The document discusses the importance of professionalism in healthcare, emphasizing its role in delivering quality care and enhancing service user experience. It highlights the need for collaboration among healthcare staff, patients, and communities while advocating for the measurement and communication of professional behaviors and attitudes. Recommendations for improving professionalism through insightful practice and feedback mechanisms are also presented.

1. Doing the right thing when no-one is looking Delivering the Quality Strategy Ros Moore Chief Nursing Officer for Scotland Douglas Murphy Senior Clinical Research Fellow, University of Dundee

2. Professionalism Workstream Delivering the Quality Strategy Why Professionalism is Important

3. Industrial Information Provider orientated User orientated Inputs orientated Outputs orientated Hierarchical clinical teams &departmental silos Collaborative/virtual teams with true partnership Power concentrated – in professions & managers Power sharing with staff patient & communities as partners Enforced compliance – PM policies, procedures & checks Bottom up standards setting & robust assurance Defensive conservative Open to review Open to change Self care infrequent Self care promoted Carers ignored Carers valued and supported Reactive single episode provider driven Preventative Anticipatory integrated H& S care models

4. Tertiary Secondary Primary Professional Care Professionals as authorities Professionals as true partners Professionals as facilitators Individual Self care Friends and family Self help networks Information age health care Industrial age medicine

5. Restore Public Confidence Reframe public perceptions & expectations of professionalism

6. Stated values versus behaviours Managers & staff Staff to staff Staff & patients

7. Student Who Created Face book Group Critical of Teacher Sues High School Over Suspension Captured on Face book, the food-fighting nurses at Stafford General hospital where 1,200 died By Andy Dolan

8. Restore Pride Identity & Purpose DH Workforce Survey 2007/8

9. Restore co Restore Confidence manage acceptable risk & challenge defensive accountability

10. Why Professionalism Gives continuity & helps us adapt to change Professionalism is not only a skills set in a given occupation; it is an ineffable something ... Larkin 2010

11. Professionalism Workstream Delivering the Quality Strategy Purpose of work What does professionalism look like? Communicating the message Facilitating the message Measuring the message

12. Purpose of Work Delivering the Quality Strategy Contribute to the Quality Strategy Build on evidence of professionalism and promote Quality Improvement Enhance person –centredness Benefit service users and providers Recommendations to Coordinating Council NHSS on communication/ facilitation/ measurement of professionalism

13. What Does Professionalism Look Like? Delivering the Quality Strategy Behaviours, attitudes, values Relationships Context Unites Builds

14. Communicating the Message Delivering the Quality Strategy Everyone All healthcare staff Patients Public

15. Facilitating the Message Delivering the Quality Strategy Public Personal Cultural Educational Regulatory bodies Employer

16. Delivering the Quality Strategy Cycle of Insightful Practice Insightful Practice Professional Support Development Needs Reflection on Credible Evidence from Practice Quality Feedback Quality Improvement Professionalism

17. Measuring the Message Understand the perceptions (experience) and agreement of how well the attributes of professionalism are expected to be measured by a range of possible feedback tools : Individuals (staff, patients) Teams Different work-roles

18. Mapping Exercise

19. Existing tools used to measure aspects of professionalism in NMAHP Self Assessed Questionnaires Records of incidents of unprofessionalism Knowledge and Skills Framework

20. Some potential tools used to measure aspects of professionalism from contexts other than NMAHP Peer feedback Conscientiousness Index (Feedback on Level of Conscientious-ness in behaviour) External and Objective Feedback (based on patient care outcomes) Personal Qualities Assessments (personality testing questionnaires) Situational Judgement Tests (web scenario testing)

21. Some potential tools of team measurement (professionalism/ culture) Self-assessed questionnaires by team members of own healthcare team Patient / Family assessed questionnaires of healthcare team NHS Staff Survey

22. Mapping Exercise