1. Quality Education for a Healthier Scotland Enhancing Motivation and Meaning in Work: promoting staff and patient wellbeing Ewan Kelly Programme Director for Spiritual Care and Health and Social Care Chaplaincy NES

2. Quality Education for a Healthier Scotland Why did you come into a caring role in the health service in the first place? What motivated you? What or who inspired you?

3. Quality Education for a Healthier Scotland What gets you out of bed in the morning to go to work now? What keeps you going at work when things are tough?

4. Quality Education for a Healthier Scotland 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.

5. Quality Education for a Healthier Scotland Meaningful work (or its absence) influences - Job satisfaction Work motivation Work behaviour Engagement Empowerment Stress and absenteeism Performance Rosso et al 2010

6. Quality Education for a Healthier Scotland 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.’

7. Quality Education for a Healthier Scotland 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)

8. Quality Education for a Healthier Scotland Marcel Proust ‘the real magic of discovery lies not in seeking new landscapes but in having new eyes.’ (1899)

9. Quality Education for a Healthier Scotland

11. Values based Reflective Practice (VBRP) Aim To help health and social care staff provide the care they came into the service to provide.

12. Quality Education for a Healthier Scotland 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%

13. Quality Education for a Healthier Scotland 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

14. Quality Education for a Healthier Scotland ‘Ways of seeing’ – safe, non-judgemental What is seen or noticed What makes you wonder or curious What the practitioner realises or perceives

15. Quality Education for a Healthier Scotland Values-Based Exploration NWhose needs were met/left unmet? AWhat does this tell us about my/our abilities or capabilities? V Whose voice is heard/ignored in decisions or actions? VWhat was valued/undervalued/overvalued in this situation? YWhat does this event say about you/me/us?

16. Quality Education for a Healthier Scotland ‘ Ways of seeing’ and ‘NAVVY’ Aid 1)reflection on practice in facilitated groups 2)reflexivity – reflection in practice

17. Quality Education for a Healthier Scotland Lisa Victor Interview part 1

18. Quality Education for a Healthier Scotland Lisa Victor Interview Part 2

19. Quality Education for a Healthier Scotland

20. Further information www.vbrp.scot.nhs.uk vbrp@nes.scot.nhs.uk