Quality Education for a Healthier Scotland Enhancing Motivation and Meaning in Work: promoting staff and patient wellbeing Ewan Kelly Programme Director.

Quality Education for a Healthier Scotland

Enhancing Motivation and Meaning in Work:

promoting staff and patientwellbeing

Ewan KellyProgramme Director

for Spiritual Care and Health and Social Care Chaplaincy

NES

Quality Education for a Healthier Scotland

Why did you come into a caring role in the health service in the first place?

What motivated you?

What or who inspired you?

Quality Education for a Healthier Scotland

What gets you out of bed in the morning to go to work now?

What keeps you going at work when things are tough?

Quality Education for a Healthier Scotland

Being able to live out our core values and finding meaning and purpose at

work….

Enhances wellbeing, resilience and happiness

in individuals, teams and organisations

Lips-Wierma, M. and Morris, L. 2011 The Map of Meaning: A guide

to sustaining our humanity in the world of work. Jamison, C. 2008 Finding Happiness: Monastic Steps for a

Fulfilling Life. London: Phoenix.

Quality Education for a Healthier Scotland

Meaningful work (or its absence) influences -

Job satisfactionWork motivationWork behaviourEngagementEmpowermentStress and absenteeismPerformance

Rosso et al 2010

Quality Education for a Healthier Scotland

Francis Report – dehumanisation and desensitisation of healthcare staff

A patient admitted into Accident and Emergency (was reprimanded by members of staff for calling his wife):

‘When I was told I was to be admitted, I was left in a small cubicle for several hours on a trolley, no pillows, no blankets, and when I rang to tell my wife, I was admonished quite sharply by someone who told me to ‘get a life’ and not use the phone in hospital. Eventually I got a pillow and then an hour later, a blanket arrived which I refused because it was covered in someone else’s blood.’

Quality Education for a Healthier Scotland

Reflective Practice as potentially transformative

‘re-connecting with a place in ourselves which has always been there but has been covered up by a huge amount of stories that we have learnt to accept as reality.’

(Encke in Sohet 2008, 23)

Quality Education for a Healthier Scotland

Marcel Proust

‘the real magic of discovery lies not in seeking new landscapes but in having new eyes.’

(1899)

Quality Education for a Healthier Scotland

Quality Education for a Healthier Scotland

Quality Education for a Healthier Scotland

Values based Reflective Practice (VBRP)

Aim

To help health and social care staff provide the care they came into the service to provide.

Quality Education for a Healthier Scotland

Evaluation of impact on practice - 37 Chaplains Responded

Positive impact on:

1) my person-centred practice 93 % - somewhat or a lot

2) team relationships 90%

3) motivation and fulfilment 83%

Quality Education for a Healthier Scotland

Tools to reflect on and in practice

Use of VBRP:

To learn, not to blame,

To explore not to judge,

To deepen understanding not to fix

Quality Education for a Healthier Scotland

‘Ways of seeing’ – safe, non-judgemental

What is seen or noticed

What makes you wonder or curious

What the practitioner realises or perceives

Quality Education for a Healthier Scotland

Values-Based Exploration

N Whose needs were met/left unmet?

A What does this tell us about my/our abilities or capabilities?

V Whose voice is heard/ignored in decisions or actions?

V What was valued/undervalued/overvalued in this situation?

Y What does this event say about you/me/us?

Quality Education for a Healthier Scotland

‘Ways of seeing’ and ‘NAVVY’

Aid

1)reflection on practice in facilitated groups

2)reflexivity – reflection in practice

Quality Education for a Healthier Scotland

Lisa Victor Interview part 1

Quality Education for a Healthier Scotland

Lisa Victor Interview Part 2

Quality Education for a Healthier Scotland

Quality Education for a Healthier Scotland

Further information

www.vbrp.scot.nhs.uk

vbrp@nes.scot.nhs.uk