1. Display as participants enter and explain that this training was developed and created based on industry and educator input in conjunction with the Health Workforce Initiative Statewide Advisory Committee, California Community Colleges Chancellor’s Office, and Workforce and Economic Development Program. This is just one soft skills module of the comprehensive training package: “Hi-Touch Healthcare: The Critical 6 Soft Skills.”
Hi-Touch Healthcare

2. Integrity

3. WHAT TO EXPECT IN THIS PRESENTATION
Overview of Integrity
Activity #1: Yes’s and No’s
Acting With Integrity
Activity #2: Self Evaluation
Activity #3: Defining Integrity and Honesty
Integrity in Healthcare
Activity #4: Game Plan
Quickly preview the session.

4. Definitions of Integrity
A dedicated obligation to an accepted code of conduct
An individual’s attitude towards a precise and accepted way of living
(Toledo-Pereyra, 2006)
(Animated slide)
Read these general definitions of integrity and then focus on the picture. Explain that is the personal definition of integrity is really something that happens from the inside of each person.

5. What Does Integrity Look Like?
A person with integrity:
Keeps commitments.
Tells the truth.
Takes a stand for what one perceives is right.
Has a strong sense of self.
(Animated slide)
Read each general description of integrity. Let comments from participants determine whether or not you linger on a specific bullet point.

6. What Does Integrity Look Like?
A person with integrity:
Respects others--their beliefs and their skills.
Is dedicated to a personal code of ethics.
Has inner strength.
Associates with people who have strong morals.
(Animated slide)
Read each general description of integrity. Let comments from participants determine whether or not you linger on a specific bullet point.

7. What Does Integrity Look Like?
A person with integrity:
Lends a helping hand.
Has discipline and self-control.
Is honest.
Stays true to his/her word believes that a “YES” MEANS “YES” and a “NO MEANS NO.”
(Champions of Character, 2016)
(Animated slide.)
Read each general description of integrity. Let comments from participants determine whether or not you linger on a specific bullet point.
Time for an activity! Go to next slide.

8. Activity #1: Yes’s and No’s
Pair up into groups of two
(See detailed procedures on pages 6-9 of the Trainer Manual.)
Goal: This activity provides an opportunity to experience how the changes in volume and tone of voice can make a difference in how your yes’s and no’s are interpreted by the receiver. This interpretation may either positively or negatively affect others perception of your integrity.
Materials Needed:
(Note to trainer—handouts are designed to make multiple copies on each sheet of paper and will, therefore, need to be cut before the training begins.)
One set of instructions per group of two—one copy of “Speaker” questions and one copy of “Responder” questions (pages 7-8 in the Trainer Manual)
Pen/pencil for each participant
Procedures:
Have participants break into pairs.
Explain to the entire group that with each pair there will be a speaker and a responder—they can choose who plays which role.
Pass out a set of instructions to each group. There are separate instructions for the speakers and the responders. Make sure that they don’t look at each other’s instructions.
Explain that the speaker will ask a series of four questions, each question will be answered by the responder in different tone and volume of voice (they will ask and respond to each question three different ways).
After instructions are clear, have the groups begin asking and answering the questions.
Allow approximately 5-10 minutes for the questions to be completed.
Bring the entire group back together and have them discuss the following topics:
Did you get a different meaning from the answers depending on the tone of their voice? The volume of their voice? Why?
Did any of the responses make you feel uncomfortable? Why?
Can you think of a time that your tone of voice or your volume affected how someone may have interpreted the meaning of your statements? Have participants give examples. Would you change that now?
Why do we make judgements about the person when s/he uses a tone or volume that we, the listener, deem rude, manipulative, or inappropriate?

9. Integrity
Integrity is a virtue in which you stand up for what you believe, but also have proper respect for the beliefs of others.
(Calhoun, 1995)
Read slide.

10. Integrity
Acting with integrity requires a desire to do something right rather than avoiding something you don’t want to do.
(Calhoun, 1995)
Read this slide.
Ok, time to evaluate your own integrity!
Go to next slide.

11. Activity #2: Self Evaluation
(See detailed procedures on pages of the Trainer Manual.)
Goal: This activity provides an opportunity to discover whether you are a person of integrity in both your personal and professional life.
Materials Needed:
Enough copies of the “Self-Evaluation” worksheet for each participant
Pen/pencil for each participant
Procedures:
Put slide number 10 on the screen during this self-evaluation.
Give each participant a “Self-Evaluation” worksheet (on page 10 of the Trainer Manual).
Have them quietly complete the self-evaluation.
After approximately 5 minutes, have them share (if they would like) about their responses.
Some ideas for discussion:
Were there differences between their professional and personal lives?
Do they know of anyone that consistently acts with integrity? In their personal lives? In their professional lives?
Do they know of anyone that consistently acts without integrity? In their personal lives? In their professional lives?
Food for thought: Explain that this self-evaluation is very personal, and that it might be a good idea to repeat this privately at some point and see if the answers are the same.

