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E-raamat: Integrated Practitioner: Turning Tyrants into Tools in Health Practice (Book 3)

  • Formaat: EPUB+DRM
  • Ilmumisaeg: 31-Oct-2014
  • Kirjastus: CRC Press
  • Keel: eng
  • ISBN-13: 9781785230332
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Integrated Practitioner: Turning Tyrants into Tools in Health Practice (Book 3)Suurem pilt
  • Formaat: EPUB+DRM
  • Ilmumisaeg: 31-Oct-2014
  • Kirjastus: CRC Press
  • Keel: eng
  • ISBN-13: 9781785230332
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'In order to provide integrated healthcare, we need to integrate a huge number of... entities. Each one of these entities can be a useful tool for our practice. To be effective practitioners, we hope to gain some mastery of them. But sometimes we feel as if they have mastery of us. There are days when we feel on top of our game, we keep to time, we know instantly what's wrong, the right treatment is immediately to hand, our colleagues are supportive and helpful, and birdsong drifts through our open summer window. Then there are the other days...' Justin Amery

This extraordinary new series fills a void in practitioner development and well-being. The books take a reflective step back from the tick-box, target-driven and increasingly regulated world of 21st century health practice; and invite us to revisit what health and health practice actually are. Building carefully on the science and philosophy of health, each book addresses the messy, complex and often chaotic world of real-life health practice and offers an ancient but now almost revolutionary understanding for students and experienced practitioners alike: that health practice is a fundamentally creative and compassionate activity.

The series as a whole helps practitioners to redefine and recreate their daily practice, in ways that are healthier for both patients and practitioners. The books provide a welcome antidote to demoralisation and burn-out amongst practitioners, reversing cynicism and reviving our feeling of pride in, and our understanding of, health practice. By observing practice life through different lenses, they encourage the development of efficiency, effectiveness and, above all, satisfaction.

The third book in the series, The Integrated Practitioner: Turning Tyrants into Tools in Health Practice explores the relationship between practitioners and their tangible, external tools such as time, computers, money, information, colleagues, equipment, targets and office spaces, along with less tangible elements like knowledge, understanding, language, values and beliefs. These tools can be of great benefit when fully integrated and balanced but they often end up controlling practitioners, dictating the manner in which the practice operates and ultimately reducing efficacy. It suggests ways for practitioners to harness the positive forces of these tools and regain control.

Brilliantly written, practitioners, students and trainees and GP trainers will find the enlightening, witty, conversational style a joy to read.
About the author vii
Acknowledgements viii
Introduction to the series 1
o Why are these workbooks needed? 1
o Why did I write them? 2
o What will be in them? 3
o What perspectives and approaches will they use? 4
o Points and prizes: something for nothing 9
o Provisos 9
Chapter 1: The perspective of 'other' 11
o Tools or tyrants? 13
Chapter 2: Health knowledge 17
o A brief word of warning 17
o What do we know about health? 18
o Health as a relational entity 20
o Choosing what we see 20
o Testing our truths 22
o Knowledge and power 23
o Why is this important to health practice? 24
Chapter 3: Health beliefs 27
o Health beliefs and explanatory models 28
o Using explanatory models skilfully 33
o Confl icts and dissonance 34
o Integrating cultures and beliefs into our practice 36
Chapter 4: Information and guidelines 39
o The information explosion 40
o The effect of the information explosion in practice 41
o Guidelines 43
o Integrating information and guidelines into our practice 45
Chapter 5: Time and resources 47
o The problem of 'fairness' 48
o Practitioners, not priests 48
o The big (and small) issues 49
o Prioritising and choosing 50
o Mindful dedication 52
o Being fi rm about what we cannot do 54
o Acting effectively 56
Chapter 6: Regulations and targets 59
o Targets 61
o Integrating regulations and targets into our practice 63
Chapter 7: Organisations and teams 65
o Organisations as tools and tyrants 66
o Motivation 66
o The functions of health organisations 68
o Dysfunctional organisations 68
o Assessing our organisations 71
o How can we help our organisations work more effectively? 73
o Integrating organisations and teams 74
Chapter 8: Space and the environment 77
o What does our space say? 78
o Changes in health practice space 78
o Therapeutic environments 80
o Making consulting space more therapeutic 80
o Making hospital environments more therapeutic 82
o Integrating our space into our practice 84
Chapter 9: 'Effectiveness' 87
o How do we assess effectiveness? 89
o An empirical enquiry of effectiveness 90
o An interpretive enquiry of effectiveness 92
o Looking for 'evidence' of effectiveness 94
o Being wary of power claims dressed as knowledge claims 95
o Integrating and balancing approaches to health practice 96
Conclusion: integrated harmonic balance with the other 99
o The 'other' as tyrants 99
o The crucial importance (and power) of 'me' 99
o Integrating the 'other' into our practice 101
Notes 105
Bibliography 128
I am a full- time practising family practitioner and children's palliative care specialist doctor working in the UK. I have also spent some years working in Uganda and other sub- Saharan African countries.

I enjoy teaching, writing and mentoring. I am a medical student tutor at the University of Oxford, a trainer in general practice, and I have designed and set up children's palliative care courses for health professionals in the UK and Africa. I have worked with 'failing practices' to help them turn round; and also with health professionals who are struggling (as we all do from time to time).

I have always had an interest in philosophy and spirituality, and have studied this at postgraduate level. I have carried out some research into education and training of health professionals around the world and I continue to explore that interest. I have previously written two books: Children's Palliative Care in Africa (Oxford: Oxford University Press, 2009) and the Association for Children's Palliative Care (ACT) Handbook of Children's Palliative Care for GPs (Bristol: ACT, 2011). I particularly enjoy reading and writing poetry.

At heart, though, I am a practitioner and a generalist. What is more, as you can probably see, I am rather a jack of all trades, and a master of none.

I have been motivated to write this book as I am hoping to explore practical ways of practising health that help us all, patients and practitioners alike, to become a little more healthy, and a little more whole.
Lisainfo e-raamatute kohta Lisainfo e-raamatute kohta
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