Rupal Shah - Böcker

This pioneering book illustrates the ways in which an interpretive or hermeneutic stance can be incorporated into modern healthcare across clinical practice, clinical ethics, education and leadership – and the transformative effects of doing so.Combining practical case studies and narrative, this book introduces the hermeneutic window, in which meaning making frames clinical and educational decision making. It shows how best practice requires more than clinical knowledge, communication skills and application of evidence based medicine. It is within the hermeneutic window that assumptions, meanings and values are examined, questioned and re-examined. Drawing on a wide range of expertise, the chapters challenge existing assumptions about the essence of healthcare and the role that clinicians play within it.This book is valuable reading for all healthcare practitioners, particularly GPs, physicians, psychiatrists and psychologists, as well as professions allied to medicine, medical students and other trainees.

This pioneering book illustrates the ways in which an interpretive or hermeneutic stance can be incorporated into modern healthcare across clinical practice, clinical ethics, education and leadership – and the transformative effects of doing so.Combining practical case studies and narrative, this book introduces the hermeneutic window, in which meaning making frames clinical and educational decision making. It shows how best practice requires more than clinical knowledge, communication skills and application of evidence based medicine. It is within the hermeneutic window that assumptions, meanings and values are examined, questioned and re-examined. Drawing on a wide range of expertise, the chapters challenge existing assumptions about the essence of healthcare and the role that clinicians play within it.This book is valuable reading for all healthcare practitioners, particularly GPs, physicians, psychiatrists and psychologists, as well as professions allied to medicine, medical students and other trainees.

This collection of stories from two practising GPs describes the reality of working within a failing and highly bureaucratic system, where there is a balancing act: regulation versus relationships; autonomy versus standard practice; algorithm versus individual attention.We aren’t suggesting a return to a ‘better’ time. We don’t object to being bureaucrats, embedded within and accountable to the systems we are in. But we do want to consider how and with what the gap left by the old-fashioned GP has been filled. We use stories based on our experience to describe the effect of different facets of bureaucracy on our ability to maintain a nuanced, individualised approach to each patient and encounter; and to question the prominence and effect of protocol. We are interested in the way professional relationships are influenced by protocol: between and within organisations; and most importantly with patients/clients/service users..We are accustomed nowadays to automated telephone lines, chatbots, website FAQs- the frustration of being unable to connect with another human being who will listen to our particular question and give us something other than a generic answer. The same issues that are facing society at large have changed the way in which we work as GPs and the care we give.