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The Real Healthcare Reform: How Embracing Civility Can Beat Back Burnout and Revive Your Healthcare Career 1st Edition

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ISBN-13: 978-0985322205
ISBN-10: 0985322209
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Editorial Reviews


A great resource for educators and much needed by everyone in the healthcare workplace! This book zeroes in on the importance of teamwork and professional integrity. It opens up important conversations about negative attitudes, burnout and incivility, and in doing so, inspires everyone to make a difference and become more influential. -- Judy Larkins, RN CNA Educator, Mayland Community College

A truly enjoyable read! I highly recommend this book to anyone who works in healthcare. I feel empowered and now believe that I can make a difference. I will keep this book close by and use it to help me evaluate and resolve situations that arise in my workplace. --Dal Basile, LPN, Santa Monica, California

An easy read that addresses many unpleasant issues in the workplace. It offers simple, helpful solutions to resolve areas of conflict whilst highlighting the importance of integrity, team spirit and esteem. The book offers sensible suggestions and activities to build workable professional relationships which are so important for a happy and healthy working environment. This book is an excellent resource for all levels of healthcare professionals to reinforce the importance of civility and high morale within healthcare teams. --Elise Grace, CNA Salisbury, England

Five Stars: The book got right to the heart of the matter without any fluff and I felt that it gave a broader view of what really happens in this whole nurses eat their young montage speak that I cringe at whenever I hear it said. It discusses bullying in the workplace and gives the reader a real look into what is going on with us as nurses; are we partners in health care or catty, jealous cohorts in an already stressful environment? Unfortunately I have personally seen/heard and been on the receiving end of this nurse bullying , not only by floor staff nurses but by clinical instructors as well, and it did nothing for our true purpose as healthcare providers which is to help patients. I thoroughly enjoyed reading the book and would suggest that all colleges, not just those with nursing programs use it in their curriculum, as it shines a light on what it really means to be civil to each other. (June 23, 2012) --Schauren Hinson, APRN, MSN, FNP-BC

According to Linda Leekley, BS, RN and Stacey Turnure, RN--the authors of "The Real Healthcare Reform: How Embracing Civility Can Beat Back Burnout and Revive Your Healthcare Career"-- incivility "infects" healthcare workplaces in epidemic proportions. Based on that premise, the authors maintain that it is through embracing civility that true healthcare reform will take place. In this easy-to-read book, Ms. Leekley and Ms. Turnure offer a step-by-step analysis of the impact of incivility as it pertains to healthcare, and a plethora of exercises and questions to assist the earnest healthcare provider in identifying issues pertinent to the epidemic of incivility, and--more importantly--how to take personal responsibility for turning that epidemic around. The authors state: "Sadly, civility has been overlooked and undervalued for far too long among healthcare professionals--and now there is proof that a lack of civility adds to medical errors, poor patient satisfaction, higher employee turnover, stress, burnout, bullying and higher healthcare costs for consumers." From gossip and slander to intimidation, sabotage, bullying and hate-ism, incivility in all of its nefarious forms infects the healthcare workplace and takes a toll that is physical, psychological, and financial. And while the authors do not directly mention the spiritual toll of incivility, there is no doubt in this reviewer's mind that the spiritual effects of incivility and bullying are potentially devastating for individuals, organizations and society at large. Offered as a guide for individuals and organizations, this book would be a very useful text for students working towards a degree in a healthcare-related field, and it would behoove managers and administrators to take the authors' thesis quite seriously. I especially enjoyed the focus that Leekley and Turnure place on individual responsibility for curbing incivility, underscoring the notion that incivility does not only translate as "politeness", but also as self-awareness, respect, the ability to stay present, the desire to change, engaging in dialogue, and strengthening patience, personal grace and strength of character. The authors very strongly recommend that healthcare workers refrain from developing friendships with colleagues and coworkers, and they illustrate this strongly worded edict with differentiating criteria for professional relationships versus friendships outside of work. While I at first bristled at this suggestion, my reflections on the complications of workplace friendships gave me pause. Reflecting more deeply on this notion, I found my developing personal opinion on this matter reinforced through the authors' explanation of why firm boundaries in professional relationships can be extremely helpful. From getting along with coworkers to conflict resolution and the biology of anger, "The Real Healthcare Reform" and its companion website, "Embracing Civility", deliver concrete and understandable instructions for improving self-awareness and communication, solving conflicts, and actualizing the lessons outlined in the text. --Keith Carlson, RN from Digital Doorway

From the Back Cover

Here are the tactics and strategies you need to put civility to work and resolve the toxic atmosphere that pollutes your workplace. This step-by-step action plan leads you on a personal journey toward changing your outlook, improving your professional relationships and reviving your healthcare career.

The good news is that when you embrace civility, your patients benefit, too. Some of the most urgent issues affecting patient care--including unsafe staffing ratios, high employee turnover and poor communication between team members--can be turned around by eradicating incivility.
REAL healthcare reform lies in reversing the epidemic of incivility in the healthcare workplace.

