Why did you come into a caring role in the health service in the first place? What motivated you?

1. Enhancing Motivation and Meaning in Work:promoting staff and patientwellbeing Ewan KellyProgramme Director for Spiritual Care and Health and Social Care ChaplaincyNES

2. Why did you come into a caring role in the health service in the first place? • What motivated you? • What or who inspired you?

3. What gets you out of bed in the morning to go to work now? • What keeps you going at work when things are tough?

4. Being able to live out our core values and finding meaning and purpose at work…. • Enhances wellbeing, resilience and happiness • in individuals, teams and organisations • Lips-Wierma, M. and Morris, L. 2011 The Map of Meaning: A guide to sustaining our humanity in the world of work. • Jamison, C. 2008 Finding Happiness: Monastic Steps for a Fulfilling Life. London: Phoenix.

5. Meaningful work (or its absence) influences - • Job satisfaction • Work motivation • Work behaviour • Engagement • Empowerment • Stress and absenteeism • Performance • Rosso et al 2010

6. Francis Report – dehumanisation and desensitisation of healthcare staff • A patient admitted into Accident and Emergency (was reprimanded by members of staff for calling his wife): • ‘When I was told I was to be admitted, I was left in a small cubicle for several hours on a trolley, no pillows, no blankets, and when I rang to tell my wife, I was admonished quite sharply by someone who told me to ‘get a life’ and not use the phone in hospital. Eventually I got a pillow and then an hour later, a blanket arrived which I refused because it was covered in someone else’s blood.’

7. Reflective Practice as potentially transformative • ‘re-connecting with a place in ourselves which has always been there but has been covered up by a huge amount of stories that we have learnt to accept as reality.’ • (Encke in Sohet 2008, 23)

8. Marcel Proust • ‘the real magic of discovery lies not in seeking new landscapes but in having new eyes.’ • (1899)

11. Values based Reflective Practice (VBRP) • Aim • To help health and social care staff provide the care they came into the service to provide.

12. Evaluation of impact on practice - 37 Chaplains Responded Positive impact on: 1) my person-centred practice 93 % - somewhat or a lot 2) team relationships 90% 3) motivation and fulfilment 83%

13. Tools to reflect on and in practice • Use of VBRP: • To learn, not to blame, • To explore not to judge, • To deepen understanding not to fix

14. ‘Ways of seeing’ – safe, non-judgemental • What is seen or noticed • What makes you wonder or curious • What the practitioner realises or perceives

15. Values-Based Exploration • N Whose needs were met/left unmet? • A What does this tell us about my/our abilities or capabilities? • V Whose voice is heard/ignored in decisions or actions? • V What was valued/undervalued/overvalued in this situation? • Y What does this event say about you/me/us?

16. ‘Ways of seeing’ and ‘NAVVY’ • Aid • reflection on practice in facilitated groups • reflexivity – reflection in practice

17. Lisa Victor Interview part 1

18. Lisa Victor Interview Part 2

20. Further information • www.vbrp.scot.nhs.uk • vbrp@nes.scot.nhs.uk