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Table of Contents
1 Cover
5 Preface
6 CHAPTER 1: Why resilience? Why now? Introduction ‘First, do no harm’ Increasing patient expectations, complaints and litigation Why now? Equality, diversity and inclusion in healthcare resilience Conclusion Further reading/resources
7 CHAPTER 2: Emotional Impact of Working in Healthcare Introduction The cost of caring Burnout Moral distress Compassion fatigue Vicarious trauma Effects of erosion of empathy, compassion and disengagement Disengagement Media reports on healthcare The joy of practice Compassion satisfaction Empathy Reducing risk and burnout Conclusions Further reading/resources
8 CHAPTER 3: Resilience and Cognitive Performance Introduction Clinical reasoning Biases and contextual factors Burnout and cognitive function The negativity bias Effect of experience Training needs Conclusions Further reading/resources
9 CHAPTER 4: Practising Self‐care Introduction Self‐aware not self‐critical Resilience through the career cycle The healthcare student The first five years of qualification The established clinician The last five years Conclusions Further reading/resources
10 CHAPTER 5: The Physiology of Resilience and Well‐being Introduction The physiology of stress and well‐being The physiological impact of stress today ‘Challenge stress’ versus ‘threat stress’ Measuring stress and well‐being: heart rate variability and coherence Cortical inhibition and facilitation Making a shift: influencing HRV and coherence The physiology of emotion Becoming aware of a perception change Making the shift back to well‐being Conclusion Further reading/resources
11 CHAPTER 6: Intelligent Kindness: A Systemic Perspective on Resilience Resilience and recovery – definitions and questions Reflection and self‐care The emotional costs of caring Kinship A therapeutic alliance The benefits of compassion and kindness Cultivating intelligent kindness Factors that undermine the work A healthy ‘relational’ system Conclusion