed the UK’s first Visiting Professor in Compassionate Care at Northampton University, at the age of 80, Sir Al certainly is doing something about it. He has made it his new purpose in life to “embed compassion into every aspect of care”.

Like Sir Al, Queen Elizabeth II, the UK’s longest serving monarch, espoused compassion, in word and deed. Living a life of compassionate service, the Queen made clear that her Christian faith was her guiding principle. She speaks of Jesus Christ as ‘an inspiration,’ a ‘role model’ and ‘an anchor’. “Many will have been inspired by Jesus’ simple but powerful teaching,” she said in her Christmas Broadcast, 2000. “Love God and love thy neighbour as thyself – in other words, treat others as you would like them to treat you. His great emphasis was to give spirituality a practical purpose.”

When nurses do unto others as they would have done unto themselves, and act as role model to colleagues, not only do patient experiences of care and their outcomes improve – but so does job satisfaction for nurses: a critical factor in nurse recruitment and retention – the biggest workforce challenge faced by healthcare organisations. Across the UK, there are currently more than 40,000 nursing vacancies, and thousands of burnt-out nurses are leaving the profession early. Whether nurses decide to stay or go is driven in part by their daily experience at work. The late Kate Granger, Consultant in medicine for older people, inspired Compassionate Care Awards in her name, envisioning that such a legacy would drive up standards in care - and surely also help retain nurses, through restoring a sense of pride, achievement and fulfilment to the nursing workforce.