A dynamic approach to community, dialogue and patient focused care in a critical care setting

Marsha Murphy Skain

Etd

A dynamic approach to community, dialogue and patient focused care in a critical care setting

Public Deposited

MLA citation style (9th ed.)

Marsha Murphy Skain. A Dynamic Approach to Community, Dialogue and Patient Focused Care In a Critical Care Setting. Toronto School of Theology. rim.ir.atla.com/concern/etds/992f6f8a-4561-4e97-9579-4016cf1565b9.

APA citation style (7th ed.)

M. M. Skain. A dynamic approach to community, dialogue and patient focused care in a critical care setting. https://rim.ir.atla.com/concern/etds/992f6f8a-4561-4e97-9579-4016cf1565b9

Chicago citation style (CMOS 17, author-date)

Marsha Murphy Skain. A Dynamic Approach to Community, Dialogue and Patient Focused Care In a Critical Care Setting. Toronto School of Theology. https://rim.ir.atla.com/concern/etds/992f6f8a-4561-4e97-9579-4016cf1565b9.

Note: These citations are programmatically generated and may be incomplete.

Creator

Marsha Murphy Skain

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In Copyright

Abstract

This study was an exercise in contextual theology, located in the Critical Care Unit of a large teaching hospital, Sunnybrook Health Science Centre in Toronto from 1996 to 1998. The focus was to create community through a process of dialogue in an effort to define the meaning of patient focused care. As the organization was undergoing considerable crisis (provoked in part by fiscal restraints at the time), a special emphasis was placed on organizational grief. The two domains engaged in the study were from organizational development, specifically the work of Peter Senge as it applies to organizational learning and pastoral ministry in the context of a Critical Care Unit in crisis. The findings validate the learning organization as a concept in support of change and empowerment. In addition, a theological/pastoral perspective, while recognizing the value of the organic, relational nature of organizational design, pointed to the need for the development of personal awareness, as an issue of capacity for relationship in organizational learning. As well, organizational grief was identified as a catalyst for dialogue as it enabled transformation in the organization, the creation of community and further, enabled a new definition of patient focused care.

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