Nursing and ancillary services Books

Book SynopsisMichelle Wyatt's mum always joked with the family that if she ever developed Alzheimer's like her own mother-Michelle's grandmother-they should put her in a home and throw away the key. When she did ultimately succumb to the disease, the choice to put her in a nursing home became the only option. During the next six years, Michelle, a well-known television producer, visited her mum often while her dad kept a daily vigil in the nursing home.What Michelle and her family discovered throughout these challenging times was that allowing themselves to see the funny side of the weird and wonderful things they witnessed while visiting her mum made a difficult journey just that little bit easier.This memoir is a light-hearted but moving account of Michelle's experience with her mum's dementia-giving us an insight in how to cope compassionately, effectively and lastingly with a disease that affects over 850,000 people in the UK alone.

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Book SynopsisThis text covers the basic principles and practices of nursing. It explores various topics such as patient care, nursing theories, communication, pharmacology, and ethical and legal issues in nursing. The book is written to provide students with a solid foundation in the fundamentals of nursing, and to help them develop the knowledge and skills necessary for a successful nursing career. With its emphasis on evidence-based practice and patient-centered care, this book is an essential resource for nursing students and professionals alike.Table of Contents Chapter 1 Introduction to Nursing Chapter 2 Introduction to the Nursing Process Chapter 3 Nursing Roles Chapter 4 Health and Wellness Chapter 5 Adult Nursing Chapter 6 Gerontological Nursing Chapter 7 Perioperative Nursing Chapter 8 Legal and Ethical Aspects of Nursing

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Book SynopsisWhy do so many South Africans prefer taking the law into their own hands to relying on the police? This book lays bare South Africa's current crisis of vigilantism.

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Book Synopsis***A Waterstones Best Books of 2022 pick***'David Haslam is uniquely placed to reflect on how healthcare has lost its way, what needs to be done to fix it and why all of us are responsible for doing so... The importance and timeliness of his messages shines through.' Dr Phil Hammond'A fascinating and important book.' Dr Amanda BrownWith a single drug in the UK currently costing £340,000 per patient per year, or a gene therapy in the USA being costed at $1.2million, who should get such treatments, and how can we begin to afford them? Should we all be entitled to timely mental health therapy? How should we care for our old? As we grapple with the world's worst pandemic for a century, our minds are on our health more than ever. But what should we rightfully expect of doctors? In this original and thought-provoking book, Sir David Haslam explores what good healthcare should achieve and asks how we pay for it. Informed by patient stories and data from across the world - from US big pharma to Britain's NHS - this is an urgent and often moving examination of our most important asset: our health.Trade ReviewA superb analysis of the thorny, intractable, endlessly sidestepped issues that bedevil 21st-century healthcare... It is genuinely exhilarating to read a proper, heavyweight analysis framed in prose as blunt, on point and devoid of spin as Haslam's.... This brilliant book offers no glib solutions, only thoughtful suggestions, but the questions it poses are electrifying. * Observer *David Haslam is uniquely placed to reflect on how healthcare has lost its way, what needs to be done to fix it and why all of us are responsible for doing so... The importance and timeliness of his messages shines through. -- Dr Phil Hammond, author of Dr Hammond’s Covid CasebookA fascinating and important book. -- Dr Amanda Brown, Sunday Times bestselling author of The Prison DoctorCompelling... Refreshing * Guardian *It is hard to think of anyone more qualified to reflect on all aspects of health and healthcare than David Haslam... Clear and accessible. -- Professor Sir Michael Marmot, author of The Health GapThis insightful, extensively referenced work has taken the hugely complex challenges of the provision of universal state-funded healthcare in a sustainable way and unpicked them thoughtfully... I was absorbed from the outset. -- Professor Dame Helen Stokes-Lampard, Chair of the Academy of Medical Royal CollegesA must-read for all who care about the nation's health and our healthcare. -- Professor Martin Marshall, Chair of the Royal College of General PractitionersTable of Contents1: We've Got a Problem 2: How Did We Get Here? 3: Paying the Price 4: Why Is it All So Expensive? 5: Valuing a Life 6: Better than Cure 7: Overtreatment and Overdiagnosis 8: Hearts and Minds 9: Age and Ageing 10: And in the End . 11: Care in the Future 12: A Way Forward

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Book Synopsis***BUSINESS BOOK AWARDS 2022 SHORTLISTED TITLE***“I cannot recommend this book highly enough.” – Dr. Sarah Eagger, consultant psychiatrist Give yourself the kind of care you give others and create a personalized toolkit of simple and effective strategies to master stress and revitalise your life.Whether you are a health or care professional, informal caregiver, therapist, or simply a people-pleaser who ignores their own needs, Sarah Kuipers invites you to take a fresh approach to stress by helping you unearth the roots of poor self-care, and guiding you step by step to create a life that nurtures you, emotionally, physically and spiritually.Only when you thrive can you give of your best to the world each day. Discover 7 powerful principles that will help you: Create supportive beliefs around your own worth Gain a greater understanding of your risk factors Transform your thoughts and emotions Calm your anxiety Become more assertive Replenish your energy Nourish your spirit “This brilliant book… should be required reading for all caring professionals.” - Dr. Jane Buckle, former nurse and lecturer for healthcare professionalsSARAH KUIPERS ran a successful practice for over 20 years as a single mother, before burning out. Since completing a Masters in Research on stress and burnout she has facilitated numerous courses in personal development and stress management for medical students.Trade ReviewAn absolute must for anyone working in stressful or emotionally challenging environments. Easy step by step guide to self-care. * Amazon *An excellent resource for those who find themselves in a caregiver role whether it is a part of their employment or a personal situation. In order to provide care for another one must take care of themselves which is something so many people forget. Burnout and moral distress are very real and can have dramatic and traumatic impact on caregivers, learning how to avoid and treat these problems is critical. I think this book would be a good book for all entering the healthcare field. * NetGalley *As a counsellor, hypnotherapist and psychotherapist myself, many of the recommended resources are familiar to me yet there is something about the clear framework and spirit of this book, the way it is presented that motivates me to further transformative action. I already find I have personally benefited from reading and applying this book.The author regularly honours the importance of reaching out for the professional services of a counsellor/psychotherapist too when necessary. I believe it is an excellent book for counsellors to recommend to their clients as well as for their own personal benefit. * Amazon *Table of ContentsIntroduction: My Life Path How to Use This BookPART I: LAYING THE FOUNDATIONS Introduction: Developing Greater Awareness STEP ONE: CREATING SUPPORTIVE BELIEFS AND BEHAVIOURS Introduction: The Legacy of the Past Identifying Unhelpful Behaviour Patterns Creating New, Empowering BeliefsReleasing Your Self-Care SaboteursSTEP TWO: MONITORING YOUR STRESS AND WELLBEING Introduction: How Close are you to the Critical Zone? Assessing Your Wellbeing Stress: Recognizing the Warning SignsBurnout: How to Spot the Tell-Tale Signs What are Your Risk Factors? PART II: CHERRY-PICKING YOUR TOOLBOX Introduction: Discovering Your Unique Path STEP THREE: TRANSFORMING YOUR THOUGHTS AND EMOTIONS Introduction: Letting go of the Burning Coal Expressive Writing The Gift of GratitudeChoosing Your Questions Reaching Out for Help: a Sign of Courage STEP FOUR: CALMING YOUR ANXIETY Introduction: Creating Calm in the Eye of a StormConscious BreathingRemembering the Magical Moments Grounding: Connecting to the Earth STEP FIVE: ASSERTIVENESS: STEPPING INTO YOUR POWERIntroduction: Setting Clear Boundaries Learning to Say No Developing Skills in Assertiveness Becoming the Architect of Your Life Enrolling Support at Home STEP SIX: REPLENISHING YOUR ENERGY Introduction: What Fuels Your Fire? Family, Friends and Fun The Joy of Exercise and Time in Nature Music and CreativitySTEP SEVEN: NOURISH YOUR SPIRIT Introduction: Daily Centering Practice Mindfulness and MeditationYoga, Qi Gong and Tai Chi List of Resources List of References Bibliography

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There has been an abundance of research carried out relating to the use of positive psychology, but a focus on staff working in care settings has been lacking. Positive Psychology for Healthcare Professionals presents applied positive psychology specifically for health and care staff, showcasing eleven different interventions that have proven to be effective in improving wellbeing. Positive Psychology Interventions are validated techniques, developed to include wellbeing enhancing activities, building effective user-friendly, cost-effective self-help strategies. This toolkit for improving wellbeing provides a more holistic roadmap to increase self-awareness of staff abilities, potential talents, and positive characteristics, through a strengths-based approach.

