Principles of Professional Practice Values Based Practice Donna Baker

Aim and Outcomes Aim To examine the nature of values and values based practice Outcomes Explore the term ‘values’ Explore what we value Explore what underpins our practice as registered professionals

Thinking about values Everyone has them, Professions and Organisations claim to have them but…… What are they? “Values express who and what we are” (Mohr et al 2001)

Values, beliefs and experiences Values are ideals we hold that give significance and meaning to our lives and hence underpin our beliefs, influencing the decisions we make and the actions we take. (Turner 2004) Values – are constructs that we hold as important Beliefs – are constructs we hold to be true Experiences – are constructs about reality

Values are Complex Values come in many varieties… In health care often synonymous with ethics i.e beneficence, non-malevolence, autonomy, justice (Beauchamp and Childress 2001) Wider than just ethics but also self fulfilment i.e wishes, desires, needs Aesthetic values for example, beauty

Values are Complex Values vary with time and place… Can be eternal - particularly ethical values, religious & political ideology Yet are variable – from person to person, from place to place, time to time Values vary from person to person Reflect the personal and individual nature of values

Values are Complex Values are like an extended family Values, though complex, are not chaotic, but coherent, in the way that an extended family made up of many different members is coherent (Fulford 2004)

Values-Based Practice Your values will be visible to others by what you do and say Meeting the health needs of others requires nurses/AHP’s to recognise and respect other peoples values. The ability to recognise and respond to differences in values between ourselves and others is central to values-based practice

Values-Based Practice McClean 2012

Values underpinning professional practice. The Code: Professional Standards of practice and behaviour for nurses and midwives (NMC 2015) Standards of Conduct, Performance and Ethics (HCPC 2008) Compassion in Practice (DH 2012) NHS Constitution (DH 2015)

Values underpinning professional practice Activity – A bit of reflection Think about your work over the last week. What values had the most influence on your work? Whose were they? How does your team usually work with values, including conflicting values? What did you learn about yourself, others, values? What had the most impact. Why?

References/Further Reading Beauchamp TL, Childress JF (2001) Principles of Biomedical Ethics, 5 th Ed Oxford University Press DH (2012) Compassion in Practice: Nursing, Midwifery and Care staff: Our Vision and Strategy, London Fulford KWM, Woodbridge K, (2004) Whose Values The Sainsbury Centre for Mental Health Care McClean C, The yellow brick road: A values based curriculum model, Nurse Education in Practice 12 (2012) McLean C, Fulford B, Carpenter D (2012) Values Based Practice, in Tee S, Brown J, Carpenter D (eds) Handbook of Mental Health Nursing, Hodder Arnold Mohr W, Deatrick J, Richmond T, Mahon M, (2001) A reflection on values in turbulent times. Nursing Outlook 49(1) 30-6 NMC (2015) The Code: Professional Standards of practice and behaviour for nurses and Midwives RCN (2011) Accountability and delegation: What you need to know RCN (2013) Delegating record keeping and countersigning records: guidance for Nursing staff Turner (2004) Values and Beliefs, Coach the Coach (7)