2 Apr
Values in Healthcare: “Physician, Heal Thyself”
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Values in health care: a spiritual approach
The spirituality component of holistic health is difficult to define, qualify, and quantify; and how does one practise “spirituality” in health care? To help answer these issues, a group of healthcare professionals has developed a programme that aims to address these issues.
Consultant psychiatrist and programme director Sarah Eagger explains, “A group of us started meeting together in 2000 to explore how a spiritual dimension of whole person medicine could be integrated into the current healthcare system. We explored how best to help others and ourselves identify and apply core values in health care.” Four years of effort has culminated in the launch of “Values in Healthcare: a Spiritual Approach”—a spiritual development programme for all healthcare disciplines.
Core values
Values can be described as our core beliefs or the principles by which we live, or how we aspire to live. Who has inspired you and influenced your life and work? What values or qualities did they demonstrate? Compassion, kindness, practicality, dependability, integrity, humour, and honesty may be some of them. The BMA has identified a number of doctors’ core values, including: “competence, integrity, confidentiality, caring, compassion, commitment, responsibility, advocacy, and a spirit of enquiry.”[6]
Values affect how we live and work. One cause of NHS stress is when we are unable to honour values because of constraints or demands. For example, if you value listening to people but do not have the time to listen in the way you would like, or if you value family time but find your workload is too great to allow the time or energy you need. The Values in Healthcare programme aims to help healthcare workers identify their values and develop ways of reflecting them in their professional and personal lives.
Experiential, supportive, and inclusive
“Spiritual skills don’t necessarily come automatically,” explains Sarah Eagger. “So we decided we would detail a series of workshops in the programme, with the aim of “experiential” learning. Values in Healthcare focuses on the provision of spiritual tools, such as visualisation, appreciation, meditation, listening, reflection, creativity, and play.”
An underlying principle of the programme is “physician heal thyself.” General practitioner and programme contributor, Craig Brown, explains, “By supporting and helping healthcare professionals enhance their spiritual health, patient care naturally improves.” As well as addressing personal values like peace and compassion, the programme aims to equip healthcare workers with skills relevant for the workplace including cooperation, listening, respect, calmness, and humour.
Although focused on spirituality, the programme has not been directed at any particular “religion.” Sarah Eagger says, “We’ve kept the whole spirituality extremely broad so that it will appeal across the board. People from different religions have looked at it and found it inclusive.”
What’s the verdict?
The programme has received input from a variety of individuals drawn from healthcare professions and settings worldwide. A recent pilot involving a small number of healthcare workers in the United Kingdom showed a self reported reduction in stress and anxiety and improved self worth and wellbeing following the programme.
Compassion versus targets
A lack of whole person health care and spirituality may have contributed to some current healthcare problems. Certainly, this idea is supported by increasing numbers of patients using complementary therapy. Professor David Peters thinks it’s affecting healthcare professionals too: “Compassion and imagination are too often forced to give way to targets and performance measures. So doctors and nurses are losing the confidence they once had that they made a difference to their patients. Some are even leaving the professions.”
As with all aspects of medicine, when it comes to whole person medicine and “spiritual health,” we must seek, explore, and carefully examine the evidence. Spiritual health is difficult to measure but we could all benefit from taking a moment to reflect on values that drew us to, and continue to keep us in, medicine. Whatever values you hold, make sure they are your own. As for me, I’ve always found the principle of do as you would be done by a good place to start.
Full article: Whole Person Healthcare



