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Parallel Session 2.5.1 Focusing on the Workforce
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. Aims
Explore 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 transition
Engage 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
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. Meaning
Write 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. Motivation
Why did you come into health or social care?
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 lives
Why? Why me? What have I done to deserve this?
If there is a God why does God allow this to happen? REFERRAL
I haven’t been a bad person! It’s not fair! TRIGGERS
I 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
intervention
NHS Chaplains in General Practice surgeries
Patients referred to listening service by GPs (in the
main)
Patients seen for 50 mins each session by Chaplains:
average number of sessions 2
Patients tell story and work through their concerns
Chaplain 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 Aberdeen
Expected 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
15. You are bound
to get idears, if
you go thinking
about stuff
Reflection leads to
change! Quality Education for a Healthier Scotland
16. Ony one thing in the
world I’m sure of, an
that’s I’m sure nobody
got a right to mess with
a fella’s life. He got to
do it all by hisself. Help
him maybe, but not tell
him what to do…
Assets Based
Approach Quality Education for a Healthier Scotland
17. Maybe I oughtn to a talked like that-
fella should maybe keep stuff like that in
his head?
Yes you should talk- sometimes a sad
man can talk the sadness right out of his
mouth….
p55
Talking and listening
Quality Education for a Healthier Scotland
Notes de l'éditeur
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