Facilitating values awareness through the education of health professionals: Can web based decision making technology help?

Godbold, Rosemary; Lees, Amanda

doi:10.1016/j.nepr.2015.11.003

Cited by 7 publications

(9 citation statements)

References 4 publications

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“…In contemporary nursing education, skills, knowledge and evidence‐based ideologies shift again to promote and facilitate a value‐aware health workforce (Godbold & Lees, ). Nurses serve as “agents of change” and are aware that values and beliefs can shape or constrain change (McAllister, , pp.…”

Section: Introductionmentioning

confidence: 99%

“…Hence, nursing education provides a climate for the development of values and an opportunity to model best ethical practices (Kaya, Is ßik, S ßenyuva, & Kaya, 2016;Tetley, Dobson, Jack, Pearson, & Walker, 2016). The ability to examine and discuss values may foster well-being and improve the quality of health care (De Araujo & Zoboli, 2010;Godbold & Lees, 2016).…”

Section: Introductionmentioning

confidence: 99%

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General and professional values of student nurses and nurse educators

Riklikienė

Karosas

Kaselienė

2017

Journal of Advanced Nursing

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

General and professional values of student nurses and nurse educators

Riklikienė

Karosas

Kaselienė

2017

Journal of Advanced Nursing

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“…Students require guidance to change their values through a ‘socialisation process’ ,p 602 to reflect those of their profession. While more research is needed to fully understand values and how they guide our practice‐based decisions, there was some evidence that Vx helped students understand that their different backgrounds necessitate due consideration when exploring their values and the decisions they make. ‘We are different age, different nationality so we have to respect different situations’ (Student D).…”

Section: Resultsmentioning

confidence: 99%

Values exchange: using online technology to raise awareness of values and ethics in radiography education

McInerney

Lees

2018

J of Medical Radiation Sci

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IntroductionEthics and values are increasingly significant aspects of patient‐centred healthcare. While it is widely agreed that ethics and values are essential for healthcare delivery, there is also an acknowledgement that these are areas that are challenging to teach. The purpose of this study is to report a small‐scale evaluative research project of a web‐based technology with the educational potential to facilitate learning in relation to ethics, values, self‐reflection and peer‐based learning.MethodsFive diagnostic radiography students took part in a semi‐structured focus group with the aim of exploring their experiences of using Values Exchange, an online ethical decision‐making framework, to examine practice‐based ethical issues. Transcripts were interrogated for key themes.ResultsFrom the thematic analysis three major themes emerged, understanding and appreciating others, addressing the theory‐practice gap and delivering a safe and effective learning environment.Perceived limitations of the platform included students' fear of misinterpreted responses and possibility of poor group dynamics.ConclusionsThere are varied approaches to how ethics and values are taught and assessed within health‐related environments. Values Exchange is one such teaching tool and has been investigated and described positively by radiography students in this study. Online teaching tools can have a positive effect in helping students identify their own values but require skilled implementation to reap positive rewards.

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“…'… establish the facts and act in the best interests of the patient rather than giving in to emotion' (paramedic 18). 'Working in a professional team to define and act in the best interest of the patient' (paramedic 19).…”

Section: Enduring and Multiple Constructs Of Dignity And Rightsmentioning

confidence: 99%

“…The role of values in the decision-making process is increasingly acknowledged in the health care environment (16)(17)(18). A greater awareness of values and their role in decisions can help people to understand their own, and others' decisionmaking processes and the Values Exchange (Vx) provides a vehicle for achieving this (18)(19)(20)(21). Based on earlier iterations of Seedhouse's Ethical Grid and Rings of Uncertainty (22), the Vx reflects a values based approach to ethical decisionmaking, where a 'value' is seen as merely an 'expression of preference', and a value judgement, a decision based on preferred values (22, pxxii).…”

Section: Introductionmentioning

confidence: 99%

Exploring New Zealand Paramedic Attitudes towards Advance Directives: An Ethical Analysis

Davey

Lees

Godbold

2016

Australasian Journal of Paramedicine

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IntroductionAdvance directives are known to present challenging ethical issues in health care practice, however there is a paucity of research paramedic perspectives. When a cardiac arrest occurs in the community, end of life provisions have often not been considered by patients or the patients are unable to communicate their wishes and these are not usually known to the attending paramedic crew. These factors contribute to an ethically complex decision-making environment. Ethical deliberation contributes to practitioners’ critical thinking skills and helps prepare them for decision-making under uncertainty. This research aims to highlight and explore underlying values present within practice-based decisions.MethodsAn exploratory, interpretive study, using the Values Exchange, a web-based ethical decision-making tool, explored eighteen urban-based New Zealand paramedics’ deliberative perspectives on an ethically controversial end of life scenario.ResultsThematic analysis of participants’ free text responses ascertained the breadth of views on advanced directives, with the emergence of three dominant themes; legal tensions, multiple constructs of dignity and seeking solutions that support clinical practice.ConclusionFindings revealed that when considering situations involving advance directives, participants regarded the duty to uphold patient dignity as paramount. There was a desire for greater legal guidance and a call for increased professional education in law and ethics. This study provides insight into New Zealand urban-based paramedics’ views and experiences of this ethically challenging aspect of patient care.

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Facilitating values awareness through the education of health professionals: Can web based decision making technology help?

Cited by 7 publications

References 4 publications

General and professional values of student nurses and nurse educators

General and professional values of student nurses and nurse educators

Values exchange: using online technology to raise awareness of values and ethics in radiography education

Exploring New Zealand Paramedic Attitudes towards Advance Directives: An Ethical Analysis

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