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

2. 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
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3. 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

4. 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
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5. 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.

6. 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 ….
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Use flip chart to capture some of the values & hopes people are willing to share to compare the differences in the whole group.

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

8. 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?
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9. Persons living with dementia
are usually capable of
more than we can
imagine

10. What do we mean by
Compassion?
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11. Compassion
Compassion has been a value central to nursing since the profession was established
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Up load report for prior reading – link to online activity/discussion board – Activity?

12. 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.
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13. 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.
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14. 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?

16. 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!
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17. 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
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Examples: simple acts of kindness, asking what a patient needs, what they like

18. 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.
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19. 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?
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Flip chart – explore answers encourage discussion.

20. Take a moment to reflect on the concept of dignity and see if you can define what it means to you
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21. Un-dignified Care https://www.youtube.com/watch?v=qIgXN_ckDZg
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What did you identify

22. Dignity Continued… Is dignity clearly understood?
How would you promote dignity?
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Flip chart

23. Dignity – Little Things Make A Difference‬
Dignity – Little Things Make A Difference
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24. SPIRITUALITY What does this mean to you?
What does this mean for our patients?
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Exercise using buzz group method – create a debate. Use group presentation to capture diversity of debate.

25. General attributes nurses must attain
Respect
Effective communication
Autonomy
Privacy
Worth
Empowerment
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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

26. 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
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How would you wish you, your mum, family to be treated?
Ref: Delves-Yates, C., 2015 Essentials of Nursing practice: London. Sage

27. Values and mental health Nursing
10 essential shared capabilities (2012)
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28. 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
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29. How does the use of language and labels empower or disempower people?
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30. 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:
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31. 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:
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32. 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
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Ref: Delves-Yates, C., 2015 Essentials of Nursing practice: London. Sage

33. ‘Nursing The Nation’ by Molly Case
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