Values and Ethics for Care Practice - Softcover

Cuthbert, Sue (University Of Worcester); Quallington, Jan (University Of Worcester)

Softcover

ISBN 10: 1908625309 ISBN 13: 9781908625304

Verlag: Lantern Publishing Ltd, 2018

Inhaltsangabe

Values and ethics are integral to the provision, practice and delivery of patient-centered health and social care. This book, which is an expanded and updated version of the 2008 title Values for Care Practice, introduces readers to these concepts and helps them understand how they can apply them to become compassionate care professionals.
The patient perspective and patient voice are seen and heard throughout the book. Readers are encouraged to reflect on their personal values and on those underpinning health and social care work and to understand how values and ethics are articulated in the latest UK Codes of Practice.
The text uses activities and case studies to enable readers to apply theory in their practice.
This book will help readers to understand why good caring is more than merely a practical intervention; it also requires a personal investment and quality of character that involves genuine concern and respect for others.

Über diesen Titel

Über die Autorin bzw. den Autor

Dr Jan Quallington qualified as a RGN (Adult) and undertook specialist education in cardiothoracic nursing. Her clinical practice was in acute medicine, coronary care and intensive care. After moving into education in a university setting Jan studied for an MA in Medical Ethics and Law and gained a Doctorate in Medical Ethics from Keele University. She undertook a number of roles in higher education and led a large multiprofessional team to deliver a wide range of health and social care education in partnership with health and social care providers and service users. Jan writes on ethical reflection and leadership in health and social care. She was most recently Head of the Institute of Health and Society at the University of Worcester before her retirement from healthcare education in 2019.

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Values and Ethics for Care Practice

By Sue Cuthbert, Jan Quallington

Lantern Publishing Limited

Copyright © 2017 Sue Cuthbert and Jan Quallington
All rights reserved.

ISBN: 978-1-908625-30-4

Contents

About the authors, vii, 
Prologue: Anne's story, ix, 
1 Introduction to values for care practice, 1, 
2 Introduction to ethics for care practice, 19, 
3 Compassion and care, 33, 
4 Rights, equality and anti-discriminatory practice, 59, 
5 Respect and dignity, 81, 
6 Autonomy and the principle of respect for autonomy, 119, 
7 Trust, confidentiality and truth-telling, 155, 
8 Protection from harm and promoting independence, 187, 
9 Values, accountability and responsibility, 211, 
10 Conclusion: value-based reflection, 229, 
References, 239, 
Index, 259, 

CHAPTER 1

INTRODUCTION TO VALUES FOR CARE PRACTICE

LEARNING OUTCOMES:

In this chapter you will:

• Be introduced to the notion of values in care and distinguish between personal and professional values

• Establish the origin of values in care, including institutional and organisational influences, and explore those defined by professional bodies

• Recognise the significance of patient, service user and carer values

• Establish the importance of a plurality of values for health and social care and the need for practitioners to practise value-based reflection.

Values are an inescapable and integral feature of health and social care. Although not new, this claim was brought sharply back into focus through the findings of the Francis Inquiry which revealed unacceptable and appalling care, patients and families being treated with 'callous indifference', inadequate patient safety, and failures in leadership (Francis, 2013). Similarly, other reports of failures in hospitals and care homes have highlighted cases of poor, inhumane care (Care Quality Commission, 2014; Department of Health (DH), 2012b, 2013b; Keogh, 2013). All of these reports demonstrate incidents where values have been compromised in the provision and delivery of services and particularly in the standards of individual care. It appears that, at least for some, putting patients first had given way to other demands, in a culture that seemed to disregard the values of respect, compassion, dignity and person-centred care.

At the heart of what often troubles us in these narratives of mistreatment and inhumane care, is that our personal value position is challenged in some fundamental way. The actions of others in these scenarios are contrary to what we believe is the right way to behave and the right thing to do. We are shocked and appalled by the apparent disregard by others for the basic value of respect for individual people and humanity and the lack of any sense of compassion. There is an intuitive and emotional response and a need to make sense of others' and our own beliefs, values and behaviour. Care practice does not and should not occur in a moral vacuum and ethical behaviour is not reserved solely for the big issues, dilemmas and challenges in health and social care. Caring is based in the human relationship, and everyday activities and the simplest interactions or interventions have a moral component.

