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The Real Healthcare Reform: How Embracing Civility Can Beat Back Burnout and Revive Your Healthcare Career [Paperback]

Linda H. Leekley BS RN , Stacey L. Turnure RN
5.0 out of 5 stars  See all reviews (5 customer reviews)

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Book Description

May 8, 2012
Do you feel burned out, beaten down, belittled or bullied on the job? You are not alone! Bullying, back-stabbing and belittling among healthcare employees is shrouded in a long history of secrecy and denial. Now the secret is out: an epidemic of incivility infects most healthcare workplaces. A culture of incivility ruins trust among healthcare teams and leaves employees feeling exhausted, hopeless and dissatisfied with their jobs.
For healthcare employees like you, the most important reform has nothing to do with politics. Instead, the real healthcare reform lies in curing the "disease" of incivility that is plaguing your workplace.

The Real Healthcare Reform: How Embracing Civility Can Beat Back Burnout and Revive Your Healthcare Career is a step-by-step action plan that leads readers on a personal journey toward changing their outlook, improving their professional relationships and reviving their healthcare careers. It offers the tactics and strategies you need to put civility to work and start cleaning up the toxic atmosphere at your job.

Topics covered in the book include how to:

  • Enhance your self-awareness.
  • Showcase your personal and professional integrity.
  • Build strong professional relationships.
  • Get along with co-workers, despite your differences.
  • Eliminate gossip and bullying in the workplace.
  • Prevent and/or resolve conflicts with co-workers.
  • Deal with extreme incivility at work.
  • Change your workplace for the better...for you, your patients and for all the employees who come after you.

Frequently Bought Together

The Real Healthcare Reform: How Embracing Civility Can Beat Back Burnout and Revive Your Healthcare Career + Choosing Civility: The Twenty-five Rules of Considerate Conduct
Price for both: $27.98

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Editorial Reviews

Review

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.

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: 8.9 x 6 x 0.4 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: #360,681 in Books (See Top 100 in Books)

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4 of 4 people found the following review helpful
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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3 of 3 people found the following review helpful
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. Being able to identify what makes us angry seems like and invaluable part of the process of managing our feelings appropriately as well as asking for, offering, and/or accepting help. This is extremely valuable for nurses and doctors who may be ready to learn about their own behavior as well as how they are affected by others.

They utilize realistic stories, supportive quotes and resources throughout the book. It is reasonably priced at $19.95 and an instructor's manual is pending.

I do think it comes up a little short on the organizational culture piece and perhaps a little invalidating for employees who feel their best option is to cope or leave. They have a great example of an empowered nurse, Heather, who was able to impact the culture by joining a professional organization and engaging with co-workers at every level for change efforts. I believe this can happen and the steps that Heather took were inspiring. I also know some organizational cultures that are so toxic that success on this path would be questionable.

Nevertheless, an excellent, practical, and helpful book that will play a wonderful role in building civil workplaces where care is safe and job satisfaction is high. Learn more at: [...]

Beth Boynton, RN, MS, Author, "Confident Voices: The Nurses' Guide to Improving Communication & Creating Positive Workplaces"
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2 of 2 people found the following review helpful
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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