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Doody's Review ServiceReviewer: Sharon K. Holmberg, PhD, RN (Indiana University School of Nursing)
Description: This book is written by a chaplain who has extensive experience developing programs of "care and support" for care providers.
Purpose: The central assumption is that caregivers need to be cared for in order to have the emotional resources to care for patients. An integrated, disciplined approach to developing a culture of caring is described, based on principles from experience and current research. The process of culture change is thoroughly described, including methods assessing caregiver pressures, general principles, and philosophical assumptions underlying a culture of caring; the process of organizational change; and methods of assessing improvements in the individual, the system, and the services provided. Finally, proposals for maintaining changes are introduced and methods of measuring benefits are proposed.
Audience: Although intended for all healthcare providers, this book would be especially thought-provoking and instructive for persons having formal or informal organizational influence, such as chaplains, nurse managers, and chief executives and could be used as a manual for all employees in organizations implementing changes.
Features: Each chapter contains brief vignettes and examples to elucidate specific points, exercises to facilitate application to the learner's situation, and brief summaries of key points, making the book useful as a text during a change process. Illustrations initially used to describe key characteristics of a staff support system are expanded upon in later chapters to demonstrate progression toward a goal and emphasize the "process" theme.
Assessment: Concise and clearly written, this modest book offers excellent recommendations for enhancing the emotional resources of caregivers in the increasingly demanding world of healthcare.