National Compassionate, Respectful and Caring Orientation: Federal Ministry of Health

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Federal Ministry of Health

NATIONAL COMPASSIONATE,
RESPECTFUL AND CARING
ORIENTATION

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Federal Ministry of Health

Objective

To refresh concepts of compassionate, re-


spectful and Caring(CRC) principles

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Federal Ministry of Health

Presentation Out line


• Back Ground
- Why CRC a Transformation Agenda
- National Strategy
• Definition of Terms
• Principles of compassionate and Re-
spectful care
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Federal Ministry of Health

Introduction to CRC

Compassionate Care within the healthcare


setting has got much attention globally,
and in Ethiopia

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Federal Ministry of Health

Introduction to CRC…

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Federal Ministry of Health

Why CRC a Transformational


Agenda
• ‘All human beings are born free and equal
in dignity and rights’. UN human rights declaration
• A major challenge for the health care deliv-
ery system
• Lack of respect to patients and their fami-
lies
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Federal Ministry of Health

National strategy and ap-


proach of CRC
• Customers are complaining/
• Customers on a judge/
• Ethical discrepancy/
• Survival vs money
• Many professionals see patients as just ‘cases’

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Federal Ministry of Health

National strategy…
• Ownership and engagement of the leadership at
all levels of the system.
• CRC has to be a culture, self-driven inner mo-
tive and a legacy that the current generation of
practitioners leaves to their successors.

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Federal Ministry of Health

Compassion, Respectful
and caring(CRC)

What is Compassion?

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Federal Ministry of Health

Compassion (ርህሩህ)

Compassion is ‘a
sensitivity to the
suffering of self
and others with a
deep wish and
commitment to re-
lieve the suffering
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Federal Ministry of Health

Compassionate Care…

• The intersection of sympathy and empa-


thy
• Care without compassion cannot be truly
patient-centered
• Compassionate care addresses the pa-
tient’s innate need for connection and re-
lationships.
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Federal Ministry of Health

Qualities of compassionate Care

Motivation
• The initial stage to
be caring, supportive
and helpful to others
• A “ commitment to
try to do something”
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Federal Ministry of Health

Qualities of compassion…

Being sensitive
• The capacity to be sen-
sitive and to maintain
open attention
• Enabling to notice
when others need help
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Federal Ministry of Health

Qualities of compassion…

Sympathty
• Being emotionally
open to others’ suf -
fering
• Emotionally touched
to suffering
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Federal Ministry of Health

Qualities of compassion…
Distress tolerance
• This is our ability to bear difficult
emotions
• People who feel overwhelmed by an-
other’s distress may feel psychologi-
cally unable to face it and so have to
run away
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Federal Ministry of Health

Qualities of compassion…
Empathy
• An ability to recognize other feelings,
motivations and intensions, and make
sense of their feelings and our own emo-
tional responses
• It is the process of “being in another
persons shoes”
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Federal Ministry of Health

Qualities of compassion…
Non-condemning and non-judging
• Not judging a person’s pain or distress

• Simply accepting and validating their


experience

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Federal Ministry of Health

Elements of Compassionate Care

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Federal Ministry of Health

Session three

Principles of compassionate
care

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Federal Ministry of Health

Principles of compassionate care


Acknowledge-
ment

Affection

Attention

 Acceptance

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Federal Ministry of Health

Summary….

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Federal Ministry of Health

Session four respectful care

What is respect?

What kind of care is called respectful care?

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Federal Ministry of Health

Respect ( አክብሮት)
• A term which is
intimately related
to dignity
• Probably the most
important action
verb used to de-
scribe how dignity
works in practice
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Federal Ministry of Health

Respect

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Federal Ministry of Health

Respectful(ተገልጋይን የሚያከብር)
• A kind of care, in any
setting, with supports
and does not under-
mine a person’s self-re-
spect, regardless of any
differences.

