Coaching Physicians and Healthcare Professionals: Supporting Workplace Wellbeing and High-Quality Care
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This important volume applies the practice of professional coaching to the hospital setting specifically, imparting the authors’ rich experience of coaching healthcare providers to other coaches working within the field. The book details how coaches can tailor their skills to the complex world of the modern hospital where physicians, nurses, medico-technical staff, managers, and administrators must carefully coordinate their efforts to be successful in high-stakes situations. It moves through the various stages of coaching, starting from the initial contact with management to the different applications of individual and team coaching, addressing common client issues including failing leadership, crisis, conflict, violence, and burnout. Each chapter includes clinical vignettes and theoretical ideas supported by field-specific research and literature. The book’s final reflection proposes changes to be considered to improve the functioning of hospital care teams, job satisfaction of healthcare professionals, and, ultimately, patient outcomes. Coaching Phsycians and Healthcare Professionals is essential reading for professional coaches and mentors active in the hospital setting, as well as coaches in training, consultants, and all hospital professionals. Cover Half Title Title Page Copyright Page Contents Preface Coaching meets our moment Acknowledgments Introduction Why write a book on coaching in hospitals? A change of perspectives Our philosophy, conviction, and approach to coaching Book design and construction What does the book contain? Part I: Fundamentals of coaching Part II: Practice of hospital coaching Part III: Views on coaching learning and avenues to humanize the hospital environment Note Part I: Fundamentals of coaching 1. Coaching-related methods at hospital Introduction Essential characteristics of coaching and elements of method Knowledge, skills, and competences Ethical aspects Usefulness of coaching Various types of coaching Internal coaching Mentoring at hospital External coaching Life coaching and psychotherapy What are the differences? History Differences between coaching and psychotherapy training Differences and similarities between life coaching and psychotherapy Alarm signals Conclusion Bibliography 2. The coaching relationship Introduction Specific aspects of coaching relationship Comparing coaching and care relationships Trust How trust is built How do you know when to trust "without risk" What hinders or prevents trust Communication Nonverbal communication Team communication Empathy and compassion Empathy and compassion: where do they come from? "Active" or "benevolent" listening Conclusion Notes Bibliography Further readings 3. Supervision, a Necessity! Introduction What is supervision? Supervision of a group of care providers—a model for a group of coaches' supervision Conclusion Notes Bibliography Further readings Part II: Practice of hospital coaching 4. Healthcare providers and their professional culture Introduction Culture of care providers: basic aspects Rituals and symbols of the medical profession Significant differences among medical specialties The issue of death Professional identity The "explanatory model" Common myths and beliefs The high and dominant position of the doctor Interdisciplinary relationships: doctors and nurses Messages for the coach Conclusion Notes Bibliography 5. Coaching: from request to contract Introduction Basics of hospital organization Missions Types of hospitals Medical and nurse organization Administrative staff and care providers: different cultures Coaching request Working with the medical director Demand analysis Meeting the stakeholders of the coaching The beneficiary of coaching Prescribed or requested coaching Tripartite (or quadripartite) meeting Goals and objectives Steps to the contract Conclusion Note Bibliography 6. Executive coaching for leadership Introduction Fundamental processes and models Competences and abilities Difficult decisions Leading a department Emotional intelligence, an essential ability Personal and spiritual development A closer look at medical leadership Conclusion Bibliography Further readings 7. Life coaching Introduction The beginning and first sessions Starting coaching and setting objectives Using a wide approach and an efficient technique A prolonged support Professional transitions Ending a life coaching Conclusion Notes Bibliography Further readings 8. Coaching healthcare teams Introduction Groups and teams Shared mental models Medical teams: a cultural envelope Weight of the medical hierarchy Team coaching: getting started Carrying on coaching The drama triangle: a trap to avoid Team dynamics Work on the department project Leadership Decision-making processes Defining roles and delegating tasks When the coach has difficulties or is defeated Conclusion Notes Bibliography Further readings 9. Coaching through crisis Introduction Crisis: types and impact Alteration of cognition Coaching progress Assessing the capability of the client Initial strategies Developing resilience Selfcare Post-crisis growth Analysis grids: individual and team coaching Grid for individual coaching Grid for team coaching Conclusion Note Bibliography Further readings 10. Care provider: a difficult profession. Coaching in case of burnout and mental health problems Introduction Burden of healthcare practice Mental and psychological health of care providers What is burnout? Coaching through burnout Prevention of burnout Conclusion Bibliography Further readings 11. Conflicts and violence in hospitals Introduction General considerations Conflicts in the hospital: frequency, causes, and contributing factors The operating theater as an example Difficult people Example of intensive care Interpersonal conflicts Conflicts within teams The scapegoat Clans Conflicts between teams Academic conflicts Violence and harassment Violence and harassment among in-training nurses and physicians Conclusion Notes Bibliography Further readings Part III: Views on coaching learning and avenues to humanize the hospital environment 12. Discovering coaching, overcoming fundamental skills and gaining experience Introduction Practice of coaching at the hospital: Véronique's point of view Practice of coaching at the hospital: René's point of view Becoming a student Being a professional coach: difficulties, surprises, and rewards A comparative perspective about basic techniques, emotional work, critical moments, and decision-making Working with emotions Critical moments in coaching Difficulty in the decision-making process Coaching at hospital: using a wide approach and various techniques Conclusion Notes Bibliography Further readings 13. Viewpoints, perspectives, and conclusion Introduction The hospital, viewpoints of psychologist and coach The hospital, viewpoints of doctor and coach Promoting systemic changes to prepare the hospital of tomorrow Proposals Final comments and conclusion Notes Bibliography Index
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