Person Centred Care Nursing Values Abertay University 2016 SWAP – Lecture 2016

Aims for this session: What are nursing values? Understand what is meant by the term ‘person centred care’ Understand what is meant by delivering person centred care Abertay University 2016

Take a moment to think about what is meant by value-based, person-centred care and why is this important in nursing? Abertay University 2016

If we consider the nurses code (NMC, 2015) and the guidance on professional conduct for nursing and midwifery students, the values of the nurses role become clearer. So whilst the NMC code clearly defines nursing values it remains each nurses responsibility to deliver care in a way that reflects these values A patient is not just someone who needs for example, a bath; they have life histories and experiences that have made them unique individuals and we need to consider the person in this context Ref: Delves-Yates, C., 2015 Essentials of Nursing practice: London. Sage The Nursing code is our compass to high standards of care Abertay University 2016/16 MHN006

Abertay University 2016/16 MHN006 The nursing code is reflective of the shared values that the profession agrees is at the heart of good nursing and midwifery practice.

Activity 1 Reflect on your own values It is important to recognise and respect differences between us while owning our own personal hopes, concerns and values. please take a few minutes to identify some of your own personal or family values …. Abertay University 2016/16 MHN006 Use flip chart to capture some of the values & hopes people are willing to share to compare the differences in the whole group.

Person centred Care Abertay University 2016/16 MHN006 Compassion caring Dignity Value-based nursing Spirituality Abertay University 2016/16 MHN006 These are the values intrinsic to person centred care Ref: Delves-Yates, C., 2015 Essentials of Nursing practice: London. Sage

Keeping the person at the centre. Seeing beyond the illness or disability to the person may be a way of helping to keep focussed on the business of providing high quality compassionate care. what do you see? Abertay University 2016/16 MHN006

Persons living with dementia are usually capable of more than we can imagine

What do we mean by Compassion? Abertay University 2016/16 MHN006

Compassion Compassion has been a value central to nursing since the profession was established Abertay University 2016 Up load report for prior reading – link to online activity/discussion board – Activity?

Sadly you may have noticed in the media it seems to be the one thing that the profession has been charged with losing, diluting and undervaluing as other priorities take its place. Abertay University 2016/16 MHN006

The Francis Report (2013) and a number of other reports consider occasions when patients were not treated with the compassion they deserved, along with a number of other serious failings. Abertay University 2016/16 MHN006

Compassion continued…. Compassion is directly derived from the ethical principle of beneficence. It is the ethical principle which requires that we seek to do or produce good for others. Ref: Delves-Yates, C., 2015 Essentials of Nursing practice: London. Sage Abertay University 2016/16 MHN006 How would it feel to be rushed, ignored?

it also depends upon how the food is given! Although nursing is diverse and multi-faceted, all nursing practice shares the same ultimate aim to improve the lives of those receiving health care So for example a nursing activity such as feeding a patient does not just mean that the direct effect of the task is the patient being fed; it also depends upon how the food is given! Abertay University 2016/16 MHN006

Caring Caring is frequently described as being at the heart of nursing, but what exactly that means appears to differ between nurses. And also between patient and carer groups Abertay University 2016/16 MHN006 Examples: simple acts of kindness, asking what a patient needs, what they like

Take a moment to reflect: Turn to the person next to you and see if you can identify what we mean by caring behaviours. For example: Giving reassurance to a friend who is going through difficult times. Abertay University 2016/16 MHN006

Dignity Is also enshrined not only within nursing guidance but also other health professionals guidance and legislation (NMC, 2015), Human Rights Act (1998), The general medical council guidance (GMC, 2006) Yet what do we understand by the term Dignity? Abertay University 2016/16 MHN006 Flip chart – explore answers encourage discussion.

Take a moment to reflect on the concept of dignity and see if you can define what it means to you Abertay University 2016/16 MHN006

Un-dignified Care https://www.youtube.com/watch?v=qIgXN_ckDZg Abertay University 2016/16 MHN006 What did you identify

Dignity Continued… Is dignity clearly understood? How would you promote dignity? Abertay University 2016/16 MHN006 Flip chart

Dignity – Little Things Make A Difference ‬ Dignity – Little Things Make A Difference https://youtu.be/ueLqAJRxKpQ Abertay University 2016/16 MHN006

SPIRITUALITY What does this mean to you? What does this mean for our patients? Abertay University 2016/16 MHN006 Exercise using buzz group method – create a debate. Use group presentation to capture diversity of debate.

General attributes nurses must attain Respect Effective communication Autonomy Privacy Worth Empowerment Abertay University 2016/16 MHN006 Again dignity can mean different things to different people making it hard to define and understand. However we consider the concept by defining attributes to that of nursing values and what patients identify as important attributes then we can begin to understand how to promote dignity through the care we deliver as nurses. Ref: Delves-Yates, C., 2015 Essentials of Nursing practice: London. Sage

Attributes felt by patients to be important Self-respect and self esteem Independence Personal standards are appreciated Control over surroundings and how others treat them Able to make choices Self-confidence and self-identity Abertay University 2016/16 MHN006 How would you wish you, your mum, family to be treated? Ref: Delves-Yates, C., 2015 Essentials of Nursing practice: London. Sage

Values and mental health Nursing 10 essential shared capabilities (2012) Abertay University 2016/16 MHN006

The 10 Essential Shared Capabilities or 10 ESC’s Working in partnerships Respecting diversity Practising ethically Challenging inequality Promoting recovery Identifying peoples needs and strengths Providing service user-centred care Making a difference Promoting safety and positive risk taking Personal development and learning Abertay University 2016/16 MHN006

How does the use of language and labels empower or disempower people? Abertay University 2016/16 MHN006

The 10 ESCs continued…. The 10 ESCs detail core capabilities for all mental health workers, taking account of rights and values-based practice, recovery-focused practice and person-centred care. They are the foundation on which good mental health practice is based and mirror and complement the principles underpinning the Mental Health (Care and Treatment) (Scotland) Act 2004. Ref: www.nes.scot.nhs.uk Abertay University 2016/16 MHN006

The 10 ESCs continued. Are about a set of attitudes, behaviours, expectations and relationships Describe the values and principles that should be demonstrated in the way mental health services are commissioned, planned and delivered Are derived from, and reflect, how people who use mental health services and those who support them want to be treated, and the way they expect to be treated Outline values and principles that should influence the actions and outcomes that people working in mental services should be seeking to achieve. Ref: www.nes.scot.nhs.net Abertay University 2016/16 MHN006

Person Centered Care - recap Knowing the patient as a person Enabling them to make decisions based on informed choices about what is available Shared decision making Ongoing evaluation to ensure that care remains appropriate to the individual Supporting the person to express their choices Providing information that meets the needs of the patients Abertay University 2016/16 MHN006 Ref: Delves-Yates, C., 2015 Essentials of Nursing practice: London. Sage

‘Nursing The Nation’ by Molly Case https://www.youtube.com/watch?v=XOCda6OiYpg Abertay University 2016/16 MHN006