So here’s a question I posed recently to a class of year 3 undergraduates in a discussion about care and compassion – “when did we stop caring ?”. This stopped the debate about the Francis report in its tracks ! Every student could tell me what they needed to do, what they should do. Why then, I asked, was it so different there? Why then do staff have to be reminded to care (let’s face it , that is what the 6cs does) ? Arhh, well we are busy, we don’t have time, we only see patients for very short periods of time (so it doesn’t matter?), it’s what others do (so they copy or become habituated?). Quite depressing really.
So, as a coach what do I think the issues are and what (maybe) the answers might be? I don’t know about you but i worry about being a patient again one day if this is what I may encounter; care shouldn’t be a lottery.
Some of the answers may lie in Robin Youngson’s book – Time to care. Boy does this resonate with me ! Youngson talks about the medicalisation of patients – they become pathologies not people. I see this echoed in radiographic practice too. Indeed I presented a paper called ‘the curious incident of the disappearing patient – and not just in the nighttime’ (homage to a favourite book there) On that very theme. We x-Ray thumbs and chests and scan abdomens and heads…. And I challenge that reductionist approach as I feel it dehumanises that person, discourages care and compassion.
Back to my question – how might coaching fit in here. I see the potential for coaching to be utilised as part of a professional’s reflective practice – and as part of everyday reflection, not just when things go wrong. I believe that only by looking after ones own health and well being can one hope to deliver care in a compassionate, courageous way. And in today’s pressurised imaging department it is so easy to focus on numbers, speed and efficiency – how quickly can you scan or x-Ray that patient. Job done, next please. But, time to think (Kline) and taking care of ones own well being, through reflective practice, is vital too.
So, my coaching advice to any healthcare professional (inc radiographers) next time you have a busy day (probably every day !) take some time to reflect on how you made a difference to your patients today. And if you can’t think of any moments (and assume here you would want to have considered at least one) really do think about whether you might benefit from a coaching conversation. Take care of yourself.
Youngson R (2011) Time to care. New Zealand, Rebelheart Publishers.
Other reference is to Nancy Kline’s book Time to think.