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Author:   Rachel K. Thomas (South Thames Foundation programme, Croydon Hospital, London)
Publisher:   John Wiley and Sons Ltd
Imprint:   Wiley-Blackwell
Dimensions:   Width: 14.00cm , Height: 1.00cm , Length: 21.10cm
Weight:   0.193kg
ISBN:  

9781119614364

ISBN 10:   1119614368
Pages:   144
Publication Date:   25 February 2021
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Available To Order  
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Table of Contents

About the author ix Acknowledgements x Preface xi Introduction 1 Learning outcomes 2 Why should we be concerned about our own wellbeing? 3 Why should we consider both problem factors and protective factors? 5 Chapter 1 General problem factors affecting global mental health and wellbeing 7 Problem factor: Global mental health burden 7 Problem factor: Accessing resources 9 Problem factor: Multiple potential impacts on individual mental health 11 Problem factor: The acute and chronic stress responses 12 Problem factor: The diathesis-stress model 15 Problem factor: Stigma 16 Chapter 2 Problem factors affecting healthcare practitioner mental health and wellbeing 19 Problem factor: Perceptions of invulnerability 19 Problem factor: Presenteeism 20 Problem factor: Perceptions of hierarchy 22 Problem factor: Burnout 23 Problem factor: Compassion fatigue 30 Problem factor: Perfectionistic personality traits 33 Problem factor: Lack of recovery behaviours 34 Problem factor: Sleep cycle derangement and sleep deprivation 35 Chapter 3 Problem and protective factors affecting patients' mental health and wellbeing 37 Factor to consider: The interlinkage of mental and physical health 37 Factor to consider: Sleep 40 Factor to consider: Diet 42 Factor to consider: Cognitive aspects 42 Chapter 4 Protective factors for organisational implementation 44 Protective factor: Organisational resilience 45 Protective factor: Organisational approaches to addressing stigmatisation 49 Protective factor: Creating a culture of support 50 Protective factor: Facilitating access and awareness of support avenues 53 Protective factor: Promoting communication 54 Protective factor: Balancing the psychosocial safety climate 55 Protective factor: Implementing a wellbeing strategy 58 Chapter 5 Protective factors for individual implementation 60 Protective factor: Learning a new wellbeing skill 60 Protective factor: Defining motivation to change 62 Protective factor: Individual resilience 63 Protecting factor: Compassion satisfaction and self-care 64 Protective factor: Promoting individual action 68 Protective factor: Awareness and mitigation of risk factors for burnout 69 Protective factor: Recognising and intervening approaching burnout and compassion fatigue 70 Protective factor: Connection 73 Protective factor: Access to support 73 Protective factor: Judicious use of standardised processes and templates 76 Protective factor: Practising self-awareness and meditation/mindfulness 77 Protective factor: Adequate sleep 78 Protective factor: Balanced diet 81 Protective factor: Adequate hydration 83 Protective factor: Optimising thinking styles 84 Protective factor: Appropriate delegation 90 Protective factor: Reflection on personal accomplishment 92 Protective factor: Physical activity 93 Protective factor: Gratitude practices 94 Chapter 6 Protective factors for individual trainee/student implementation 95 Protective factor: Medical school education styles 95 Protective factor: Good habits around maintaining patient confidentiality 96 Protective factor: Maintaining thorough record keeping 97 Protective factor: Maintaining clear communication 98 Protective factor: Planning training requirements 99 Chapter 7 Emergencies in mental health and wellbeing 100 Professional emergency: Pandemics 100 Professional emergency: Patient mental health 101 Professional emergency: Whistleblowing 102 Personal emergency: Personal crisis 105 Chapter 8 Mental health and wellbeing toolkit 106 Reframing 107 Weighing the evidence 107 Softening black-and-white thinking 107 Focusing on the benefits 107 Journaling 108 Reflecting 108 Challenging thought processes 108 Pausing 108 Delegating 108 Working as a team 109 Noticing anticipatory stress 109 Accepting 'good enough' 109 Replacing 'should' and 'must' 109 Playing out 'what if. . .?' 110 Connecting 110 Mentoring and buddying-up 110 Being thankful 110 Feeling a sensation 111 Progressively relaxing our muscles 111 Progressively mentally scanning our body 111 Deep breathing 111 Focusing on a physical sensation 112 Moving 112 Drinking de-caffeinated drinks after 3pm 112 Removing blue light after 8pm 112 Prioritising sleep 112 Starting and keeping to a regular sleep schedule 113 Drinking enough water 113 Eating well 113 Sitting less 113 Going outside 113 Talking 114 Accessing online resources 114 References 115 Index 130

Reviews

In 'How to Promote Wellbeing', Dr Rachel Thomas has produced a timely resource designed to help all healthcare practitioners promote and protect their own wellbeing and mental health. From her own clinical medical background of neuroscience and the psychology of mental health, she provides practical strategies and guidance: by providing care to another human being, she explores how this can affect the carer ... This mental health first aid tool should be in your department's library and in the hands of those with an educational or leader's role, caring for staff welfare and your wellbeing. - Journal of Perioperative Practice

Author Information

RACHEL K. THOMAS is a practicing doctor, award-winning author and leading healthcare innovator with a special interest in mental wellbeing, resilience and progressive medicine.

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