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Book SynopsisNarrative play is a way of communicating with children using imaginative stories and narratives to share and make sense of life events. This book describes using narrative play therapeutically with children who have lived in multiple families, children who have problems with social understanding and children who have learning difficulties.Ann Cattanach explains how children's stories and narratives, whether they are about real or imagined events, can be interpreted as indicators of their experiences, their ideas, and a dimension of who they are. She demonstrates this with examples of children's stories from her clinical experience, and provides narrative play techniques and sample scripts both for therapists and for parents whose circumstances require a therapeutic parenting approach.This book is essential reading for play therapists, social workers and other professionals working with children, as well as parents and carers of children who are experiencing social and/or learning difficulties.Trade ReviewAnn Cattanach is an experienced therapist and writer who brings depth of knowledge and understanding to her writing... Cattanach articulates an impressive depth and range of stories from different epochs and cultures which are a treasure trove for the practitioner...Subsequent chapters are jam-packed with rhymes and stories on the themes of her chapter topics, she uses case vignettes to highlight the themes and the narrative material... I...think students of psychotherapy will probably find it useful and interesting. -- The Psychotherapist, Christine Lister-Ford, Integrative Psychotherapist, UKPC Registrant, UKPC Honorary FellowOverall, it is a straightforward book to read and take ideas from. I think this book will be very useful for hard-pressed child care practitioners wanting t o increase their skills and knowledge to engage in direct work with children. -- Research Policy and PlanningWhat a joy it was to read this book - so different from the usual run-of-the-mill therapy books directed at practitioners working with children. This text reiterates what every parent and child therapist knows, namely, that all children love a good story. The impact of good story should never be underestimated, children learn about themselves from the stories other people tell them, and from stories they make up about themselves. -- Counselling Children and Young PeopleEach chapter is written from Cattanach's wide personal experience of working with children with learning difficulties, with problems in social understanding and who have lived in multiple families. Her experiences are backed up explanations of the types of play suitable to be used with children of different ages, suggestions for appropriate toys and materials, how to structure a play environment and an offering of a number of specific stories (the majority of which are of Scottish origin) suitable for a variety of situations. -- Naplic, 2007Table of ContentsIntroduction: What is Narrative Play? 1. The Therapeutic Relationship: Thinking about Children. 2. How Did I Begin? 3. Managing Past Traumas in the Present. 4. Making My World: Being in a Family. 5. School. 6. Monsters in my World: Coping with the Adult World 7. Books and Stories that Mirror the Child's Life Experiences. References. Subject index. Author index.

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Book SynopsisComplementary therapists are seldom trained in the 'people skills' necessary for working with their clients. This practical guide provides the key elements of the psychotherapeutic relationship for people working in non-verbal modalities.The book provides information and exercises to help practitioners improve their style of interacting with clients by setting clear boundaries, having a defined contract with them, communicating effectively and being a good listener, among other things. Drawn from experience both as a practitioner and as a client in a range of therapeutic contexts, Su Fox also uses illustrative case studies to offer strategies for managing 'difficult' clients and for working through the difficult feelings one may experience with other clients.The guidance in this book is indispensable for complementary therapy practitioners and students in the field, and is also of interest to anyone working with others in a 'helping' capacity.Trade ReviewEveryone will take something away from this book that will change the way they practise for the better...A valuable tool, this book can be easily read either in its totality or by isolated chapters, as the needs arises. -- International TherapistTable of ContentsIntroduction. 1. What is the professional therapeutic relationship? 2. Practitioner self awareness. 3. Boundaries. 4. Communication skills. 5. Power in the therapeutic relationship. 6. Touch in the therapeutic relationship. 7. Sex and the erotic in the therapeutic relationship. 8. Psychotherapy and the therapeutic relationship. 9. Working with vulnerable clients. Summary. References. Recommended Reading. Index.

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Book SynopsisWorking in any area of mental health nursing presents complex issues regarding the nurse-patient relationship. For those working in prolonged clinical contact with offenders, relationships with patients and colleagues can be particularly emotionally intense and sometimes difficult to express. This book attempts to understand and articulate the emotional labour of forensic nursing and explores the challenge of establishing and maintaining therapeutic relationships with offenders. The first book to consider the emotional and relational component of forensic mental health nursing, the chapters cover a number of specialist forensic areas from this psychodynamic perspective, such as women's services, services for people with personality disorders, intensive care, high security psychiatric hospitals, medium secure units and services for adolescent offenders. A chapter on therapeutic communities is also included, along with chapters on challenging relational phenomena such as working with hate and the difficulties of managing difference when working in environments that produce high levels of anxiety. Therapeutic Relationships with Offenders provides essential information for mental health nurses working in the forensic field and will be of interest to any professionals working with challenging populations and people with personality disorders.Trade ReviewThis collection of essays provides a fascinating insight into the role of the Forensic Mental Health Nurse... Reading the book from a probation perspective, the resonances are multiple, and carry some salutary and timely lessons for the service... The probation service charges itself with promoting thoughtful action in those it supervises; what this book illustrates so well is the simple fact that a prerequisite to achieving this aim is allowing practitioners the time to think, feel and behave thoughtfully in their relationships with offenders. -- Probation JournalTable of ContentsIntroduction. Anne Aiyegbusi, Women's Directorate, West London Mental Health NHS Trust. 1. The Nurse-Patient Relationship with Offenders: Containing the Unthinkable to Promote Recovery. Anne Aiyegbusi. 2. Managing Hate : The Nurse's Counter-transference. Malcolm Kay, Royal Cornhill Hospital, Aberdeen. 3. Forensic Systems and Organizational Dynamics. Gillian Tuck, West London Mental Health NHS Trust. 4. The Best Defence: Institutional Defences Against Anxiety in Forensic Services. Amanda Lowdell, Ravenswood House Medium Secure Unit, Hampshire Partnerships NHS Trust, and Gwen Adshead, Broadmoor Hospital, West London Mental Health NHS Trust. 5. The Dynamics of Difference. Anne Aiyegbusi. 6. Paranoid-Schizoid Functioning within a Forensic Intensive Care Ward. Valerie Anne Brown, Broadmoor Hospital, West London Mental Health NHS Trust. 7. Reflecting on Murderousness: Reflective Practice in Secure Forensic Settings. Stephen Mackie, Portman Clinic, Tavistock and Portman NHS Foundation Trust. 8. Containment and the Structured Day. Sarita Bose, Broadmoor Hospital, West London Mental Health NHS Trust. 9. Nursing Dangerousness, Dangerous Nursing and the Spaces in Between : Learning to Live with Uncertainties. Christopher Scanlon, South London and Maudsley NHS Trust, and John Adlam, Henderson Hospital Services, London, UK. 10. The 'Unthought Known': Working with Men with Personality Disorder in a High Secure Setting. Dr Neil Gordon, English National Personality Disorder Development Programme, Rampton Hospital, Nottinghamshire Healthcare NHS Trust. 11. The Patient, her Nurse and the Therapeutic Community. Rebecca Neeld, The Cassel Hospital, West London Mental Health NHS Trust, and Tom Clarke, South West London and St George's NHS Trust.12. Crying Out for Care. Suzanne McMillan, West London Mental Health NHS Trust, and Anne Aiyegbusi. 13. Working with Suspicious Minds and Balancing Acts. Katie Downes, Broadmoor Hospital, West London Mental Health NHS Trust. 14. A Secure Model of Nursing Care for Women. Jenifer Clarke-Moore, Gwylfa Therapy Service, Gwent Healthcare NHS Trust, and Dr Miranda Barber, Herefordshire NHS Primary Care Trust. 15. Working with One Another : Service User / Professional. Joanne Roberts, HAFAL VCymru, and Jenifer Clarke-Moore. 16. Loss and the Adolescent Offender. Maria McMillan, East London and the City Mental Health NHS Foundation Trust.

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Book SynopsisThe profession of occupational therapy has a highly specialised language, but until now there have been no standard definitions of its key terms.Based on the work of the terminology project group of the European Network of Occupational Therapy in Higher Education (ENOTHE), this book selects and defines the core building blocks of occupational therapy theory. Consensus definitions of a wide range of terms are developed through an analysis of published definitions from around the world. Concepts with similar meanings are clustered into groups, and the clusters are then arranged into a conceptual map. The book provides an analysis of what each term means in common usage, how it is used in occupational therapy, and its implications for therapeutic practice. The conceptual framework that emerges represents an important contribution to the profession's understanding of the fundamental concepts of occupational therapy. The consensus definitions presented in this book will facilitate communication between professionals as well as with clients and others, and will be of interest to occupational therapy practitioners, students, educators and researchers.Trade ReviewI really enjoyed reading this book, a potentially dry topic area has been described with passion in clear language allowing the reader to readily access precisely expressed logical concepts that underpin our professional practice. -- Simon Hughes, Consultant occupational therapistI relished the fact that this book celebrates the depth, detail and complexity of occupational therapy and that it is able to clearly articulate this to the reader. This book should be required reading for all students, educators and researchers as well as practitioners. I'm sure this book will develop into a key text and one that you will see on all our book shelves. It is a book that I devoured in one sitting, but one that I know I will be picking up often to refresh my thinking and remind myself aspects of detail. -- Simons Hughes, Consultant occupational therapist... a useful reference book, which helps to clarify the semantics which we use every day in our in conversations with clients, doctors and other medical personnel, and it has helped to clarify a number of concepts for me after forty five years as a practising occupational therapist. -- South African Journal of Occupational TherapyWe all read extensively in our professional lives. You will all be able to recall those articles and books that have been the most influential in developing your thinking. You may also recognise that those influential texts can most probably be counted on the digits of two hands. This book will be one of my ten most influential texts and I commend the working group for adding to occupational therapy's body of knowledge. -- Anne Lawson-Porter, Head of Education and Learning, College of Occupational Therapists, LondonTable of ContentsAcknowledgements. Foreword by Anne Lawson-Porter. Preface. Section 1: Introduction. 1. The ENOTHE Terminology Group. 2. The Language of Occupational Therapy. 3. The Conceptual Framework. Section 2: The Performer's Perspective. 4. Forms of Action. 5. Action. 6. Structuring Action. 7. Boundaries to Action. 8. Personal Requisites for Action. 9. Energy Source for Action. 10. Social Contract for Action. 11. Place for Action. Section 3: The Observer's Perspective. 12. Understanding Action. 13. Measuring Action. 14. Facilitating Action. Index