Every One Deserves to be


treated with respect !
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Federal Ministry of Health

Respectful care…
• Serving patients/clients
• Being ethical
• living the professional oath, and
• being a model for any one

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Federal Ministry of Health

Dignity

Dignity is a quality
of a person’s inner
self
Dignity is a quality
of the way we treat
others

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Federal Ministry of Health

The action to respect


• Pay attention to

• Avoiding damage e.g. insulting, injuring


• Not interfering or interrupting
• Treating with consideration
• Not offending
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Federal Ministry of Health

Types of Dignity
1. Dignity of human being
2. Dignity of personal identity
3. Dignity of merit
4. Dignity of moral status

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Federal Ministry of Health

People do not vary on dig-


nity

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Federal Ministry of Health

Session Summary
• Dignity of human being is the basis
for healthcare delivery.
• Clients should be treated as human
being, not as cases.

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Federal Ministry of Health

Characteristics of CRC health


professionals
1. Consider patients/clients as a human
being with complex:-
• Psychological ,social and economic
needs
• Provide person centered care with
empathy
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Federal Ministry of Health

Characteristics of CRC in health


professionals
2. Effective communication with
health care teams and Patients  

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Federal Ministry of Health

Characteristics of CRC in
health professionals…
3. Respect and facilitate patients and
families , participation in decisions and
care
4. Take pride to own profession and get sat-
isfaction by serving the people and the
country
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Federal Ministry of Health

The Benefits of CRC

A. Patients

• Patients will be less anxious


• Adherence to medical advice and treatment plans
• Positively correlate with prevention and disease
management
• Improve the healing process
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Federal Ministry of Health

The Benefits of CRC…

B. Health Professionals
• Will find their work more meaningful and
gratifying
• Provide quality care, decreased medical
errors

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Federal Ministry of Health

The Benefits of CRC…


Health Professionals…
• Achieve earlier and more accurate diag-
noses
• Respect from the client/patients
• Protect against professional stress,
burnout, substance abuse and even sui-
cide attempts
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Federal Ministry of Health

The Benefits of CRC…


C. Students
• Good role modeling
• Increased interest on their profession
• Increased motivation to be ‘CRC’
health professionals
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Federal Ministry of Health

The Benefits of CRC…


D. Health Care Facilities
• Patient satisfaction will rise
• Quality of health care will be improved
• Lower malpractice
• Staff will be more loyal to their health care
system
• Resources can be conserved
• Greater employee satisfaction and
employee turnover CH-I-39
Federal Ministry of Health

Principles of healthcare
ethics
There are four fundamental principles
of healthcare ethics.
1. Autonomy
2. Beneficence
3. Non-maleficence
4. Justice
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Preventive ethics in the as-
Federal Ministry of Health

pect of CRC
• Systematic application of ethical prin-
ciples and values to identify and han-
dle ethical dilemmas, challenges and
errors appropriately and fairly.
• Prevents Health care providers from
legal accusation .
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Federal Ministry of Health

Summary
• Four fundamental principles of
healthcare ethics?.
• What are Confidentiality and in-
formed consent?
• Do you think preventive ethics is
helpful to health professionals?
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Federal Ministry of Health

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Federal Ministry of Health

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Federal Ministry of Health

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Federal Ministry of Health

CH-I-46
Federal Ministry of Health

• ሆስፒታል ምግብ አከፋፋዩችንና እባካችሁን


ለታካሚዎች ምግብ ስትሰጡ ተጠንቀቁ
• ማለትም እንጃራ እያጠፋችሁ የምትሰጡት በእጃችሀ
ፎቁንና ሊፍቱን ነክታችሁ ስለምትመጡ ብትታጠቡ
ወይም በፌስታል ጠቅልላችሁ ብትሰጡን ታማሚው ግን
ለተጨማሪ ህመም ትዳርጉታላችሁ ፡፡ካልሆነ ግን ይህ
ጤና ጥበቃ ሳይሆን በሽታጥበቃ ነው
CH-I-47
Federal Ministry of Health

ለድንገተኛ ክፍል ሠራተኞች በጥሩ ሁኔታ አስተናግደውኛል


በማዬቴ ከፍተኛ ምስጋናዬን አቀርባለሁ ፡፡በተጨማሪም
ዶ/ር ዩናስ በጣም ከልቤ አመሰግናለሁ ጥሩ ሰውና መልካም
ሰው ስለሆንክ የተለየ ምስጋና ይገባዋል ፡፡ እግዚያብሔር
ይባርክህ ላለው ቅንነትህ ፣ታማኝነትህ፣መልካምነትህ
ያሟላህ ስለሆንክ ይባርክህ ሌሎችም ከእርሱ ብትማሩ ፡፡
CH-I-48
Federal Ministry of Health

