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


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

What motivated you?

What or who inspired you?


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

What keeps you going at work when things are tough?


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.


Meaningful work (or its absence) influences -

Job satisfactionWork motivationWork behaviourEngagementEmpowermentStress and absenteeismPerformance

Rosso et al 2010


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.’


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)


Marcel Proust

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

(1899)




Values based Reflective Practice (VBRP)

Aim

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


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%


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


‘Ways of seeing’ – safe, non-judgemental

What is seen or noticed

What makes you wonder or curious

What the practitioner realises or perceives


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?


‘Ways of seeing’ and ‘NAVVY’

Aid

1)reflection on practice in facilitated groups

2)reflexivity – reflection in practice


Lisa Victor Interview part 1


Lisa Victor Interview Part 2



Further information

www.vbrp.scot.nhs.uk

[email protected]

Documents

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