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Book SynopsisThe word 'partnership' is often used to describe the relationship between health and social care providers and service users, but in reality this can appear to be empty rhetoric. Stakeholders may fulfil their obligations and use the language of service user involvement while traditional attitudes and practice remain unchanged.This inspiring book sets out how to make true partnership work. Built around the stories of real partnerships and written collaboratively with service users groups and individuals, it introduces the concept of 'growing spaces' where people can pool ideas, energy, skills and experience, resulting in joint effort and mutual reward. All the stages of making a partnership work are covered, starting with the growing conditions needed and how to sow the first seeds. Developing 'green shoots', which include confidence and trust, and signs of 'sickness', such as fear of speaking out, are discussed. The grassroots experiences which lay at the heart of the book exhibit an array of different forms of partnership and dispersal of good practice in action.This unique book will be essential reading for students and practitioners in health and social care, service users, as well as anyone involved in service user involvement and community development.Trade ReviewCriticisms of previous involvement strategies include the feeling that the process has long been tokenistic and bureaucratic and has had little impact on either service delivery or the outcomes for individuals. As such, this book is a welcome addition to the thinking and evidence-base for ensuring service users and groups can influence policy and practice. -- Social Work MattersTable of ContentsAcknowledgements. Preface. 1. Preparing the Ground: Motivation, values and trust. 2. Sowing the Seeds: Learning, decisions, and developing potential. 3. Green shoots: Building trust, knowledge and learning. 4. Blossoming and Proliferation: Measuring success, spreading good practice, and learning about yourself and from others. 5. Perennial Pests and Growing Tips! Concluding Thoughts: Space to grow further. Index.

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Book SynopsisManual Handling in Health and Social Care is written for all those involved in the manual handling of adults or children - including those carrying it out, assessors, managers and commissioners. It lays out the current legal requirements in a non-technical way and includes case studies illustrating the law applied in practice, across health, social care and sometimes educational settings. The book applies to England, Scotland, Wales and Northern Ireland. An extended introduction sets out challenges, past, present and future, including safety, balancing risk with duties to meet people's needs, human rights, avoidance of blanket policies, mental capacity, safeguarding, the limited resources of statutory services and single-handed care. It also considers some of the legal implications of increased use of technology (including remote assessment), as well as the "mechanisation" of care and its application to manual handling. The main part of the book is in the form of an A-Z guide, providing quick access to relevant legislation and common law (negligence) rules applying to personal injury cases. It covers also, extensively, judicial review legal challenges to decisions, when people and their families disagree with manual handing decisions that have been made. In addition, relevant ombudsman cases are included. The book will be essential reference for staff and managers in health and social care settings, students, legal professionals and all those working to ensure good practice and compliance with the law.

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Book SynopsisEnabling Participation provides a key reference work for health and education practitioners who wish to optimise outcomes for children, young people and families where there is an individual with a childhood onset neurodisability. By focusing on participation -- what is it, how to measure it and how to influence it – the book aims to support professionals to utilise the most recent developments in the field. Written in five parts, the book provides the reader with knowledge about the concept of participation; detailed understanding of how varying contexts influence participation outcomes; how to measure participation as an outcome and as a process; how to intervene to promote participation outcomes; and future directions and challenges. Chapters provide diverse examples of evidence-based practices and are enriched by scenarios and vignettes to engage and challenge the reader to consider how participation in meaningful activities might be optimised for individuals and their families. The book’s practical examples aim to facilitate knowledge transfer, clinical application and service planning for the future.

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Book SynopsisThis book is relevant for psychologists, psychosocial practitioners, healthcare leaders and those with an interest in staff support and wellbeing in healthcare settings. It showcases a wide variety of work using different psychological approaches, including systemic, psychodynamic, narrative, trauma focused and compassion practices. Psychologists are involved at many different levels in staff support, however it is by no means exclusively their domain; with over forty contributors, this book presents collaborations with many other professionals, including chaplains and colleagues from organizational development, human resources and occupational health, as well as describing how psychological thinking can be applied more broadly to staff wellbeing. The first part of the book introduces key psychological principles and ideas related to psychological staff support. This section discusses how to make equality diversity and inclusion central, presents relational and systemic models applied to the healthcare workforce, and concepts such as moral injury, and looks at how to evaluate the work. The second part focuses on practice and different ways of working with healthcare staff at an individual, team and organisational level. Included here are reflective practice models, the use of EMDR in supporting healthcare staff, debriefs, strategic working and support for senior staff. A key theme emerges throughout the book, which is that no amount of staff support resources and professionals can alone address broader issues such as discrimination and bullying in the workplace, healthcare funding and staff shortage. These, of course, fundamentally affect the wellbeing of staff. Ideas are put forward as to ways wellbeing practitioners may use their influence strategically to work with leadership and organisations to support improvements to working conditions and develop cultures of compassion and inclusivity.Table of ContentsAn Introduction to Psychological Staff Support. Dr Harriet Conniff Section 1: Thinking Making Equality Diversity and Inclusion Fundamental to Staff Support Working. Dr Raselle Miller Organisational Trauma: An Important Context in Staff Support. Dr Karen Treisman. Setting up Systems of Staff Support Using a Systemic Approach. Dr Harriet Conniff & Dr Neil Rees Moral Injury: Why Exploring Novel Terms Makes Space for Talking in Staff Support. Dr Esther Murray A Relational Guide to Establish and Maintain a Psychologically Healthier Workplace. Dr Adrian Neal and Dr Julie Highfield Reflections on Group Interventions in Staff Health and Wellbeing: The Role of Psychologists. Dr Dr Zoe Berger, Joanna Farrington-Exley, Dr Harriet Conniff and Dr Sadie Thomas-Unsworth Supporting Staff and Volunteers Delivering Services to People in Crisis. Dr Sarah Davidson, Rachel Morley, Paula Aredez Arriazu and Andrea Wood Research and Evaluation Considerations for Staff Support in Healthcare Settings. Dr Matt Hotton, Dr Louise Johnson and Dr Anika Petrella Section 2: Practice Enabling Connection and Compassion through Structured Compassion Practices. Dr Benna Waites, Dr Charlie Jones, Laura Simms, Dr Alister Scott, Andy Bradley and Dr Rachel Potter. Compassion Focused Staff Support: An Antidote to Empathy Distress. Dr Kate Lucre, Catherine Lacey and Dr Jon Taylor Using the Professional Tree of Life for Staff Wellbeing and Supervision. Dr Julie Fraser and Dr Liz Matias The Heads and Hearts Model of Reflective Practice. Arabella Kurtz and Dr Joanna Levene Psychological Support for Health Care Workers in India: Using a Reflective Lens. Professor Poornima Bhola, Dr Rathna Isaac, and Dr Chetna Dugg Open Dialogue, Dialogical Leadership and Staff Support. Dr Lisa Monaghan and Cathy Thorley Strategic Working and Supporting Leadership within a Healthcare Context. Dr Julie Highfield and Dr Adrian Neal Brief Interventions with Senior Healthcare Staff during the Pandemic. Dr Penelope Cream and Professor Mike Wang Healthcare Professionals who have Experienced Trauma and the Role of EMDR Therapy. Dr Shannon Cullerton and Dr Sherry Rehim Debriefs? Offering Group Interventions in Response to Difficult Events. Dr Sadie Thomas-Unsworth, Dr Zoe Berger, Dr Joanna Farrington-Exley and Dr Harriet Conniff Gathering Our Thoughts. Dr Harriet Conniff

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Book Synopsis With today's cumbersome insurance procedures, government regulations, endless paperwork, and concerns about malpractice rates, many health care professionals are asking: "Why am I doing this? Am I making a difference to my patients? Is there a better way—and if so, what is it?" In this book, Carson and Koenig examine the state of the health care system with the goal of providing healthcare professionals and caregivers the inspiration and practical tools to reclaim their sense of purpose. The book begins with an evaluation of the current system from the perspective of the spiritual vision that initially motivated and nourished many caregivers. The authors then pose a vision of a health care system that supports and nurtures the spirituality of patients and their families, of which some elements already exist. An overview is provided on the preparation necessary for health care professionals to offer spiritual care when there are major implications—for people with chronic illnesses, psychiatric issues, devastating injuries, and those preparing for surgery, facing death, and those living with chronic pain. Also explored are ways that health professionals and caregivers can maintain their own spiritual health even as they work to bring about healing, comfort, and solace to others. Woven throughout the book are the personal narratives of physicians, nurses, chaplains, health care educators, community resource workers, administrators, therapists, and psychologists—all from a wide range of religious traditions. Their examples inspire and assist professionals in renewing the spiritual focus of health care. Table of Contents Preface / ix Acknowledgments / xv 1. Spiritual Caregiving: Healthcare as a Ministry / 1 2. The State of the Current Healthcare System / 26 3. Envisioning the Ideal / 48 4. Preparation for Spiritual Caregiving / 69 5. Providing Spiritual Care / 87 6. Giving Spiritual Care: The Patient with Chronic Illness and Pain / 111 7. Giving Spiritual Care: The Dying Patient / 128 8. Spiritual Care for Special Populations / 145 9. Nurturing the Self: Nurturing the Spirit / 162 10. A David-and-Goliath Match:Taking On the System / 178 Appendixes / 189 Endnotes / 221 Contributors / 231 Index / 235

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Book Synopsis This book is intended as a guide for practicing physicians, medical students, and residents to help identify and address the spiritual needs of patients. Those who will benefit most will be physicians who wish to know how to integrate spirituality into clinical practice in an effective and sensitive manner. Other professionals, such as nurses and chaplains, may use this book as they interact with doctors, other health professionals, and hospital administrators.

