Written by two distinguished leaders in midwifery, this text provides a comprehensive examination of an effective model of group care. This book describes basic tenets of the Centering Healthcare model, which brings together cohorts of people with similar health care needs in a group setting for care. Chapters discuss the landscape leading to the model's development, its use in clinical practice, and its widespread and continuing growth as an effective alternative to traditional care.

Interspersed with comments and stories from Centering participants and health care professionals, the chapters emphasize the power of facilitative leadership that encourages behavior change and personal empowerment. Applicable in most health care settings, domestically and around the world, this book will be an invaluable resource for use by clinicians, administrators, researchers, educators, and others who are eager to improve outcomes from health care delivery.

KEY FEATURES:

Describes the theoretical foundations of the Centering Healthcare model
Documents the importance of the Centering model components to achieve improved health care and reduced cost
Discusses the impact of evidence-based research on providers, administrators, and policy makers
Demonstrates the validity and applicability of the model to a variety of health care populations, both domestic and international

Contents

Contributors

Foreword by Michael C. Lu, MD, MS, MPH

Preface

Acknowledgments

Charlotte's Story

Starting Point Comments From Vera Keane, CNM, MA, FACNM

Comments From Carmen Strickland, MD

Share The CenteringPregnancy® Model: The Power of Group Health Care

SECTION I: The CenteringPregnancy® Model

1. The Origins of CenteringPregnancy®

2. Making the Case for Centering Group Health Care

3. CenteringPregnancy® Group Care

4. Why Circles Work

5. CenteringParenting®: From Pregnancy Through Postpartum and Beyond

6. Facilitation: The Art and the Power

SECTION II: Centering Healthcare™: Transformative Change

7. Implementing Centering Group Care

8. Transformative Change

9. Spread of the Model to Other Health Populations

SECTION III: The Centering Healthcare™ Model: Making Change Sustainable

10. Making Change Sustainable: The Role of Policy and Advocacy

Lisa Summers

11. Growing Edge: Exploration of Innovation

A. CenteringPregnancy With Mindfulness Skills: Enhancing the Thread of Presence

Nancy Bardacke and Larissa G. Duncan

B. Centering Health and Oral Health: Moving Toward Healthy Women and Healthy Families

Sally H. Adams and Lisa Chung

C. Does CenteringPregnancy Promote Maternal Health Literacy?

Sandra A. Smith

12. Adapting CenteringPregnancy®-Based Group Antenatal Care Globally

Kathleen F. Norr and Crystal L. Patil

13. Moving Forward Into the Mainstream

Bibliography

Appendix A Pilot Study of CenteringParenting® in Two Public Health Clinics: Calgary, Alberta

Appendix B Field Notes From The Netherlands, Nepal, and Malawi/Tanzania

Field Notes: Introduction of Centering Healthcare in the Netherlands

Marlies Rijnders

Field Notes: CenteringPregnancy-Based Group Antenatal Care in Achham District, Nepal

Sheela Maru

Field Notes: Malawi and Tanzania

Crystal L. Patil and Kathleen F. Norr

Index

Authors

Sharon Schindler Rising, MSN, CNM, FACNM, is a certified nurse-midwife who established the graduate nurse-midwifery program and the Childbearing Childrearing Center at the University of Minnesota. She is the founder and president emeritus of the Centering Healthcare Institute, Inc. (CHI), a nonprofit organization dedicated to improving health by transforming care through Centering groups.

Charlotte Houde Quimby, MSN, CNM, FACNM, served as chair of the department of Maternal Newborn Nursing and chief nurse-midwife at Yale New Haven Hospital. She developed the nurse-midwifery service at Dartmouth Hitchcock Medical Center and was a faculty member at Dartmouth Medical School, where she continues as an adjunct faculty of Community and Family Medicine.

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