12. Let’s Continue the Work!!
When integrity is present, positive things happen.
The opposite is true as well!!
(Animated slide)
Read the slide, discuss if desired.
Go to next slide for Activity #3

13. Activity #3: Defining Integrity & Honesty
(See detailed procedures on pages of the Trainer Manual.)
Goal: This activity provides an opportunity to discuss how each person perceives integrity and honesty and how they may define these terms.
Materials Needed:
One copy of the “Integrity and Honesty” worksheet per group (see pages of the Trainer Manual)
Pen/pencil for each participant
Two bags of M&M’s. One bag filled with the M&M’s and the other bag emptied and filled with something else (rocks, marbles, sand, etc…)
Two clear bowls or containers to pour the contents of each bag into
Procedures:
Take out the bags of M&M’s and the two containers.
Ask “When you buy a bag of candy at the grocery store, what do you expect to find in the package? What should it look like?”
Allow participants to respond and then first pour the bag filled with candy into one bowl. Then pour the second bag filled with another material into the second bowl.
Ask the participants “Are you surprised by what you see? How would you feel if this actually happened to you after buying a bag of candy?”
Explain that “Just like this bag of M&M’s, what is on the inside of us needs to match what is on the outside.”
What we show on the outside because of what we believe on the inside allows our integrity to shine through.
Discuss that when all healthcare employees within a given facility act with integrity, it demonstrates to the community that the entire organization acts with integrity.
Have the participants break into groups of three or four.
Hand out one worksheet to each group and have them discuss and complete the worksheet (10 minutes).
Have a representative from each group present highlights from the group discussion, including definitions for integrity and honesty.

14. Integrity Vs. Moral Beliefs
The healthcare provider who acts with integrity is able to do things that s/he finds unpleasant.
That person is still acting with integrity if s/he declines to participate in a medical procedure that goes against his/her moral values.
(Animated slide)
Have participants give examples of things they find unpleasant but still do they do because they know it’s the right thing to do. Also have them give examples of something they avoid because they don’t want to do the task. This can be in their personal or professional life.

15. Integrity in Healthcare
In 1995 the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) introduced standards to ensure that the integrity of clinical decision making is protected from financial pressures.
The hope was to instill ethical sensitivity in all JCAHO accredited institutions.
(Animated slide)
“Now let’s talk more about integrity in healthcare and healthcare organizations.” Explain that starting in 1995, standards were developed to ensure integrity in healthcare organizations by emphasizing that core values and beliefs should dictate decisions rather than insurance reimbursement and payments.

16. Integrity in Healthcare
Organizational integrity shouldn’t mean what you can’t do…
Organizational integrity should foster a climate that emphasizes what you should do.
Organizational integrity should be concerned with how organizations ought to act with respect to their moral obligations toward society.
(Animated slide)
Read these statements about organizational integrity.

17. Achieving Organizational Integrity
Barriers include:
Managed care and provider reimbursement.
Increased numbers of specialists providing care for individual patients.
Inconsistent collaboration between providers.
Situations where nobody is “running the show.”
(Animated slide)
Explain that there are current barriers that must be overcome for integrity to be consistently within organizations.

18. Achieving Organizational Integrity
Two major components:
The culture of the organization as evidenced by their underlying core values.
The organizational infrastructure or systems.
(Animated slide)
Read the slide. Explain that core values can be defined as “the principles that guide our decision-making.”

19. Achieving Organizational Integrity
An organization’s infrastructure is an important vehicle for reinforcing core values
AND
An ensures that decisions, actions, and consequences reflect the underlying core values.
(Animated slide)
Read the slide. Explain that this is a continuous process not a static one. Both of these statements rely on each other for organizational integrity to be effective. This explanation leads to the next slide.

20. Achieving Organizational Integrity
Organizational Infrastructure
Continuous Monitoring and Evaluation
Culture (Core Values) ↓
Prioritize Core Values
Decision Making
Actions
Consequences
Silverman (2000)
Explain this process: First the organization has to develop a set of core values (guiding principles that dictate behavior and action). Then the core values are prioritized and decisions are made. Actions are then made based on those decisions. The consequences or results of those actions are evaluated for alignment with the core values. The cycle starts all over again it is a continuous process. “For the nurses out there, this sounds a lot like nursing process, doesn’t it?”
This is where phrase “continuous quality improvement” comes from.

21. Achieving Organizational Integrity
Everyone within an organization should be encouraged to be involved in the development of the core values and in the continuous cycle of quality improvement.
Read the slide. Effective organizational integrity must be a continuous process of evaluation and re-evaluation, and all employees need to be offered an opportunity to be involved in the planning and decision-making process.
Let’s do one last activity now that we know about organizational integrity. Go to the next slide.

22. Activity #4: Game Plan 5 Ways I Can Show Integrity in the Workplace
5 Ways I Can Show Integrity in my Personal Life
(See detailed procedures on page 15 of the Trainer Manual.)
Goal: This activity provides an opportunity to apply what participants have learned in the workshop and to create a next steps plan of action.
Materials Needed:
Piece of paper and pen/pencil for each participant
Procedures:
(Note to Trainer: Leave slide up while activity is being done.)
Give each participant a piece of paper and pen/pencil.
Give participants approximately 5-10 minutes to complete the game plan (use prompt on PowerPoint slide).
Have participants share desired parts of the game plan and why they felt they were important.
Discussion points:
Was there anything they put on their list that they wouldn’t have thought of before this presentation and work?
Are there significant differences on your list between integrity in the workplace and integrity in their personal life?
Had you ever consciously thought about the integrity of your workplace environment before? If so, are there any examples they would like to share?
What, specifically, can your workplace do to promote integrity? How should people be held accountable?

23. Summary
Take these explanations and activities back to your departments and pass the word!!
Remember that INTEGRITY is…
“doing the right thing when nobody is looking.”
(Animated slide)
Read the slide.

24. Thank You!!
Questions? Comments?