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Book Synopsis Dr. Harold Koenig opens a window on mental health, providing an unprecedented source of practical information about the relationship between religion and mental health. He examines how Christianity and other world religions deliver mental health services today, and he makes recommendations, based on research, expertise, and experience, for new programs to meet local needs. Meticulously researched and documented, Faith and Mental Health includes Research on the relationship between religion and positive emotions, psychiatric illnesses, and severe and persistent mental disorders Ways in which religion has influenced mental health historically, and how now and in the future it can be involved with mental health A comprehensive description and categorization of Christian and non-Christian faith-based organizations that provide mental health resources Resources for religious professionals and faith communities on how to design effective programs Presenting a combination of the history and current research of mental health and religion along with a thorough examination of faith-based organizations operating in the field, this book is a one-of-a-kind resource for the healthcare community; its valuable research and insights will benefit medical and religious professionals, and anyone concerned with the future of mental health care. Table of Contents Acknowledgments / vii Introduction / ix Part I. Historical Considerations 1. People and Communities of Faith / 3 2. History of Mental Health Care / 17 Part II. Research on Religion and Mental Health 3. Religion, Coping, and Positive Emotions / 43 4. Religion, Psychiatric Symptoms, and Disorders / 82 5. Religion and Severe, Persistent Mental Illness / 113 6. Integrating Religion into Mental Health Treatments / 133 Part III. Faith-based Mental Health Care 7. Caring for the Emotionally and Mentally Ill / 161 8. Local Religious Congregations (FBO category A) / 173 9. Networking and Advocacy Organizations (FBO category B) / 185 10. Mission-driven Faith-based Services (FBO category C) / 193 11. Faith-integrated Counseling (FBO categories D and E) / 205 12. Non-Christian Faith-based Services / 227 Part IV. Barriers and Solutions 13. Barriers to Research and Implementation / 243 14. Identifying Possible Solutions / 255 Glossary / 277 Additional Resources / 289 References / 299 Index / 333

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Book SynopsisUsing a thematic approach to activity programming, this illuminating book teaches activity staff and recreation therapy students how to maximize cognition and brain functioning to improve the day-to-day performance of both well elders and those facing illness or disability. The author's Therapeutic Thematic Arts Programming method transforms activity planning from an episodic approach (isolated activities) to a continuum of related events using varying expressive forms: the visual arts, language, music and drama. Readers learn how to use these expressive arts in a dynamic, integrated way that will renew the hearts, minds and spirits of older people whose declining physical or mental health increasingly limits their experiences and interactions. Emphasis is placed on programming that is inexpensive and easily adapted for people at various levels of functioning.Table of ContentsIntroduction; Therapeutic Thematic Arts Programming and the Brain; Underpinnings of TTAP and its Applications with Older Adults; The Evolution of Therapeutic Recreation and TTAP; The Nine Steps of Therapeutic Thematic Arts Programming; Therapeutic Thematic Arts Programming and the Continuum of Psychological Domains[copyright]; Using TTAP in Community and Long-Term Care Settings; Appendix; TTAP Activity Assessment Form Creative Places to Get Supplies Free Supplies in Your Community; Supplies for Under Ten Dollars; Finding Donations; Supply Catalogs.

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Book SynopsisBased on Walter St John's decades of study and practice, Solace brings new insight to the process of communicating with a person who is chronically ill. It provides specific, practical and helpful advice for professional caregivers, family members, colleagues, and friends. More than ever, many of us are responsible for the care of a person who is limited in mobility, whose illness is serious and long-term, who may be confined to a house or care facility, and is in need of daily help and continuous care. Solace offers guidelines that are easy to understand and a wealth of tips about what to say and do, as well as what to avoid saying and doing. It is built around 58 topics that are divided into five broad sections: Communicating; Helping; Listening and Observing; Relating; Responding. This organisation allows caregivers to isolate a problem area and develop a positive approach. Each topic, such as Avoiding Harmful Statements, Being Silent, Being Natural, Leveling with Someone, Paying Attention, Showing Respect, Responding to Anger, Responding to Depression and How to Ask Questions contains specific guidance in plain language.Table of ContentsPart I - Communicating; Part II - Helping; Part III - Listening & Observing; Part IV - Relating; Part V - Responding.

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Book SynopsisAnthroposophic nursing care connects the treatment of the body with the care of the patient's soul and spirit. Attention is paid to touch, using warmth, cold air and light to promote healing. While physical wellbeing is central to our modern society, our bodies actually receive little respect and attention, especially when we become ill and old. This book argues that nursing values need to be rediscovered which respect the individual, embrace illness as part of life, and allow time for healing. Anthroposophic Nursing Practice highlights a form of nursing which is both holistic and optimistic. This important book gathers together knowledge and perspectives from generations of nurses, including Anna Wilde, Bernhard Deckers and Heikie Schaumann.This comprehensive work will inevitably become the classic text on the important practice of anthroposophic nursing.Table of ContentsChapter 1: How Do You Learn Anthroposophic Nursing?Chapter 2: Observation as a Method of Self-development and a Therapeutic Element in Care and DestinyChapter 3: The Anthropological Foundations of Nursing Extended by AnthroposophyChapter 4: Illness and DestinyChapter 5: Nursing as a Path of DevelopmentChapter 6: Meditation in NursingChapter 7: The Concept of Nursing Gestures as a Model for Nursing CareChapter 8: RhythmChapter 9: The Human Warmth Organism and Its CareChapter 10: Variations on Whole-Body WashingChapter 11: Preventing Bedsores, Pneumonia, and Thrombosis in Seriously Ill PatientsChapter 12: Rhythmical Einreibung According to Wegman/HauschkaChapter 13: Compresses in Anthroposophically Extended Nursing CareChapter 14: Active Principles in External ApplicationsChapter 15: Pregnancy, Childbirth, and Puerperium as Stages of Human BecomingChapter 16: Neonatal Nursing Care. Care Is Education—Education Is CareChapter 17: The Concept of Development as the Basis for Anthroposophically Extended Pediatric NursingChapter 18: Psychiatric NursingChapter 19: From the Question of Meaning in Cancer to the Cultivation of the SensesChapter 20: Anthroposophic Oncology NursingChapter 21: Geriatric Care as Care for Human BeingsChapter 22: Aspects of Caring for Elderly People who are Mentally Ill or ConfusedChapter 23: Caring for People with Dementia in Inpatient FacilitiesChapter 24: Palliative CareChapter 25: The Care and Accompaniment of the Dying and the Deceased

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Book SynopsisThis book tells a heartwarming and compelling story of Bob and Jeanette Crick's relationship and their journey together through Jeanette's battle with Alzheimer's.You're about to learn a new language It's a language you already know, but one that you will come to know so much better. It's the language of love. When you take a journey with someone, especially someone close to you, you learn a lot—about them and about yourself as well. This book is about a journey, perhaps a path you are walking as well. The goal of this book is not just to tell a story but rather to give you help, encouragement, insight, and support in your own journey. You will need this.Jeanette and Bob were partners in life for 66 years. The latter years, though filled with challenge and pain, were also some of the most enriching and rewarding one could ever imagine. Journeying With Jeanette will help you embrace:• The power of sacramental cleansing• New depths of forgiveness—of yourself and others• Embracing, even celebrating, imperfection• When your heart is right, there truly is joy in the journey

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Book SynopsisThree practicing doctors present the stories of nine individuals diagnosed with brain tumors. Humanizing Brain Tumors details the lived experiences of patients and their loved ones, from the presentation of symptoms to diagnosis and treatment. These nine test cases and the accompanying compendium offer insight and guidance to anyone living with, caring for, or treating those with brain tumors. Written with a humanistic, yet realistic touch, the authors have created a resource that reminds readers of the important partnership between doctors, patients, and caregivers. This collection delves into our modern understanding of brain tumors, using clinical presentation to illustrate the patient experience and summarize methods of treatment. Imagery, including both MRI scans and medical illustrations, facilitates a vivid description of neuroanatomy. Providing a concise description of modern forms of treatment for patients affected with brain tumors, this book presents a patient-centric perspective.Humanizing Brain Tumors will appeal to the hundreds of thousands of patients and their loved ones who are affected by brain tumors every year.Trade Review"A very readable book filled with stories of real people with brain tumors and their responses to treatments. Kudos to the editors. They have produced a small book that is easy to read and transmits lots of information in an interesting way." * Louis R. Caplan, MD, Harvard Medical School *

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Book SynopsisStudent Success for Healthcare Professionals Simplified helps students meet the demands and challenges of their studies by providing strategies for success in the classroom, the lab, the library, and the internship site, as well as sound advice and guidance for maintaining emotional and physical well-being.

