Book reviews : On Death Without Dignity: the Human impact of Technological Dying by David Wendell...
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Book reviews
Grief and the Healing Arts: Creativity as Therapy by
Sandra L Bertman (ed.) 1999. Baywood Publishing Company.
ISBN 0 89503 189 2. Price £29.95.
As a nurse and a teacher one of the questions I am frequently asked
is, `How can we accompany our patients to the depths of their
suffering and yet avoid becoming burned out?' All of us experience
grief at some time in our lives.
This book describes itself as a source of energy for all those
involved in providing support to those in grief. It is structured
around four core sections: (i) the arts, personal grief, and
professional roles; (ii) some ways in which caregivers use the arts
for themselves and for those they companion; (iii) lessons from
cultures old and new; and (iv) basic needs of grieving people. Each
section provides a collection of chapters written by people who have
experience of using creative methods in caring for the dying. The
book provides a rich source of ideas and arts, from music, through
poetry, to sculpture and many more. Bertman does an excellent job
in editing all the contributions, giving the book a coherent structure
whilst at the same time avoiding diminishing the creativity and
powerful expressions of working with people in grief.
Although it is a book ®lled with American experiences, this is a
rich source of material which can be applied across cultural
boundaries. I fully recommend it to all students, both undergrad-
uate and postgraduate, and to all health care professionals. This
book should be recommended reading on all courses dealing with
death and dying, no matter what the context, acute or in community
care.
BRIAN MILLAR MN, RN, DipN, PGCE
Lecturer in Nursing Studies
School of Nursing & Midwifery
UWCM, Cardiff
On Death Without Dignity: the Human impact of
Technological Dying by David Wendell Moller. 1990. Baywood
Publishing Company. ISBN: 0 89503 066 7.
I began reading this book at the same time as a family member was
diagnosed with a critical illness. I had a background in acute care
and this family crisis gave me an insight into the technical world of
modern health care. Schooled as I was in heroic measures to rescue
people from the inevitable, I found David Moller's book both
refreshing and challenging.
Moller, a social scientist, provides a very different perspective
from the biomedical one I remember. The book is divided into eight
chapters and details the trajectory of death in modern society from
an analysis of technology through death and its meaning, to a
description of death and dying in modern health care institutions. I
found the chapters on `The Stigma of Dying' and `The Roller
Coaster of Dying' brought back many memories of persons who I
had cared for. Rarely has a book caused me to experience so many
emotions all at the same time. It concludes with a chapter in which
Moller lays out the foundations for a digni®ed death.
Each chapter is clearly written and although the content describes
death in American society, there are many parallels to be drawn with
modern health care in the United Kingdom. A rich source of
research references, this book is recommended reading to all nurses
and health care professionals. It will have particular relevance to
those working in the ®elds of oncology, palliative care and critical
care. But to anyone who has ever questioned `death without dignity'
this book is a must read. I recommend it to all students and
professional health care practitioners.
BRIAN MILLAR MN, RN, DipN, PGCE
Lecturer in Nursing Studies
School of Nursing & Midwifery
UWCM, Cardiff
Using Evidence in Health and Social Care by R. Gomm
& C. Davies. 2000. Open University/Sage Publications Ltd.,
London. ISBN 0 7619 6495 9. 260 pp. £15.99.
Ever since the government introduced the concept of `evidence-
based healthcare' there has been a rush by distinguished authors and
experts to produce the de®nitive text. This book adds to the
growing list of texts that offer a clear, informative and incisive
exploration of the topic.
Edited by two distinguished authors, Roger Gomm & Celia
Davies, the book is divided into two key sections. Section 1
addresses the issue of what is evidence and then provides key
chapters on making sense of surveys, understanding experimental
research design, interpretative research studies and action research.
Each chapter draws on the knowledge and expertise of well-known
researchers. The chapters are clearly written and combine clever use
of text, boxes, diagrams and re¯ection. The chapters conclude with
key references. Section 2 is perhaps the most important for those
healthcare practitioners faced with the dilemma of implementing
research in their practice. Chapters explore research into practice:
information needs for better practice; would it work here?/could we
afford it; and a ®nal chapter on the importance of evidence for
planning services. Here, again, the authors combine clear reader-
friendly writing with imaginative and creative use of `real examples'
to help the reader come to their own informed choice. The book
concludes with a detailed list of sources on evidence-based practice.
This book joins a growing list on the subject, though the authors
have successfully managed to make the topic interesting, informat-
ive and understandable to anyone who reads it. I particularly
recommend the chapters on making sense of surveys, producing
evidence ethically and research into practice: making a difference
Journal of Clinical Nursing 2001; 10: 154±157
154 Ó 2001 Blackwell Science Ltd