- Paperback: 144 pages
- Publisher: Crown Custom Publishing, Inc; 1 edition (January 10, 2011)
- Language: English
- ISBN-10: 1933403233
- ISBN-13: 978-1933403236
- Product Dimensions: 8.9 x 6.1 x 0.5 inches
- Shipping Weight: 8 ounces (View shipping rates and policies)
- Average Customer Review: 4.6 out of 5 stars See all reviews (4 customer reviews)
- Amazon Best Sellers Rank: #513,299 in Books (See Top 100 in Books)
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Appreciative Inquiry in Healthcare 1st Edition
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A common phrase in contemporary business literature is Culture eats strategy for lunch. But there are precious few examples of organizations that have built, or even attempted to build culture, especially examples in healthcare. Positive Questions to Bring Out the Best shares real-life examples on how Appreciative Inquiry can shape culture in today s healthcare environment. Oh, by the way, it works. --R. Edward Howell, Vice President and CEO, University of Virginia Medical Center
In a world where seemingly insurmountable problems and deficit thinking dominate the culture, this book offers the opportunity to foster hope, courage, optimism and creativity. These are essential ingredients for a successful transformation in health care, and anyone interested in discovering the best of what they can offer should read this book. --Stephen T. DeKosky, MD, Dean, University of Virginia School of Medicine
Nurses and all health care providers come into the profession with hearts full of energy and compassion and may leave each day with a broken heart. With a relentless focus on the positive, Appreciative Inquiry in Health Care engages us in the first step to create a healthy work and learning environment where all can flourish. The interprofessional team of authors reminds us why we chose this helping profession. If we truly are the questions we ask then this book invites a way to change the conversation and reclaim the meaningful life we once chose. I have seen the power of appreciative inquiry in action for nurses, physicians, and our students. If we use these questions, we can reclaim the heart of health care. --Dorrie K. Fontaine, PhD, RN, FAAN, Dean, University of Virginia School of Nursing
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Top Customer Reviews
So I was deeply skeptical on first learning about Appreciative Inquiry (AI). How can a process of deliberately ignoring problems yield anything useful in healthcare?
The first answer is that it works. Magically. The authors illustrate their text with many deeply moving stories but it's their success in building collaboration among widely diverse participants that is striking. And the process works in any setting - the cardiovascular operating room team, interventional radiology, the medical school admissions committee, the rehabilitation hospital, the school of nursing, the department of neurology - to quote a few examples. Other departments clamor to be the next in line, to join in to this energizing and exciting process.
The second answer is deeper. Those who work in healthcare tend to see the world as a very concrete reality. We invest much effort in objectivity, measurement and precision of problem definition. We tend to externalize problems and `figure out' solutions. Yet it turns out that much of our `reality' is of our own making. Just as atoms materialize into particles the moment we turn on a particle detector, and behave like waves when we look for interference patterns, the world we see is defined almost entirely by the lens we choose. When we focus on problems and risks, we lose creativity and imagination. People feel threatened, defend their own practice and resort to blaming others for defects in care. But when we ask people to share stories of their peak experiences, when teamwork and care worked exceptionally well, when work assumed deep meaning and purpose, when people felt joyful and energized - then a radically different kind of energy arises. Creativity and imagination start to bloom. People begin to dream of a better future and work together to create it. That is the art of appreciative inquiry.
A good companion volume would be "Positivity" by Barbara Frederickson, a world-renowned researcher in positive psychology. Fredrickson created the "broaden-and-build" theory of positive emotions - they open our hearts and minds thus making us more receptive, more creative and then "allow us to discover and build new skills, new ties, new knowledge, and new ways of being". Beyond a critical ratio of positive to negative thoughts and feelings, people enter an upwards spiral of flourishing to discover their best possible selves. This positivity is the engine within appreciative inquiry.
The third reason that appreciative inquiry works in healthcare is because it captures the very heart of our practice. With chapter headings like, "Keeping the patient at the heart of all we do", "Offering hope and healing", "Working together in teams", and "Experiencing the awe and wonder of our jobs" the authors offer a deeply inspiring and humanistic vision of healthcare. The principle authors are not management consultants; they are senior clinicians deeply involved in day-to-day patient care and bed-side teaching at a major academic medical center. Their hands-on experience of using AI in real clinical and academic settings gives them great credibility. But more than that, they write from their hearts and inspire us with a vision of a workplace where caring, compassion and excellence in patient care are the things that flourish.
Dr Robin Youngson
Founder of the Compassion in Healthcare Trust