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This book review provides an in-depth analysis of dr. Laurie gottlieb's 'strengths-based nursing care'. The reviewer, an assistant professor of nursing at ryerson university, shares her experiences with the strengths-based approach and explains how the book builds upon earlier work in the field. The review covers the theoretical foundations, essential nursing qualities, and practical applications of strengths-based care.
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(^56) BooK rEVIEW
By dr. Laurie Gottlieb 352 pages (paperback) springer publishing Company isBN: 978- price: $70.
Reviewed by Karen leGrow , RN, phd Assistant professor daphne Cockwell school of Nursing Ryerson University toronto, oN
When I was asked to review this book, the idea of a “strengths-based” approach to care was not new to me; I had become aware of this approach through the earlier work of Dr. Gottlieb and her colleagues (Feeley and Gottleib 2000; Gottlieb and Rowat 1987; Pless et al.
Strengths-Based Nursing Care is divided into three major sections that reflect the theoretical foundations for SBC, the basic skills required to practise this approach and clinical examples from advanced practice nurses who have used SBC with
to review this book, the
development program for ambulatory care
Book Review: strengths-Based Nursing Care 57
families. These divisions in the book make logical sense; each section flows nicely into the next and lays a solid foundation for what follows.
The theoretical foundations of SBC are described and presented in Part One. This section of the book is divided into four chapters that focus on identifying and understanding SBC and the theoretical orientation, assumptions and values that underlie this approach. Dr. Gottlieb describes strengths-based care, how it has evolved over the past 30 years and why this approach is important in today’s health- care system. The historical overview of the evolution of a deficit-based approach to care is provided to illustrate the major differences between that approach and SBC. This discussion, along with an exploration of the values, beliefs and attitudes that underpin nursing practice, provides a solid foundation for understanding the SBC approach. The inclusion of what is meant by strengths, the language of strengths and the key characteristics of strengths reflects the comprehensive nature of the ideas developed in relation to SBC. This first part of the book is instrumental in setting the stage for the information presented in the next two sections.
Part Two describes the process of identifying nurses’ strengths and the develop- ment of essential qualities for nurses to practise SBC. This section is also divided into four chapters that focus on essential nursing qualities, the “retraining” of senses, professional glaze and “reforming” of the social skills required to practise strengths-based nursing care.
SBC requires that the nurse become aware of his or her own strengths and weak- nesses as well as how his or her behaviour affects the person and family and how the person and family’s behaviours affect the nurse’s responses. This approach also requires nurses to have other qualities such as strengths of mindset, knowledge and knowing, relationships and advocacy. For example, strengths of mindset relate to “a certain way of thinking and [are] reflected in a person’s attitude and values that affect a nurse’s judgment, thinking, and consequently her behaviour” (Chapter 5). This group of strengths includes “mindfulness,” which is necessary for the develop- ment of a therapeutic relationship, particularly for the practitioner. Each of these categories of strengths is fully articulated and explored. Many examples from prac- tising nurses are presented to illustrate each of the categories of nursing qualities. In addition, Dr. Gottlieb describes techniques for how to practise each quality.
The “retraining” of the eight senses for nursing practice is explored in the context of professional nursing education using Benner and colleagues’ (2010) latest ideas describing new approaches to learning. Dr. Gottlieb introduces the five “outer” senses of living such as eyes, ears, nose, mouth and skin, and three inner “senses” of awareness such as internal bodily sensations; thoughts, feelings and intentions of oneself or another person; and relational sensing (intuition). Based on this