Abertay University 2016 Person Centred Care Nursing Values

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

Aims for this session: • Understand what is meant by the term ‘person centred care’ • Understand what is meant by delivering person centred care Abertay University 2016 • What are nursing values? 2

Abertay University 2016 Take a moment to think about what is meant by value-based, personcentred care and why is this important in nursing? 3

• 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. • 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 Abertay University 2016/16 MHN 006 • So whilst the NMC code clearly defines nursing values it remains each nurses responsibility to deliver care in a way that reflects these values The Nursing code is our compass to high standards of care 4

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• 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 MHN 006 Activity 1 Reflect on your own values 6

Person centred Care Spirituality Value-based nursing caring Abertay University 2016/16 MHN 006 Compassion Dignity 7 Ref: Delves-Yates, C. , 2015 Essentials of Nursing practice: London. Sage

• what do you see? Abertay University 2016/16 MHN 006 • 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. 8 Keeping the person at the centre.

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

Compassion? Abertay University 2016/16 MHN 006 What do we mean by 10

• Compassion has been a value central to nursing since the profession was established Abertay University 2016 Compassion 11

Abertay University 2016/16 MHN 006 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. 12

Abertay University 2016/16 MHN 006 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. 13

Compassion continued…. • It is the ethical principle which requires that we seek to do or produce good for others. Abertay University 2016/16 MHN 006 • Compassion is directly derived from the ethical principle of beneficence. 14 • Ref: Delves-Yates, C. , 2015 Essentials of Nursing practice: London. Sage

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 MHN 006 Although nursing is diverse and multi-faceted, all nursing practice shares the same ultimate aim to improve the lives of those receiving health care 16

• 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 MHN 006 Caring 17

For example: Giving reassurance to a friend who is going through difficult times. Abertay University 2016/16 MHN 006 Take a moment to reflect: Turn to the person next to you and see if you can identify what we mean by caring behaviours. 18

• 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 MHN 006 Dignity 19

Abertay University 2016/16 MHN 006 Take a moment to reflect on the concept of dignity and see if you can define what it means to you 20

Abertay University 2016/16 MHN 006 Un-dignified Care https: //www. youtube. com/ watch? v=q. Ig. XN_ck. DZg 21

Dignity Continued… • How would you promote dignity? Abertay University 2016/16 MHN 006 • Is dignity clearly understood? 22

https: //youtu. be/ue. Lq. AJRx. Kp. Q Abertay University 2016/16 MHN 006 Dignity – Little Things Make A Difference 23

SPIRITUALITY • What does this mean for our patients? Abertay University 2016/16 MHN 006 • What does this mean to you? 24

General attributes nurses must attain Empowerment Effective communication Worth Autonomy Privacy Ref: Delves-Yates, C. , 2015 Essentials of Nursing practice: London. Sage Abertay University 2016/16 MHN 006 Respect 25

Attributes felt by patients to be important Self-confidence and self-identity Independence Able to make choices Personal standards are appreciated Control over surroundings and how others treat them Ref: Delves-Yates, C. , 2015 Essentials of Nursing practice: London. Sage Abertay University 2016/16 MHN 006 Self-respect and self esteem 26

10 essential shared capabilities (2012) Abertay University 2016/16 MHN 006 Values and mental health Nursing 27

1. Working in partnerships 2. Respecting diversity 3. Practising ethically 4. Challenging inequality 5. Promoting recovery 6. Identifying peoples needs and strengths 7. Providing service user-centred care 8. Making a difference 9. Promoting safety and positive risk taking 10. Personal development and learning Abertay University 2016/16 MHN 006 The 10 Essential Shared Capabilities or 10 ESC’s 28

Abertay University 2016/16 MHN 006 How does the use of language and labels empower or disempower people? 29

• 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 MHN 006 The 10 ESCs continued…. 30

• 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 MHN 006 The 10 ESCs continued. 31

Knowing the patient as a person Providing information that meets the needs of the patients Enabling them to make decisions based on informed choices about what is available Supporting the person to express their choices Shared decision making Ongoing evaluation to ensure that care remains appropriate to the individual Ref: Delves-Yates, C. , 2015 Essentials of Nursing practice: London. Sage Abertay University 2016/16 MHN 006 Person Centered Care - recap 32

https: //www. youtube. com/watch? v=XOCda 6 O i. Ypg Abertay University 2016/16 MHN 006 ‘Nursing The Nation’ by Molly Case 33