ካርድ ክፍል ሠራተኞች እባካችሁ ለራሳችሁ


ክብር ካላችሁ ለሰው ልጅ ክብር ስጡ እኔ ማነኝ
ብላችሁ እራሳችሁን እዩ ወይ ጠይቁ የሰው ልጅ
እንዲህ ማመናጨቅና መግፋት ከሰው ልጅ
አይጠበቅም ተጠንቀቁ
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Federal Ministry of Health

• ICU ክፍል ሙያተኞች በሙሉ ለሥራውና


ለታካሚዎች ያላችሁ ክብር ሁሉም ሊማር
ይገባል ሁሉም ሊማር የሚገው ነው
ከሁሉም የገረመኝ ከ24 ሰዓት በላይ
አለመሰልቸት ስትሰሩ አይቼ መገረም ሳይሆን
ፍጽም ሐዘኔ በውስጤ ገብቷል ሙያችሁን
እናንተንም ይባርክ
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Federal Ministry of Health

• ላካርድ ክፍል ሠራተኞች በቅድሚያ ስለሆስፒታሉ


መደራጀትና መሻሻል ሁኔታ ስላየሁ በቅድሚያ
አመሰግናለሁ ፡፡ ሆኖም ግን ሪሰኘሽን /ካርድ ክፍል/
ካርድ የሚወጣበት ቦታ ቀጠን ያለች ጠይም ጥርሶ
የታሰረች ደንበኞችን ስታበሻቅጥ እንዲሁም የቃና
ፊልም አነጋገሮችን ስድቦችን ስትሰድብ በሽተናችን
በጣም ስታንገላታ ተመልክተናታል ፡፡ እባካችሁን
ማረሚያ ካለ መረሚያ አስገቦት ፡፡
CH-I-51
Federal Ministry of Health

ለአጥንት ክፍል ይገርማል በእናንተ በኩል ያየሁት አቀባበል


መስተንግዶ ህክምና የሙያ ዲሲኘሊንን ሙሉ ለሙሉ
ያሞላ እንደ ኮሪያ ሆስፒታል ፣ እንደ አያት
ሆስፒታል፣ዩርዳኖስ ሆስፒታል ያለ ተሞክሮ ነው ፡፡ ይህ
ደግሞ መልካም አስተዳደር ስላለውና ስልጠናና ተሃድሶ
ያመጣው ውጤት ይመስለኛል ሁሉ
CH-I-52
Federal Ministry of Health

• በቀን 13/07/2011 ዓ/ም በቢሮ ቁጥር 16 የነበሩ ሁለት ነርሶች የነርስን ኢትክስ የወጡ
ስነ ስርዓት የጐደላቸው ግብረገብ ያልሆኑ በስነ ስርዓት እንኳን ሰውን ማናገር የማይፈቅዱ
ሁለት ደደቦች ናቸው ፡፡ ይህን ልል የቻልኩበት እኔም ነርስ ነኝ ነገር ግን እነርሱ
ማስኪታቸውን እያንቀጫቀጩ ጆሮአቸውን በኤርፎን ሸፍነው ለሰው ሊመልሱ እንኳን
ፍቃደኛ አይደሉም ፡፡ እንደነዚህ አይነት ሰውነታቸው ጠፍቶ የአውሬ በህሪ ብቻ
በቀራቸው ነርሶች ምክንያት የኛም፣ እናትም ልጅ ፣ህይወትም ስም የጠፋሉ ሲጀመር
ጤና ባለሙያ ሆኖ አይመለከተኝም አያገባኝም የሚል የጤና ባለሙያ በፍጹም የለበትም
• ይህም ስል ግን በ14/7/2011 ዓ/ም የነበረው ምስጉን የተባረከ አንደበቱና ምግባሩ
ተመሳሳይ የሆነ ነርስ እህቴንም ሆነ ልጁን ታደጋት በጣም ጥሩ እና ህይወቱን ይባርከው
ብያለሁ፡፡

• 

CH-I-53
Federal Ministry of Health

Thank you !!!

CH-I-54

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