John D Engel – författare

To many practitioners, managers and patients, US primary care is in crisis. Primary care physicians are often overworked and undervalued, and both patients and care providers can feel locked into structures that lack compassion and are unfit for their intended purposes. Healthcare reforms aim to resolve the situation, but changes may take years to deliver and are contingent on numerous outside factors. What steps are within care providers'' power to take now? This book lays out a course to deliver compassionate care, quality, and efficiency that - unlike many current patient-centred medical home initiatives in the US - does not require outside funding. After reflecting on avoidable problems and harms in primary care, the book offers stories of hope from innovative clinicians across the US before presenting ten practical, deliverable steps to lift primary care provision from ''poor'' or ''mediocre'' to ''great''. This book will be of interest to practicing family physicians and general internists, but will also be useful reading for health system leaders, healthcare insurance purchasers and insurance company executives.

''Today, there exists a robust body of work connecting narrative theory and practice with medical theory, practice, teaching, and research. Taken together, what is particularly interesting about these works is that they portray narrative healthcare as both a philosophy of care and a set of skills - '' John D Engel, Lura L Pethtel and Joseph Zarconi, in the Preface This inspiring collection of narrative portraits details the career paths of physicians and nurses who figure prominently in the realms of narrative and relationship-centered healthcare. Each narrative describes the healthcare practitioner''s early decision process for choosing their career and follows with a trajectory of events and work situations that brought each person to their present position. They offer a unique view from both a personal and a professional perspective. The collection of narrative portraits provides students, residents, and practicing health professionals a window into the possibilities for constructing professional lives that are oriented to service in ways that are fulfilling, energizing, and creative. The editors have made an important contribution to advancing the practice of narrative and relationship-centered medicine. They invite you to listen for the truths of your own story as you hear the voices of colleagues speak from the pages in your hand. Reflecting on the ultimate concerns that move you will enable you to more fully inhabit your own life story and become more authentic and vital as you heal others. Mark L Savickas, in the Foreword

This educational workbook helps people who build compassionate relationships with dying people. Accompanied by its trainer''s guide, it presents a comprehensive, sequential learning program for caregivers in non-medical capacities covering everything from self-understanding to spiritual issues, listening skills and expressive activities, developing the skills, awareness and resilience needed for this privileged and sensitive role. The program includes a variety of learning experiences, including large and small group activities, discussion, close reading, creative writing, self exploration, and skill development and practice. This is an invaluable resource for small groups of individuals who wish to volunteer in hospice or palliative care settings. A copy of the guide for trainers is included in each pack of workbooks, and is also freely available online. ''The best resource I have seen to guide teachers and learners in this complex training process. I predict that those of you who try it with your staffs and trainees will find that it bears fruit both for your patients and their families, but also for the sustenance and personal development of the staff members themselves.'' Timothy Quill, M.D., in his Foreword

Narrative medicine has developed an identity already. Clinicians of many disciplines are being summoned to a practice that recognizes patients by receiving their accounts of self. Starting from different positions, the four authors have converged in a strong and shared commitment to narrative health care. They conceptualize narrative health care practices within frameworks derived from the social sciences and psychology, and, to a lesser degree, phenomenology and autobiographical theory. They relate the development of narrative medicine to relationship-centered care, patient-centered care, and complex responsive process of relating theory, positing that narrative medicine can help clinicians to develop the skills required to practice relationship-centered care. The book details - with exercises, resource texts, and abundant scholarly apparatus - how these skills can be developed and strengthened. This work will change health care. Because of its scholarly rigor, its multi-voiced sources, and its highly practical features (lists, activities, key ideas and key references, primary texts written by health care professionals and patients), this work will be a guide in the field for those who practice medicine or nursing or social work. The book establishes that there is a field to be practised, a need to practise it, and a means to develop the wherewithal to do so.

To many practitioners, managers and patients, US primary care is in crisis. Primary care physicians are often overworked and undervalued, and both patients and care providers can feel locked into structures that lack compassion and are unfit for their intended purposes. Healthcare reforms aim to resolve the situation, but changes may take years to deliver and are contingent on numerous outside factors. What steps are within care providers'' power to take now? This book lays out a course to deliver compassionate care, quality, and efficiency that - unlike many current patient-centred medical home initiatives in the US - does not require outside funding. After reflecting on avoidable problems and harms in primary care, the book offers stories of hope from innovative clinicians across the US before presenting ten practical, deliverable steps to lift primary care provision from ''poor'' or ''mediocre'' to ''great''. This book will be of interest to practicing family physicians and general internists, but will also be useful reading for health system leaders, healthcare insurance purchasers and insurance company executives.