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Book SynopsisMedical Terminology: An Illustrated Guide, Ninth Edition helps readers develop a fundamental knowledge of the medical terminology necessary for a career in any healthcare setting. The text opens with a general introduction to word parts and the human body as a whole, followed by an overview of diseases and treatments. Each subsequent chapter on the individual body systems begins with an illustrated overview of the system with definitions of key terms relevant to that system. Tables of word parts and exercises on using them follow. The sequence of the systems chapters follows the same order as that found in a tradition A&P courses.Turning to the abnormal, a section on diseases and treatments is included, followed by definitions of related key terms.

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Book SynopsisIncludes 50 narrated video tutorials! Master the challenging EKG interpretation process and confidently prepare for your clerkship! The EKG Workbook: Becoming Proficient in EKGs by Reading EKGs gives you hands-on practice applying core knowledge to reach accurate interpretations with ease. Each EKG practice strip is labeled based on difficulty and is accompanied by a fully annotated, color-coded interpretation, empowering you to improve your proficiency at your own pace and build the confidence for success from your board review to clinical practice. Unique color-coded approach simplifies EKG annotation and interpretation and visually reinforces key takeaways. 100 EKG practice strips, labeled based on difficulty and accompanied by corresponding annotated interpretations, familiarize you with the most commonly encountered findings and abnormalities and challenge you to apply your core understanding. 50 video tutorials provide on-the-go, step-by-step guidance for successful EKG interpretations accessible on any device.

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Book SynopsisAs the U.S. population ages and as health care needs become more complex, demand for paid care workers in home and institutional settings has increased. This book draws attention to the reserve of immigrant labor that is called on to meet this need. Migrants Who Care tells the little-known story of a group of English-speaking West African immigrants who have become central to the U.S. health and long-term care systems. With high human capital and middle-class pre-migration backgrounds, these immigrants - hailing from countries as diverse as Cameroon, Sierra Leone, Ghana, Nigeria, and Liberia - encounter blocked opportunities in the U.S. labor market. They then work in the United States, as home health aides, certified nursing assistants, qualified disability support professionals, and licensed practical and registered nurses. This book reveals the global, political, social, and economic factors that have facilitated the entry of West African women and men into the health care labor force (home and institutional care for older adults and individuals with physical and intellectual disabilities; and skilled nursing). It highlights these immigrants’ role as labor brokers who tap into their local ethnic and immigrant communities to channel co-ethnics to meet this labor demand. It illustrates how West African care workers understand their work across various occupational settings and segments in the health care industry. This book reveals the transformative processes migrants undergo as they become produced, repackaged, and deployed as health care workers after migration. Ultimately, this book tells the very real and human story of an immigrant group surmounting tremendous obstacles to carve out a labor market niche in health care, providing some of the most essential and intimate aspects of care labor to the most vulnerable members of society.Trade Review“Showers illuminates an extremely important story that needs to be told about Black populations who are doing critical support work and yet remain invisible–Black West African immigrants. Migrants Who Care is the first study of its kind.” -- Mary J. Osirim * author of Enterprising Women: Gender, Microbusiness and Globalization in Urban Zimbabwe *“Migrants Who Care illustrates how West Africans created an ethnic niche in health care as both workers and entrepreneurs and forged a pathway to the American dream. This did not happen smoothly but arduously against structural barriers of racism, neoliberalism, and xenophobia. With deftness and nuance, Showers convincingly shows ethnicity to be both an advantage and disadvantage for migrants in pursuit of this pathway, offering jobs in ethnic-owned facilities but barriers in diverse health care settings. This book is a must-read for scholars of care, labor, migration and race.” -- Rhacel Salazar Parreñas * author of Unfree: Migrant Domestic Work in Arab States *Table of Contents List of Abbreviations Introduction 1 Moving to America 2 Pathways and Entryways into Care 3 The Business of Care: Ethnic Entrepreneurship in Care 4 Disability Support: The Transformation of Immigrants into Care Workers 5 Patient-Provider Interactions and Professional Identities in Nursing 6 Nursing a Pathway to the American Dream Conclusion Afterword: COVID-19 Appendix A: Methodological Appendix Appendix B: Types of Health Care Jobs Acknowledgments Notes References Index

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Book SynopsisAs the U.S. population ages and as health care needs become more complex, demand for paid care workers in home and institutional settings has increased. This book draws attention to the reserve of immigrant labor that is called on to meet this need. Migrants Who Care tells the little-known story of a group of English-speaking West African immigrants who have become central to the U.S. health and long-term care systems. With high human capital and middle-class pre-migration backgrounds, these immigrants - hailing from countries as diverse as Cameroon, Sierra Leone, Ghana, Nigeria, and Liberia - encounter blocked opportunities in the U.S. labor market. They then work in the United States, as home health aides, certified nursing assistants, qualified disability support professionals, and licensed practical and registered nurses. This book reveals the global, political, social, and economic factors that have facilitated the entry of West African women and men into the health care labor force (home and institutional care for older adults and individuals with physical and intellectual disabilities; and skilled nursing). It highlights these immigrants’ role as labor brokers who tap into their local ethnic and immigrant communities to channel co-ethnics to meet this labor demand. It illustrates how West African care workers understand their work across various occupational settings and segments in the health care industry. This book reveals the transformative processes migrants undergo as they become produced, repackaged, and deployed as health care workers after migration. Ultimately, this book tells the very real and human story of an immigrant group surmounting tremendous obstacles to carve out a labor market niche in health care, providing some of the most essential and intimate aspects of care labor to the most vulnerable members of society.Trade Review“Showers illuminates an extremely important story that needs to be told about Black populations who are doing critical support work and yet remain invisible–Black West African immigrants. Migrants Who Care is the first study of its kind.” -- Mary J. Osirim * author of Enterprising Women: Gender, Microbusiness and Globalization in Urban Zimbabwe *“Migrants Who Care illustrates how West Africans created an ethnic niche in health care as both workers and entrepreneurs and forged a pathway to the American dream. This did not happen smoothly but arduously against structural barriers of racism, neoliberalism, and xenophobia. With deftness and nuance, Showers convincingly shows ethnicity to be both an advantage and disadvantage for migrants in pursuit of this pathway, offering jobs in ethnic-owned facilities but barriers in diverse health care settings. This book is a must-read for scholars of care, labor, migration and race.” -- Rhacel Salazar Parreñas * author of Unfree: Migrant Domestic Work in Arab States *Table of Contents List of Abbreviations Introduction 1 Moving to America 2 Pathways and Entryways into Care 3 The Business of Care: Ethnic Entrepreneurship in Care 4 Disability Support: The Transformation of Immigrants into Care Workers 5 Patient-Provider Interactions and Professional Identities in Nursing 6 Nursing a Pathway to the American Dream Conclusion Afterword: COVID-19 Appendix A: Methodological Appendix Appendix B: Types of Health Care Jobs Acknowledgments Notes References Index

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Book Synopsis

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Book Synopsis

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Book SynopsisHospital systems throughout the developed world are undergoing waves of reform which seek to address multiple challenges of intensifying acuity, such as population ageing, technological advance, heightened expectations on the part of increasingly informed patients, the reduction of public spending deficits and the specialisation of staff, especially nurses, as well as the difficulty in establishing appropriate incentives for change and improved performance. Within such a context, the purpose of this book is to analyse the interaction between the nursing professions and hospital institutions in France and Japan, taking as its starting point the conviction that comparative analysis of empirical reality in each of these countries will provide new insights into the transformations currently taking place. To that end, the material in this study has been contributed by an international, interdisciplinary team of experts, combining economic, sociological, political and historical perspectives, which are brought to bear upon evidence from original research carried out in both countries. The findings reveal that the relationship between the nursing profession and hospital structures in Japan is characterised by the predominance of a domestic logic, rooted in dependence upon the institution and the promotion of supposedly feminine qualities, in sharp contrast with the French situation, where industrial and professional logics prevail, entailing specialisation, independent initiative and increasing workloads. From this perspective, the future development of the nursing profession in Japan is inextricably linked to the forms taken by the process of women''s emancipation, whereas in France, it is the evolution of hospital structures, of the position of nurses in the healthcare system and of the division of labour within the world of medicine which emerge as the determining factors. In order to highlight French and Japanese particularities for the Anglophone reader, the book also features numerous socio-historical points of comparison with developments in the United Kingdom.

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Book Synopsis“Bertram and Kerns present a compelling imperative for evidence based practice. Selecting and Implementing Evidence-Based Practice: A Practical Program Guide is timely, cogent, masterful and forceful. […] Advancing the evidentiary movement among practitioners, managers and academics, these authors have made an indelible contribution to our behavioural health and social service communities and to those we serve.”-Katharine Briar-Lawson, PhD, LMSW, Professor and Dean Emeritus, University at Albany School of Social Welfare and National Child Welfare Workforce InstituteFrom the Foreword:“This book will serve as a valuable resource for clinicians, administrators, students, faculty, and academicians. I would also recommend it to family organizations as a resource in their education programs for the families they serve ... Bertram and Kerns have done an excellent job of blending hard science, clinical applications, and big picture issues into a very readable volume that will have valuable information for these diverse audiences” -- Albert Duchnowski, Ph.D. , Professor Emeritus University of South FloridaTo improve client outcomes and practitioner competence, this book clarifies practices to address common problems such as anxiety, depression, traumatic stress, and child behavioural concerns. The authors also provide examples and suggest how to integrate implementation of evidence-based practice into academic programs through collaboration with behavioural health or social service programs.Among the many topics discussed: Academic workforce preparation and curricula development Data-informed selection and implementation of evidence-based practice Anticipating and resolving practical challenges to implementation Negotiating treatment challenges with clients Collaboration between academic and behavioural health care programs This text is a valuable resource for both academic and behavioural health care programs. It will improve workforce preparation and behavioural health care service provision by helping aspiring practitioners and programs develop the necessary knowledge and skills to select, effectively implement and sustain evidence-based practice. Table of ContentsBeginning with the End in Mind.- Visiting the Clinic: A Child and Family Tale.- Definitions and Debates.- Misconceptions and Facts.- Workforce Preparation: Academic Curricula and Concerns.- Establishing Effectiveness: An Innovation Tale.- An Explorer’s Guide to Evidence-Based Practice.- Implementation Science: Slowing Down to Install a Practice.- Starting Small: Transformation Zones and Initial Implementation.- Trouble-Shooting Implementation Challenges.- Data-Informed Implementation.- Pathways to the Future: A Tale of Two Programs.