Lapses and failures in care are shocking and cannot ever be condoned, but neither must we make the mistake of suggesting that because some care fails, all care is failing. Most practitioners go to extraordinary lengths to defend and remain committed to their values (Calkin, 2011) and to ensure patients and service users receive excellent care (Jackson et al., 2014; Middleton, 2013). What is clear is that the values held by practitioners are an essential component in determining and practising good care. It is also important to celebrate and promote good care whilst understanding how and why care can be compromised.

The Francis Inquiry (Francis, 2013) emphasised the importance of positive working cultures and the need for a workforce with the 'right values and attitudes' to provide high quality and safe care. There is an expectation of 'value-based recruitment and selection' of staff in health and social care; finding the person with the 'right' values to care (see the 'Cavendish Review' – DH, 2013d; Skills for Care, 2014; Willis Commission, 2012). Thus, in recent years, multiple claims have been made for the values that should guide the behaviours of health and care practitioners to ensure that all people using health and social care services are treated with respect and compassion and receive 'good care'.

Statements of values for health and care come from institutional, professional and organisational standpoints, both nationally and locally. A number of these have been significantly influenced by the 'patient or service user voice', either in a direct sense through consultation with individuals and user groups or through investigations and research into what people (and their families) want and expect when they receive care (Beresford, 2013; Burnell et al., 2015; Cotterell et al., 2010; Foot et al., 2014; Lupton and Croft-White, 2013; National Voices, 2014; Tambuyzer and van Audenhove, 2015).

Examples of policy that incorporates value statements include 'The NHS Constitution' (DH, 2015a), the 'six Cs' (DH and NHS Commissioning Board, 2012c), 'Fundamental Standards' (DH, 2014c) and the Royal College of Nursing's Principles of Nursing Practice (RCN, 2011; see Box 1.1). Various professional organisations have codes and standards for practice which present collective value positions in defining the expectations of their professional group; for example, British Association of Social Workers (BASW), 2014; Nursing and Midwifery Council (NMC), 2015; Health and Care Professions Council (HCPC), 2016. This list is by no means exhaustive and although the values identified by each profession may be similar and interrelate, each organisation or body makes an independent claim. These values may also be defined at a high level and do not always identify their practical application in everyday decision-making and actions.

Deciding what is morally right to do in health and care, at policy and service levels and in practitioner–client relationships, has become an increasingly complex activity. This is influenced by the potential for competing personal and professional duties (for example, maintaining confidentiality and preventing harm), by advances in medicine such as genetic technology and by the ways in which limited health and social care resources are distributed. As Gallagher (2013, p.615) reminds us, '... organisational or political values, such as efficiency and effectiveness, may conflict directly with nursing values such as dignity, compassion and honesty'. Thus, practitioners have to find ways through this moral maze and the professional moral landscape to identify and prioritise the values for practice which they espouse and to determine the right ways to behave and act in the delivery of good care. Practitioners need to learn ways that challenge them to think critically and logically about their own and others' moral arguments and to derive morally defensible decisions that guide their practice. Although there may be more than one morally 'right' answer in many practice situations, what is important is that it is exposed to careful and critical ethical analysis and that actions can be morally justified. Authenticity in our decision-making comes when our espoused values are in alignment with those values that we exhibit in our actions, behaviours...

Details zur Ausgabe

• Verlag: Lantern Publishing Ltd
• Erscheinungsdatum: 2018
• Sprache: Englisch
• ISBN 10: 1908625309
• ISBN 13: 9781908625304
• Einband: Taschenbuch
• Anzahl der Seiten: 286
• Kontakt zum Hersteller: Nicht verfügbar
• Verantwortliche Person: preigu; mail@preigu.de; ; Lengericher Landstr. 19; Osnabrück; 49078; Deutschland