tag:blogger.com,1999:blog-10246967.post9123343818037939310..comments2024-02-22T04:07:33.179-05:00Comments on Nurse Keith's Digital Doorway: Book Review: "The Real Healthcare Reform"Keith "Nurse Keith" Carlson, RN, BSN, NC-BChttp://www.blogger.com/profile/03581947410641941224noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-10246967.post-52700718702182121632012-06-24T13:56:00.871-04:002012-06-24T13:56:00.871-04:00Thank you, TorontoEmerg and Keith,for your comment...Thank you, TorontoEmerg and Keith,for your comments! Stacey and I agree that incivility often stems from an abuse of power—and that misguided power can be real or perceived. The classic example is the physician who is uncivil and disrespectful to nurses. But incivility travels in all directions…from nurse to nurse, from secretary to nurse, from nurse to nursing assistant and so on. (In fact, the original impetus for the book was hearing from so many nursing assistants that they feel disrespected by nurses! It hit me that we were passing on the same behaviors we abhor from physicians.) <br /><br />Obviously, incivility has many root causes, from workplace hierarchy to gender, generational, cultural and personality clashes. And, yes, those causes deserve serious and detailed discussion. However, in the end, many of those root causes are beyond the control of an individual employee. Our goal with <b>The Real Healthcare Reform</b> was to focus on what each of us <i>can</i> control—our own emotions and behaviors. By offering tips and strategies for becoming more self-aware and for dealing with incivility, we hope to empower healthcare employees (both clinical and non-clinical) to *become the change they want to see.*<br /> <br />In the final chapter of the book, we give strategies for addressing the specific root causes of incivility in the reader’s workplace—and illustrate how one person can strive to change the system. However, ultimately, Stacey and I set out to promote a grassroots-style embrace of civility by individual healthcare employees. We believe that employees who are being beaten down by incivility may benefit more from learning how to move forward toward a less toxic work atmosphere rather than looking backward at how the pollution started in the first place.<br /><br />TorontoEmerg, we hope you can listen in to our interview with Keith and, if so, would love to hear more of your thoughts!<br /><br />Thank you!<br />Linda LeekleyLinda Leekleyhttps://www.blogger.com/profile/01924956231645138160noreply@blogger.comtag:blogger.com,1999:blog-10246967.post-43500230593260100252012-06-24T11:12:36.079-04:002012-06-24T11:12:36.079-04:00Thanks for your comment.
The authors actually do...Thanks for your comment. <br /><br />The authors actually do not directly or fully address the root causes of incivility in the healthcare workplace, as compared to, for example, Beth Boynton's "Confident Voices". <br /><br />That said, this book addresses incivility as a behavior for which each healthcare worker can and must take individual responsibility for their own actions. <br /><br />The authors actually don't simply just say "be nice to each other". They offer tools and skills for developing self awareness vis-a-vis relationships in the workplace and how to navigate the culture of incivility. <br /><br />I agree with you that there are root causes of incivility in healthcare that need to be addressed, and other authors have done this very well. Perhaps these authors felt clearly that they wanted to particularly address how individuals can take action and effect change within the broader context of healthcare rather than address the systemic issues. <br /><br />So, I will contend that the book is still a useful and insightful tool, although certainly lacking in the areas you mentioned. I encourage you to call into RN.FM Radio on the 25th to speak with the authors, and perhaps they can enlighten all of us vis-a-vis your very appropriate question.Keith "Nurse Keith" Carlson, RN, BSN, NC-BChttps://www.blogger.com/profile/03581947410641941224noreply@blogger.comtag:blogger.com,1999:blog-10246967.post-62821487234240666872012-06-23T17:54:47.470-04:002012-06-23T17:54:47.470-04:00Keith do the authors tell us anything about the ro...Keith do the authors tell us anything about the root causes of workplace incivility and how they might be addressed? This seems to me to be a very basic question, but one at the same time is the elephant in the room, because it deals with unpleasant questions of hierarchy and power relationships.<br /><br />In other words, if the take-away from this book is "Be Nice to Each Other," then it's hardly insightful, is it?Anonymousnoreply@blogger.com