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Product Details

  • Paperback: 150 pages
  • Publisher: In the Know, Inc.; 1st edition (May 8, 2012)
  • Language: English
  • ISBN-10: 0985322209
  • ISBN-13: 978-0985322205
  • Product Dimensions: 6 x 0.4 x 9 inches
  • Shipping Weight: 9.6 ounces (View shipping rates and policies)
  • Average Customer Review: 5.0 out of 5 stars  See all reviews (5 customer reviews)
  • Amazon Best Sellers Rank: #1,687,200 in Books (See Top 100 in Books)

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Most Helpful Customer Reviews

4 of 4 people found the following review helpful By Rhonda N., RN on May 20, 2012
Format: Paperback
"The Real Healthcare Reform" is a great tool for any healthcare supervisor. I wish it had been around when I was a home care administrator. I would have made it required reading for all my employees! Dealing with the drama between employees wastes time and can suck the energy out of the best manager. This book puts the focus on each individual, shining a light on how each of us might contribute to a toxic work atmosphere...and how we can fix it. I especially like that the book gives tips for dealing with gossip, workplace bullying, conflict resolution and teamwork. The book is a quick read but offers plenty of food for thought. Highly recommended for people who currently work in healthcare or who are studying for a healthcare career!
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Format: Paperback
Nurse authors' Linda H. Leekley, BS, RN and Stacey L. Turnure, RN have written a very helpful book about incivility in healthcare. It is full of activities and information that individuals can use for personal and professional development toward a goal of positive professional relationships and safer care. It is an empowering book that every healthcare professional could benefit from reading and plays an especially important role in civility training as recommended by the Joint Commission.

Here are some things that I was especially impressed with:

Excellent chapter on developing professional relationships and distinguishing them from personal relationships, including a focus on boundaries. I have long thought that friendships at work should be a bonus and caution about alignments that may interfere with patient care and/or job morale. In "The Real Healthcare Reform", the authors teach about these tricky boundaries and make a clear recommendation to abstain from friendships at work. Now, there may be a downside to this as there is some research that suggests that friends at work is important in retaining employees, but I would urge healthcare leaders to follow the author's recommendation. Once nurses and others gain insights and skills around these boundaries, we can develop friendships at work AND keep them professional with regard to work.

Their chapter on anger, (Taking it to the Extreme) is also exceptionally written. In a few short pages they illustrate the biology, consequences, and psychology of anger. They discuss what causes people to be angry and offer a bulleted list that I'm betting all nurses can related to.
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2 of 2 people found the following review helpful By Civility Expert on August 9, 2012
Format: Paperback
"The Real Healthcare Reform" - How Embracing Civility Can Beat Back Burnout and Revive Your Healthcare Career by Leekey and Turnure captures what I, as a leading civility expert, feel is a very important distinction between "civility" and "etiquette" in that there is intention and attention involved with civility- embracing civility really a values proposition more than it's about going through the motions and being polite just because you are told to. I also appreciated the undercurrent messaging of personal accountability, standards and choice- all fundamental to fostering civility but often forgotten about and rarely taught in professional settings.

This book would benefit any one in a services-oriented profession but it is a must-read for healthcare professionals. The book provides a mini- toolbox that practitioners, administrators, and even patients, can use to embrace civility; assessments, reflection activities, and quick exercises- all you can use immediately on-the-job and see benefits to individuals, teams, and maybe entire organizations. Congratulations Linda and Stacey on a timely and important book, thank you for choosing civility!
Lew Bayer,
President & CEO
Civility Experts Worldwide.
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1 of 1 people found the following review helpful By Chris on July 18, 2012
Format: Paperback
The Real Healthcare Reform is helpful for anyone working in healthcare and a must read for those of us that are frustrated with our career. It offers insight into the issues that cause friction and incivility in the workplace. Even better, it offers practical ways to work at solving these issues. The authors do a very good job of challenging the readers to examine themselves as either impeding or advancing civility in the workplace. They start very early with this in Chap 2 by stating, "You are responsible only for yourself. Every word you speak and every action you take boils down to this: they are the individual personal decisions that you must make every day." It's a great reminder that we may only be able to influence others to an extent but have complete command of our own actions. Chap 5 deals with the importance of teamwork. It examines the qualities of a great team as well as tips on dealing with a negative team player. Once again, the authors do a wonderful job of helping the reader through self-examination of their strengths and weaknesses of working in a team.

I've only mentioned a couple of the highlights that personally have helped me, especially trying to find my place in a new work environment. Among others, it also has excellent chapters on building relationships, workplace boundaries, and conflict resolution. This book should be read by anyone that needs any help through tough situations in the healthcare workplace. Managers, consider this book as a tool to use for your floors/units. There's no doubt that The Real Healthcare Reform can provide the tools needed to embrace civility and make healthcare a more enjoyable career.

Christopher Norman, MS, PA-C
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