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Parallel Session 2.5.1 Focusing on the Workforce

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  • Assets a health or social care practitioner has is not just their professional competency but their humanity – including the meaning and purpose you or I find in our work and the values we possess, the motivation that informs our attitudes and behaviours and wa of relating. Assets that enhance reileience and well being within patients – that whixch gives meaning and purpose
  • Big part of the Spiritual dimension of our lives – different for everyone _ how we are going to introduce ourselves first and foremost as human beings then our professional roles How might it be for us if these aspects of our lives which raise our spirits, help keep us going – can no longer be accessed or enjoyed due to loss of function and/or role or bereavement
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    • 1. (Re)connecting with meaning and motivation Chair Ros Moore (Chief Nursing Officer) Ewan Kelly (Programme Director for Spiritual Care and Healthcare Chaplaincy, NES)Bob Devenny (Head of Spiritual Care, NHS Lanarkshire)James Clark-Maxwell (GP, NHS Dumfries and Galloway) David Rigby (GP, NHS Western Isles) Quality Education for a Healthier Scotland
    • 2. AimsExplore significance of meaning and motivation for the wellbeing of patients, carers and staff by:Sharing insights from Community Chaplaincy Listening: service based in GP surgeries where healthcare chaplains help patients (re)discover their personal assets or inner resources to live with loss and transitionEngage with innovative models of healthcare chaplaincy which support values based reflective practice and helps practitioners and teams deliver holistic relationship based care Quality Education for a Healthier Scotland
    • 3. Quality Education for a Healthier Scotland
    • 4. Invitation to engage in this session exploring meaning and motivation in 3 dimensions of life experience :• Human• Service user (or potential service user)• Practitioner or professional Quality Education for a Healthier Scotland
    • 5. MeaningWrite down 3 things which either:• make you get up in the morning• raises your spirits GIVE MEANING• you fall back on when the chips are down AND PURPOSE• make you feel alive Quality Education for a Healthier Scotland
    • 6. MotivationWhy did you come into health or social care? Quality Education for a Healthier Scotland
    • 7. Quality Education for a Healthier Scotland
    • 8. What is chaplaincy listening? What is unique about it?Focussed on helping patients explore existential questions and questions about personal identity in relation to loss and transition in their livesWhy? Why me? What have I done to deserve this? If there is a God why does God allow this to happen? REFERRALI haven’t been a bad person! It’s not fair! TRIGGERSI don’t know who I am any more…..Helping patients to (re)discover their personal assets or inner resources to live with these questions and the loss and transition in their lives Quality Education for a Healthier Scotland
    • 9. Being with Quality Education for a Healthier Scotland
    • 10. Community Chaplaincy Listening : the interventionNHS Chaplains in General Practice surgeriesPatients referred to listening service by GPs (in the main)Patients seen for 50 mins each session by Chaplains: average number of sessions 2Patients tell story and work through their concernsChaplain provides active listening and guided support – focus on existential and identity questions Quality Education for a Healthier Scotland
    • 11. Action Research Findings from CCL Phase 1 (2010–2011) 4 health boards, 4 healthcare chaplains, 49 patients• Increased self-management, self-worth and confidence in decision-making• Reduced GP time with such patients• Normalisation of sadness, anxiety and loss of meaning during times of transition and loss• Potential reduction in prescription costs Quality Education for a Healthier Scotland
    • 12. 23 GP Practices, 11 Health Boards involved in CCL 2 (2011 - autumn 2012) 5 3 3 1 4 1 1 1 1 2 1 Quality Education for a Healthier Scotland
    • 13. Community Chaplaincy Phase 3 (Autumn 2012-2015) - funded by Scottish Government, managed by NES and Univ of AberdeenExpected outcomes• Recruitment of further GP surgeries across Scotland (interest also from England)• Development of existential listening services in other health and social care contexts• Cost benefit analysis of CCL• Development of an ‘accredited’ training scheme for volunteer spiritual care listeners• Use of specifically recruited, trained and supervised volunteers as spiritual care listeners as part of established CCL services• Chaplains to provide training and supervision and continue to deal with complex existential issues Quality Education for a Healthier Scotland
    • 14. Figurin’The Joad Family Grapes of Wrath J Steinbeck Quality Education for a Healthier Scotland
    • 15. You are bound to get idears, if you go thinking about stuffReflection leads tochange! Quality Education for a Healthier Scotland
    • 16. Ony one thing in the world I’m sure of, anthat’s I’m sure nobodygot a right to mess with a fella’s life. He got todo it all by hisself. Helphim maybe, but not tell him what to do…Assets BasedApproach Quality Education for a Healthier Scotland
    • 17. Maybe I oughtn to a talked like that-fella should maybe keep stuff like that inhis head?Yes you should talk- sometimes a sadman can talk the sadness right out of hismouth…. p55 Talking and listening Quality Education for a Healthier Scotland