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Book SynopsisThis practical guide aids clinicians in distinguishing the different dimensions of hand function such as impairment, disability, and handicap. New and updated chapters discuss cerebral palsy, sports injuries, robotics, and assistive technologies. Extensively revised, the book provides a broad overview of the basic principles and examination of hand function. It describes how to evaluate hand function in specific afflicted populations, including the rheumatoid patient, the stroke patient, the trauma patient, the geriatric patient, and the pediatric patient as well as special populations such as diabetes mellitus patients and musicians. It also includes an appendix of hand function scales essential to the assessment of disability. The Second Edition of Hand Function is an ideal resource for all rheumatologists, physiatrists, hand surgeons, orthopedists, occupational therapists, and physical therapists caring for patients with impaired hand function.Table of ContentsSECTION I: Basic Principles of Hand Function.- Functional Anatomy and Biomechanics of the Hand.- Physical Examination of the Hand.- Assessment of Hand Functions.- SECTION II: Hand Function in Clinical Practice.- Pain and Hand Function.- Hand Function in Rheumatoid Arthritis.- Hand Function in Osteoarthritis.- Hand Function in Scleroderma.- Functional Assessment in Hand with Flexor and Extensor Tendon Injuries.- Hand Function in Stroke.- Hand Function in Tetraplegia.- Hand Function in Parkinson’s Disease.- Hand Function in Cerebral Palsy.- Hand Function in Children with Congenital Disorders.- Hand Function in Juvenile Idiopathic Arthritis.- Functional Assessment in Geriatric Conditions.- Hand Function in Common Hand Problems.- Hand Function in Sport Injuries.- Hand Function in Metabolic Disorders: Haemodialysis, Diabetes Mellitus, Gout.- SECTION III: Hand Function with Robotics and Assistive Technology.- Hand Function and Assistive Devices.- Sports and Recreational Adaptations for Hand.- The Functional Capacity of the Robotic Hands.- SECTION IV: Hand Function and Imaging Outcomes.- Hand Function and Imaging Outcomes.- Appendix: Some Hand Functional Scales

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Book SynopsisThis open access book is a collection of 12 case studies capturing decades of experience improving health care and outcomes in low- and middle-income countries. Each case study is written by healthcare managers and providers who have implemented health improvement projects using quality improvement methodology, with analysis from global health experts on the practical application of improvement methods. The book shows how frontline providers in health and social services can identify gaps in care, propose changes to address those gaps, and test the effectiveness of their changes in order to improve health processes and outcomes. The chapters feature cases that provide real-life examples of the challenges, solutions, and benefits of improving healthcare quality and clearly demonstrate for readers what quality improvement looks like in practice: Addressing Behavior Change in Maternal, Neonatal, and Child Health with Quality Improvement and Collaborative Learning Methods in Guatemala Haiti’s National HIV Quality Management Program and the Implementation of an Electronic Medical Record to Drive Improvement in Patient Care Scaling Up a Quality Improvement Initiative: Lessons from Chamba District, India Promoting Rational Use of Antibiotics in the Kyrgyz Republic Strengthening Services for Most Vulnerable Children through Quality Improvement Approaches in a Community Setting: The Case of Bagamoyo District, Tanzania Improving HIV Counselling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale‐Up Journey Improving Health Care in Low- and Middle-Income Countries: A Case Book will find an engaged audience among healthcare providers and administrators implementing and managing improvement projects at Ministries of Health in low- to middle-income countries. The book also aims to be a useful reference for government donor agencies, their implementing partners, and other high-level decision makers, and can be used as a course text in schools of public health, public policy, medicine, and development.ACKNOWLEDGMENT:This work was conducted under the USAID Applying Science to Strengthen and Improve Systems (ASSIST) Project, USAID Award No. AID-OAA-A-12-00101, which is made possible by the generous support of the American people through the U.S. Agency for International Development (USAID).DISCLAIMER:The contents of this book are the sole responsibility of the Editor(s) and do not necessarily reflect the views of USAID or the United States Government.< div="">^Trade ReviewTable of ContentsOverviewBy James Heiby, USAIDOverall introduction to the book that explains the purpose of the book, a short explanation of what the improvement process is about, and briefly discusses what the book is not covering.Part 1: Facility-level improvementCase 1: Improving Quality of Care for Respiratory Tract Infections in Children: The Role of Capacity Building and Coaching in Supporting a Multi-Facility Improvement Team in Samtredia District, GeorgiaBy Tamar Chitashvili and Ekaterine Cherkezishvili, University Research Co., LLC This case study describes the experience of a multi-facility quality improvement team in Imereti’s Samtredia District in Georgia that addressed the quality of care for respiratory tract infections among children. The case study details the design and implementation of the improvement effort, and provides details about the capacity building and coaching support provided to the team that helped lead to improved health outcomes.Case 2: Integrating Gender to Improve Outcomes in an elimination of mother-to-child transmission of HIV Program at Ivukula Health Center III in Eastern UgandaBy Taroub Faramand, WI-HER, LLC In partnership with Uganda's Ministry of Health, United States Agency for International Development (USAID)-funded projects joined expertise in quality improvement and nutrition to put into practice an initiative that addressed all aspects of ensuring healthy HIV-free infants. This case study focuses on how a successful pilot team in eastern Uganda used quality improvement tools to identify clinic inefficiencies and put into action a plan to eliminate mother-to-child transmission of HIV and improve nutrition assessment, care and support services. Case 3: Improving HIV counseling and testing in tuberculosis service delivery in Ukraine: it all starts with one good teamBy Nilufar Rakhmanova, FHI 360 Because TB and HIV programs in Ukraine functioned separately as vertical programs—focusing on specific health conditions—they often missed a window of opportunity for diagnosing HIV at an earlier phase of infection. This case study describes how a successful pilot team in Chervonograd, Ukraine used quality improvement methods to raise the rates of HIV counseling and testing offered to clients tested for TB and how the team scaled up its successes to other sites.Part 2: Community-level improvementCase 4: Strengthening accessibility of services to most vulnerable children through quality improvement approaches in community settings: Case of Bagamoyo district, TanzaniaBy Flora Nyagawa, University Research Co., LLC This case study describes a quality improvement approach to ensure implementation of the National Quality Improvement Guidelines for Most Vulnerable Children in Bagamoyo District, Tanzania. The case study largely focuses on the steps needed to organize improvement efforts; including how project participants formed teams, carried out introductory visits, initiated district and ward efforts, conducted baseline assessments, and built capacity. Case 5: Addressing behavior change with quality improvement methods in GuatemalaBy Elena Hurtado, University Research Co., LLC In Guatemala, quality improvement and collaborative learning methods were applied to two social and behavior change (SBCC) interventions to strengthen families' health and nutrition-related knowledge and behaviors. This case details the organization of the quality improvement effort and team formation, the role of coaches, and explores challenges to making the improvements a permanent part of health services.Part 3: District/regional-level improvementCase 6: Scaling up a quality improvement initiative: Lessons from Chamba District, IndiaBy Nigel Livesley, University Research Co., LLC The Government of India, concerned with poor antenatal care outcomes in Chamba district, enlisted the help of a USAID-funded project with decades of experience in quality improvement. Healthcare practitioners and district officials were initially skeptical about the efficacy of quality improvement methods and reluctant to receive external technical assistance; however, the success of the program eventually won over key stakeholders. This case explores the role of leadership and early successes in creating buy-in for a quality improvement intervention, and the role the support of key stakeholders played in the scale-up of the effort.Case 7: Promoting rational use of antibiotics in the Kyrgyz RepublicBy Barton Smith, Edmonds Family Medicine, formerly with Abt Associates In the Kyrgyz Republic, quality improvement methods were used to promote rational antibiotic use among prescribers. This case highlights the important role data collection, access, and analysis played in identifying and reducing incorrect prescription of antibiotics.Case 8: Improving access to essential medicines through active engagement of district leadership in Kaborole District, UgandaBy Herbert Kisamba, University Research Co., LLC With the expansion of health coverage in Uganda, the government began to shift its priorities to emphasize quality of health care and patient safety. In Kaborole District, the government decided to target timely ordering of medicines and tuberculosis treatment for district-level quality improvement work because these were two of the worst areas of performance within the health system. The intervention provided an opportunity to the senior-level staff of the district health system to appreciate modern quality improvement methods and apply them.Case 9: Strengthening systems to improve nutrition care, support, and treatment in Malawi: Results from Balaka and Karonga districtsBy Linley Hauya, University Research Co., LLC Malawi was one of the first countries to integrate nutrition assessment, counseling, and support into its HIV and TB care framework and the government intended the provision of ready-to-use therapeutic food (RUTF) to be a cornerstone of care. However, incomplete national-level data on the number of people requiring RUTF frequently led to supply-shortages. Because RUTF was frequently unavailable, many health facilities did not bother recording the number of patients requiring it. This case discusses how district quality improvement teams were able to address this vicious cycle to improve patient care.Case 10: Bridging the gap between emergency response and health systems strengthening: Designing quality improvement during the Zika outbreakBy Eric Baranick, University Research Co., LLC In mid-2015, the Zika virus arrived in Brazil; within a year, the virus had travelled to 21 other countries in the Americas. As the magnitude of the epidemic unfolded, new and troubling evidence emerged about an uptick in birth defects in Zika-affected regions and their potential link to this virus, causing the WHO to declare Zika a public health emergency of international concern. This case explores the actions required to build a foundation for and implement quality improvement in a crisis setting.Part 4: National-level improvementCase 11: Use of an electronic medical record to drive national improvement, HaitiBy Joshua Bardfield, HEALTHQUAL International In Haiti, an electronic medical record system drives national and local quality improvement efforts as part of a national quality management program supported by the U.S. President’s Emergency Plan for AIDS Relief. This case study describes how quality improvement teams transitioned from a paper-based to an electronic medical record system and how the government used analysis of the electronic data to set improvement priorities.Case 12: Improving maternal and neonatal health in MozambiqueBy Edgar Necochea, Jhpiego Although more than half of deliveries in Mozambique occur at health facilities, high maternal mortality rates have persisted as a public health issue. To address concerns about the quality of health facility care, the Mozambique Ministry of Health launched the Model Maternities Initiative from 2009-2014, which represented about half of all maternities in the country, covering approximately one-third of all institutional deliveries. As part of this initiative, quality improvement teams used a standardized assessment tool to identify performance gaps and put in place rapid interventions—such as basic infection prevention practices and minor infrastructure repairs—to produce swift results. This case study demonstrates how it is possible to systematically improve the delivery of health services at the facility level, across an entire country, with very limited external assistance – despite the challenges faced, which are common to many low-income settings.Case 13: The business case of quality in health care: A sustainable financing and technical assistance approach to quality improvement in KenyaBy Nicole Spieker, PharmAccess Introducing international standards, stepwise certifications, and a transparent rating and improvement program to healthcare providers in Kenya has proven to be a successful approach towards sustainable quality assurance. This case study explores the introduction of medical and business quality standards at a single health facility and outlines the activities that were required to adhere to the new standards.Case 14: Improving quality of voluntary medical male circumcision: A case study of UgandaBy John Byabagambi, University Research Co., LLC Voluntary medical male circumcision (VMMC) has the potential to significantly reduce HIV transmission; however, as with any medical procedure, there is a need to assess the quality of VMMC service provision to ensure that procedures are safe and follow established norms and protocols. This case describes the experience of adapting VMMC assessment tools from high-income counties to the Ugandan context in a large number of health care facilities throughout the country and using these customized tools to address gaps in VMMC service delivery.Part 5: DiscussionBy James Heiby, USAID A concluding chapter summarizes what these cases tell us overall about healthcare improvement in low- and middle-income countries, and specifically about different topics, including: getting improvement teams started, how teams test changes, support for improvement teams, learning from improvement, and scaling up improvement. In addition, this chapter addresses the question: “What’s next in QI?”, highlighting what we do not know and what we want to learn how to do better. The chapter is authored by editor James Heiby and could be presented in the format of a narrative or an interview with other experts in quality improvement. BibliographyAn annotated bibliography highlights other materials, articles, etc. drawn on in the thematic chapters and provides links to supplemental materials published on the USAID ASSIST Project website (https://www.usaidassist.org/) (or on a web page provided by the publisher).Glossary of termsA glossary of terms related to quality improvement is included at the end of the book. Examples of such terms that would be included are provided below: Accreditation Aim Coaching Collaborative improvement Institutionalization Learning session Plan-do-study-act Process improvement Quality assurance Quality improvement Spread

