This book is the first one to examine stress in primary health care professionals in the UK - the professionals who are in the frontline of medical care in a rapidly changing society. It is a detailed literate review of stress in general and includes the results of studies on primary health care professionals. It contains extensive material from face-to-face interviews with each profession and practical advice on how they can manage stress.
Concerned mostly with treating patients suffering from stress, but a final chapter also considers stress among general practitioners themselves. After reviewing the factors that can induce stress and techniques for managing it, details such matters as the physiology and psychology, somatic and psychological presentations, giving advice, and producing a set of audio tapes. Annotation copyrighted by Book News, Inc., Portland, OR
Stress is an easy thing to ignore. It seems normal. Everyone is stressed, right? But do you know that stress among your clinical staff and administrative employees significantly affects the quality of care patients receive? It leads to medical errors, near misses, and lower patient satisfaction. As a leader in your organization, you cannot ignore the significant impact that stress can have on organizational performance. This is not a self-help book. Rather, it is an "other-help" book that will explain how to evaluate and address the stress your clinicians and administrators regularly face. After making the business case for addressing stress, it explains how to reverse the burnout your employees are experiencing and reengage them in their work. Topics covered include: The direct and indirect costs associated with stress from the perspective of clinical staff, administrative staff, and the organization as a whole The main theories about stress management and the primary stressors facing clinical and administrative staff How to assess stress and burnout, and tools you can use to determine the extent of the problem in your organization How to identify the common underlying stressors leading to burnout among employees Strategies that shift emphasis from individuals and focus instead on changing the stressful environment in which they work Techniques for sustaining a positive environment so it can remain stress free
Patient-centered, high-quality health care relies on the well-being, health, and safety of health care clinicians. However, alarmingly high rates of clinician burnout in the United States are detrimental to the quality of care being provided, harmful to individuals in the workforce, and costly. It is important to take a systemic approach to address burnout that focuses on the structure, organization, and culture of health care. Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being builds upon two groundbreaking reports from the past twenty years, To Err Is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century, which both called attention to the issues around patient safety and quality of care. This report explores the extent, consequences, and contributing factors of clinician burnout and provides a framework for a systems approach to clinician burnout and professional well-being, a research agenda to advance clinician well-being, and recommendations for the field.
Ask for a definition of primary care, and you are likely to hear as many answers as there are health care professionals in your survey. Primary Care fills this gap with a detailed definition already adopted by professional organizations and praised at recent conferences. This volume makes recommendations for improving primary care, building its organization, financing, infrastructure, and knowledge baseâ€"as well as developing a way of thinking and acting for primary care clinicians. Are there enough primary care doctors? Are they merely gatekeepers? Is the traditional relationship between patient and doctor outmoded? The committee draws conclusions about these and other controversies in a comprehensive and up-to-date discussion that covers: The scope of primary care. Its philosophical underpinnings. Its value to the patient and the community. Its impact on cost, access, and quality. This volume discusses the needs of special populations, the role of the capitation method of payment, and more. Recommendations are offered for achieving a more multidisciplinary education for primary care clinicians. Research priorities are identified. Primary Care provides a forward-thinking view of primary care as it should be practiced in the new integrated health care delivery systemsâ€"important to health care clinicians and those who train and employ them, policymakers at all levels, health care managers, payers, and interested individuals.
Remediation in medical education is the act of facilitating a correction for trainees who started out on the journey toward becoming excellent physicians but have moved off course. This book offers an evidence-based and practical approach to the identification and remediation of medical trainees who are unable to perform to standards. As assessment of clinical competence and professionalism has become more sophisticated and ubiquitous, medical educators increasingly face the challenge of implementing effective and respectful means to work with trainees who do not yet meet expectations of the profession and society. Remediation in Medical Education: A Mid-Course Correction describes practical stepwise approaches to remediate struggling learners in fundamental medical competencies; discusses methods used to define competencies and the science underlying the fundamental shift in the delivery and assessment of medical education; explores themes that provide context for remediation, including professional identity formation and moral reasoning, verbal and nonverbal learning disabilities, attention deficit disorders in high-functioning individuals, diversity, and educational and psychiatric topics; and reviews system issues involved in remediation, including policy and leadership challenges and faculty development.
Praise for Stress Management "The author is correct in saying that the stress management field is a ′soft′ one, lacking a strong theoretical foundation, and therefore lacking good studies of efficacy and long term outcome. Certainly any publication that would improve on this situation is to be welcomed. . . . Strengths are the systematic approach to the topic. The attempt to ground scientifically the issue of stress management will appeal greatly to the more discerning student of clinical psychology and applied health psychology. It will provide a sufficiently academic approach to the topic that it will find acceptance in courses on the topic." -William R. Lovallo, University of Oklahoma Health Sciences Center & Director, Behavioral Sciences Laboratory, VA Medical Centers, Oklahoma City Most of the literature on stress management describes and evaluates individual stress responses but lacks a critical view of the scientific foundation of stress. In order to truly comprehend stress management, there needs to be clear understanding on the phenomenon that is "to be managed." Stress Management: From Basic Science to Better Practice examines documented pathways between stress and health and develops the scientific foundations for sound interventions. The book begins with a broad review of the term ′stress′ and its importance for health. The text then provides a critical examination of the elements of the stress process, extracts supporting research for a rationale of stress management and describes various stress management techniques and their effectiveness. In Stress Management, author and renowned stress researcher Wolfgang Linden reviews the literature on intervention outcomes, noting weaknesses that include an overemphasis on individual rather than societal responsibility for stress and coping and disregard of the emerging field of positive psychology. The author concludes the text with a proposed distinction between psychotherapy and stress management, and he proposes the need for three distinguishable subtypes of stress management programs-a systematic-preventative approach; a broad-based stress vaccination and prevention type of protocol; and a reactive, problem-solving type of stress reduction intervention. Key Features Begins with a firm groundwork in defining stress and examining conceptual models of stress to set the stage for rational, science-based thinking on how to manage it Introduces a unique three-step process model for stress management Considers physiological and sociocultural influences on stress and health Offers an objective analysis of existing literature and includes extensive personal, clinical experiences of the author to make the science of stress come alive for the reader Includes coverage of positive psychology and how the creation of social support and positive emotional states can ease experiences with stress Stress Management is an excellent textbook for advanced undergraduate and graduate courses, such as Stress Management, Stress & Coping, Stress & Health, and Stress & Wellness, in the fields of Psychology and Health. The book is also a valuable resource for researchers and clinicians within the behavioral sciences interested in understanding and alleviating stress.
Written by a veteran clinician for medical practitioners of all disciplines and levels of experience, this concise pocket guide presents a frank discussion about facilitating resiliency in the face of the personal and professional challenges of a medical career. Furthermore, it provides proven techniques and suggestions for stress management aimed at the maintenance of a more successful practice and peaceful life. First defining and elucidating the problems of stress plaguing the field, including burnout, substance abuse and suicide, the bulk of the book presents and discusses ways to combat and master the everyday stress of the "medical marriage," such as engaging in mindfulness training, learning to forgive oneself and others, listening to your own body, utilizing time away from medicine, and performing simple acts of kindness and gratitude. Issues surrounding the inevitability of mistakes, the pursuit of perfectionism, happiness and success are then examined and reflected upon, as are stress management considerations from other cultures and literary sources. Equal parts personal and practical, The Resilient Physician is a must-have for any clinician or medical professional seeking better understanding and outcomes when handling the constant demands of this high-stress - but ultimately rewarding - career.