Narrative medicine has developed an identity already. Clinicians of many disciplines are being summoned to a practice that recognizes patients by receiving their accounts of self. Starting from different positions, the four authors have converged in a strong and shared commitment to narrative health care. They conceptualize narrative health care practices within frameworks derived from the social sciences and psychology, and, to a lesser degree, phenomenology and autobiographical theory. They relate the development of narrative medicine to relationship-centered care, patient-centered care, and complex responsive process of relating theory, positing that narrative medicine can help clinicians to develop the skills required to practice relationship-centered care. The book details - with exercises, resource texts, and abundant scholarly apparatus - how these skills can be developed and strengthened. This work will change health care. Because of its scholarly rigor, its multi-voiced sources, and its highly practical features (lists, activities, key ideas and key references, primary texts written by health care professionals and patients), this work will be a guide in the field for those who practice medicine or nursing or social work. The book establishes that there is a field to be practised, a need to practise it, and a means to develop the wherewithal to do so.

This educational workbook helps people who build compassionate relationships with dying people. Accompanied by its trainer''s guide, it presents a comprehensive, sequential learning program for caregivers in non-medical capacities covering everything from self-understanding to spiritual issues, listening skills and expressive activities, developing the skills, awareness and resilience needed for this privileged and sensitive role. The program includes a variety of learning experiences, including large and small group activities, discussion, close reading, creative writing, self exploration, and skill development and practice. This is an invaluable resource for small groups of individuals who wish to volunteer in hospice or palliative care settings. A copy of the guide for trainers is included in each pack of workbooks, and is also freely available online. ''The best resource I have seen to guide teachers and learners in this complex training process. I predict that those of you who try it with your staffs and trainees will find that it bears fruit both for your patients and their families, but also for the sustenance and personal development of the staff members themselves.'' Timothy Quill, M.D., in his Foreword

''Today, there exists a robust body of work connecting narrative theory and practice with medical theory, practice, teaching, and research. Taken together, what is particularly interesting about these works is that they portray narrative healthcare as both a philosophy of care and a set of skills - '' John D Engel, Lura L Pethtel and Joseph Zarconi, in the Preface This inspiring collection of narrative portraits details the career paths of physicians and nurses who figure prominently in the realms of narrative and relationship-centered healthcare. Each narrative describes the healthcare practitioner''s early decision process for choosing their career and follows with a trajectory of events and work situations that brought each person to their present position. They offer a unique view from both a personal and a professional perspective. The collection of narrative portraits provides students, residents, and practicing health professionals a window into the possibilities for constructing professional lives that are oriented to service in ways that are fulfilling, energizing, and creative. The editors have made an important contribution to advancing the practice of narrative and relationship-centered medicine. They invite you to listen for the truths of your own story as you hear the voices of colleagues speak from the pages in your hand. Reflecting on the ultimate concerns that move you will enable you to more fully inhabit your own life story and become more authentic and vital as you heal others. Mark L Savickas, in the Foreword

Narrative medicine has developed an identity already. Clinicians of many disciplines are being summoned to a practice that recognizes patients by receiving their accounts of self. Starting from different positions, the four authors have converged in a strong and shared commitment to narrative health care. They conceptualize narrative health care practices within frameworks derived from the social sciences and psychology, and, to a lesser degree, phenomenology and autobiographical theory. They relate the development of narrative medicine to relationship-centered care, patient-centered care, and complex responsive process of relating theory, positing that narrative medicine can help clinicians to develop the skills required to practice relationship-centered care. The book details - with exercises, resource texts, and abundant scholarly apparatus - how these skills can be developed and strengthened. This work will change health care. Because of its scholarly rigor, its multi-voiced sources, and its highly practical features (lists, activities, key ideas and key references, primary texts written by health care professionals and patients), this work will be a guide in the field for those who practice medicine or nursing or social work. The book establishes that there is a field to be practised, a need to practise it, and a means to develop the wherewithal to do so.

This educational workbook helps people who build compassionate relationships with dying people. Accompanied by its trainer's guide, it presents a comprehensive, sequential learning program for caregivers in non-medical capacities covering everything from self-understanding to spiritual issues, listening skills and expressive activities, developing the skills, awareness and resilience needed for this privileged and sensitive role. The program includes a variety of learning experiences, including large and small group activities, discussion, close reading, creative writing, self exploration, and skill development and practice. This is an invaluable resource for small groups of individuals who wish to volunteer in hospice or palliative care settings. A copy of the guide for trainers is included in each pack of workbooks, and is also freely available online. 'The best resource I have seen to guide teachers and learners in this complex training process. I predict that those of you who try it with your staffs and trainees will find that it bears fruit both for your patients and their families, but also for the sustenance and personal development of the staff members themselves.' Timothy Quill, M.D., in his Foreword