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Book SynopsisThis book explores in depth the phenomenon of user innovation in healthcare. In particular, the book sheds light on patient innovation, whereby patients and/or caregivers proactively develop and diffuse new products and services that provide health and quality of life benefits by addressing gaps in existing market offerings. The aim is to clarify the key characteristics of these innovative processes and to offer practitioners and policymakers tangible bottom-up evidence, solutions, and ideas that will assist in improving health systems, organizations, and practices. A number of important and interesting research questions are addressed, casting light on the types of products and services that tend to be developed by patient innovators, the typical profile of these innovators, the role played by firms, institutions, and health professionals, and the ways in which digital technologies support the dissemination of innovations among patient communities and within the industry. Beyond academic scholars and policymakers, the book will be of high value for students on master’s programs in both medical sciences and business and economics.Table of ContentsChapter 1: User innovation.- Chapter 2: User innovation in healthcare.- Chapter 3: Patient innovation.- Chapter 4: Cases of patient innovation.

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Book SynopsisThis open access volume is the first academic book on the controversial issue of including spiritual care in integrated electronic medical records (EMR). Based on an international study group comprising researchers from Europe (The Netherlands, Belgium and Switzerland), the United States, Canada, and Australia, this edited collection provides an overview of different charting practices and experiences in various countries and healthcare contexts. Encompassing case studies and analyses of theological, ethical, legal, healthcare policy, and practical issues, the volume is a groundbreaking reference for future discussion, research, and strategic planning for inter- or multi-faith healthcare chaplains and other spiritual care providers involved in the new field of documenting spiritual care in EMR. Topics explored among the chapters include: Spiritual Care Charting/Documenting/Recording/Assessment Charting Spiritual Care: Psychiatric and Psychotherapeutic Aspects Palliative Chaplain Spiritual Assessment Progress Notes Charting Spiritual Care: Ethical Perspectives Charting Spiritual Care in Digital Health: Analyses and Perspectives Charting Spiritual Care: The Emerging Role of Chaplaincy Records in Global Health Care is an essential resource for researchers in interprofessional spiritual care and healthcare chaplaincy, healthcare chaplains and other spiritual caregivers (nurses, physicians, psychologists, etc.), practical theologians and health ethicists, and church and denominational representatives. Table of ContentsSimon Peng-Keller/David Neuhold Recording spiritual care in electronic medical records. Overview on an ongoing developmentAbstract: The introductory contribution begins with a historically oriented sketch. By referring to ancient and early modern practices, the relationship between spiritual (self-)care and various forms ofdocumentation is broadened. The focus is then on the documentation efforts of clinical pastoral care in the 20th century. The recording of clinical pastoral care is by no means new. The efforts of thephysician Richard Cabot and the theologian Russel L. Dicks in the 1930s show this impressively. In afurther step, more recent developments, which were important in the run-up to the electronic medical record (EMR) that produced it, are pursued. An exemplary view, namely of Kenya, expands what is depicted into another context beyond the western realm. Finally, the chapter gives an overview of the state of research and literature on the topic and some of the questions discussed therein, such as the pastoral mystery and the crucial matter of confidentiality. Possible unintended consequences of the emerging practice also are considered. Thus, the discussion is complex, multifaceted, and changing.Keywords: Documentation, history, (self-)care, EMR, pastoral mystery, confidentiality, unintended side effects.I. Basic considerationsEckhard Frick Psychiatric-psychotherapeutic perspectiveAbstract: Proactively addressing spiritual and religious (s/r) issues has a strong intervention effect on patients that is generally more important than the detailed content of spiritual screenings and assessments. When asked about s/r needs or problems, patients may feel bothered, surprised, annoyed, or, conversely, satisfied, supported, acknowledged in their coping efforts. Consequently, documentation should first of all reflect whether and how the patient reacts towards the clinician’s s/r intervention and whether and how he wants this interaction to be shared in the healthcare team. There is growing evidence that patients want that the carers to take into account the spiritual dimension of health care. Health professionals must, however, respect individual and general boundaries (non-compulsive, non-proselytizing, non-neglecting approach). In psychiatry and psychotherapy, patients’ spirituality is less pathologized than in former times and more and more accepted as a universal dimension to human experience, transcending individual religions. In mental health and in other medical fields, s/r may be part of the problem or part of the solution (K. Pargament) or both. Consequently, spiritual charting should not only differentiate pathological / negative and resilient / positive coping but also comprise the patient’s s/r health-care preferences and goals as well as the role he or she attributes to the health professional. All in all, a hermeneutical (understanding) approach is required both when communicating with the patient and when putting it into writing for the healthcare team, i.e., «translating» the patient’s spirituality and sharing it with different team members respecting their own s/r and professional belongings as well as their experiences and competencies in this field.Key words: Spirituality, psychotherapy, team, patientGuy Jobin Ethical perspectiveAbstract: The introduction of EHRs into clinical practice appears to be irreversible. Where EHRs are used, chaplains have cooperated willingly with this way of reporting and sharing information with other members of the care team. They must, as a result, adapt their own note-taking practices to ensure effective, relevant, and meaningful communication as part of the joint decision-making process. Although EHRs raise ethical issues that can be described as «classic», particularly in connection with confidentiality and access, other questions, just as crucial, have received less attention in the specialized literature and are addressed here. They include recognition for all players in the care relationship (both patients and caregivers) as subjects, and the communication of «non-generic» information such as emotions, values, life history, etc.Key words: Clinical Judgment, Confidentiality, Deontology, Ethics, RecognitionPaul Galchutt/Judy Connolly What We Don't Know Can Hurt Us. Spiritual Assessment Notes in Palliative CareAbstract: The research question, «What is helpful as well as missing from palliative chaplain spiritual assessment progress notes,» arose from the context of seeking to know how palliative chaplain spiritual assessment progress notes can best be relevant and make a difference for a patient’s care. The information-rich audience to address this question were the non-chaplain palliative care team members. Seven focus groups, two of which were in a children’s hospital context, were hosted with forty-two non-chaplain palliative team participants. Through a constant comparative qualitative analysis process, the major results revealed four important considerations for palliative care chaplains. First, palliative interprofessional team members want more help and information regarding a patient’s decision making, especially related to a patient’s religion and/or spirituality. Second, and in line with palliative care principles, the participants discussed their desire for relevant notation on a patient’s sense of suffering and coping. Third, a request was made for the chaplain to consistently document his/her perception of emotion emerging from the patient and/or family. The last major result to emerge was that the progress notes should have a summary content section at the top of the note with the most important information contained there. Palliative care chaplains need to continue to hone progress-note content such that it continues to be relevant and effective in helping make a difference to reduce suffering and improve quality of life with patients and families.Key Words: Palliative Care, assessment progress notes, interprofessional team, quality of lifeII. National developments and trendsBrent PeeryChaplaincy Documentation in a Large U.S. Health SystemCommentary: Simon Peng-KellerAbstract: Chaplaincy documentation practices in the United States have evolved over time. Variation in practice still remains. However, the trend in the profession is toward the expectation that chaplains will document their care. There is also increased expectation regarding the content of that documentation. This chapter contains some of the history and current practice of chaplaincy documentation within the Memorial Hermann Health System in Houston, Texas. It includes a discussion of the who, what, where, when, how, and why of chaplaincy documentation. Memorial Hermann chaplains strive to document care in a manner that bears witness to the holistic humanity of the care recipients. The author also describes the care in a way that helps others understand the important ways professional chaplains contribute to the wellbeing of others.Key Words: Chaplaincy, spiritual care, charting, documentation, electronic medical recordBruno Bélanger/Line Beauregard/Mario Bélanger/Chantal Bergeron Documenting Spiritual Care in CanadaCommentary: Ralph KunzAbstract: Over the past decade or so, the quality of the evaluation note written by a spiritual care provider (ISS) has been a major issue in accountability and the quality of interdisciplinary collaboration. This chapter proposes two models of notes: «the note following a meeting with a user», generally used in acute care, and «the note following a meeting with a relative», generally used in long-term care, in cases where a patient can no longer express himself. These two charting models were developed on the basis of the RESS (Benchmarks for Spiritual Care Assessment) assessment tool, recently developed at the CSsanté, whose usefulness and applicability were assessed in a research study. The note models presented in this chapter are essentially inspired by the vision of spirituality underlying the work of accompanying patients and the development of the RESS. The authors found that the clinical benefits of streamlining an evaluation and note-writing model are a major step forward in a profession that has been rapidly evolving in Quebec in recent years.Keywords: Quebec, spiritual care, quality of interdisciplinary collaboration, spirituality, benefitsChristine Hennequin Documenting Spiritual Care in AustraliaCommentary: Livia Wey-MeierAbstract: Documentation in medical records is an important aspect of providing care in Australian health services. Documenting spiritual care in health services has evolved over many decades. A brief historical overview of the models of chaplaincy in Victoria, Australia from the 1950s shows the development from faith-based models to more professional models in the last two decades. Models may include spiritual care faith representatives and volunteers; access to medical records differs for each of these providers. Data collection and describing pastoral interventions in the 1990s as part of an Allied Health project at Austin Health, Heidelberg Victoria was a key milestone as was the inclusion of pastoral care intervention codes in the Australian ICD-10_AM/ACHI/ACS codes in 2002. As a peak body, the Healthcare Chaplaincy Council of Victoria and later Spiritual Health Victoria continued to develop documentation guidelines including consistent ways of collecting data and describing interventions. Reporting on spiritual care activity to the Victorian government’s Department of Health and Human Services emphasised this requirement to develop a minimum dataset and to educate the spiritual care sector. A Spiritual Care Minimum Data Set Framework was developed in 2015 and evaluated. Revised guidelines were disseminated by Spiritual Health Victoria in 2019. Three case studies of Victorian hospitals illustrate how documenting in electronic and paper medical records currently meet the Spiritual Health Victoria guidelines. Documentation assists with the integration of spiritual care in the health service, with internal reporting and with research. It also enables spiritual care activity to be visible and available electronically for reporting to government as required.Key Words: Documentation, medical records, models, pastoral care, spiritual care, chaplaincy, intervention, data, framework, guidelinesWilfred McSherry/Linda Ross Documenting Spiritual Care in the U.K.Commentary: David NeuholdAbstract: This chapter explores how spiritual aspects of care are being documented within the United Kingdom (UK) with a specific focus upon health care, primarily the nursing and chaplaincy professions. This has not been an easy undertaking given the lack of a standardised approach, the changing and challenging landscape of health care in the UK, and the conflicting terminology used when trying to assess, capture, and record encounters, interactions, and conversations with patients and their carers about their spiritual needs. The authors draw upon their own research and informal enquiries with chaplains from across England, Scotland, and Wales, demonstrating that there is a wide range and variation in practice. The authors conclude that there is no standardised means of assessing and documenting spiritual needs and care in the UK and that this is unlikely to become a reality until the many complex challenges outlined are addressed both politically and professionally.Key Words: Chaplaincy, nursing, spiritual care, charting, documentation, England, Scotland, Ireland, WalesWim Smeets/Anneke de Vries Spiritual Care and Electronic Medical Recording in Dutch HospitalsCommentary: David NeuholdAbstract: Among Dutch Healthcare Professionals, it is not a foregone conclusion that conversations with patients should be recorded electronically. This chapter first describes the discussion among them about the pros and cons of EMR. The authors then discuss the Dutch and European legislator’s requirements for the protection of patients’ privacy and therefore of their stories, and how these requirements work out in EMR’s practice. The third section is devoted to the question as to why spiritual caregivers should actually record their conversations with patients. The authors put forward various arguments for this. In their view, charting appears to serve both the interests of patients and the interests of the healthcare providers and of the spiritual care professionals themselves. The authors then describe various possible methods of registration, including G. Fitchett’s model in an adapted, more secular form. By means of two cases, one fairly extensive and one more concise, they show how registration takes place in practice at the Radboudumc. The chapter concludes with the formulation of plans and wishes for the near future.Key-Words: EMR – Legislation – Registration models – Healthcare providers – Hospital – umcAnne Vandenhoeck Documenting Spiritual Care in BelgiumCommentary: Eva-Maria FaberAbstract: The main motive for spiritual care givers to chart in electronic patient files should be to contribute to the best possible spiritual care for patients and their loved ones. The culture in health care has always influenced spiritual care and vice versa. The contemporary economic paradigm in health care fuels core concepts like quality of care, efficiency, interdisciplinary care, and patient-centered care. Electronic patient files serve multiple of those core concepts and it is important for spiritual caregivers to be accountable in their service to patients and loved ones. In this contribution the author explores charting by spiritual caregivers in the context of general hospitals in Flanders, Belgium. The main charting system, which is used by a big cluster of hospitals in Flanders, includes space for the spiritual caregivers to chart. The language used is based on the Discipline for Pastoral Care Giving, an outcome-based model for spiritual care by the late Arthur Lucas. In this contribution the author reflects on several ways of charting and touches upon several tensions: the tension between sharing and confidentiality, between charting for yourself and for an interdisciplinary team, between time to chart and time to visit. From the perspective of tensions, charting remains an interesting medium to reflect upon the contemporary content of spiritual care and the position of spiritual caregivers in health care.Keywords: Spiritual caregivers as bearers of patients’ stories, interdisciplinary patient file, confidentiality, functional narrative charting, continuity in care for the patient’s story, outcomes of spiritual carePascal Mösli Emerging practices in SwitzerlandCommentary: TBDAbstract: The pastoral documentation is developing rapidly in Switzerland. As part of the palliative complex treatment required by hospitals, developed independently by pastoral teams in the interprofessional context of large hospitals, it has also found its way into current standard papers of pastoral expert committees. In order to understand how pastoral care professionals throughout Switzerland think about documentation, a survey of German-speaking pastoral care professionals was conducted in spring 2019. The response rate was 54%, so the results of the survey provide a good insight into the Swiss situation. The results show that there is also a major upheaval in the minds of pastoral care professionals. While about 50% of all pastoral professionals in Switzerland document pastoral work in some form, more than 70% of those who do not currently document could imagine – under certain conditions – documenting. The chapter informs about the development of the pastoral documentation, contexts, and framework conditions of the healthcare system and the church, and their meaning from the point of view of the pastoral professionals themselves.III. Challenges and perspectives for the futureSimon Peng-Keller Challenges and perspectives for the futureAbstract: In a first step, the final contribution to the volume collects and organizes the various topics of the discussion. Second, it filters out the critical and controversial points as well as the convergences in the transnational developments. Third, the desiderata for research is articulated and some ideas for future research programmes are formulated. The chapter concludes with a sketch of a future practice of recording spiritual care.

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