CARING 4 PROFESSIONAL BEHAVIOR

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CARING 4 PROFESSIONAL BEHAVIOR

• Anita S van der Merwe (PhD)

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AROUND-HERE-ISMS TO GUIDE PROFESSIONAL BEHAVIOR

• Process
• Knock
• Enter commit
• Walk the line
• Finish off
• Lift off

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SETTING AND SAFEGUARDING THE RULES

• Set by 3-set
• Professional body, Educational institution,
  Specific school/ faculty
• Safeguard monitor
• Macro State - good citizenship
• Micro Us

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DEFINING PROFESSIONAL BEHAVIOR

• Professionalism
• Set of standards of behavior that individual
  professionals are expected to meet in providing
  specific knowledge and skills to those who seek
  help
• Essential moral basis Contract with society

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• Professional behavior
• Adhere to standards set ,
• Behavior appropriate to circumstance
• Core elements
• 1 Commitment Service
• 2 Adherence Ethical standards/ values
• 3 Responsible accountable
• 4 Commitment Professional advancement

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HOW TO REFLECT ON PROFESSIONAL BEHAVIOR?

• Firstly
• Easier Explore professional or unprofessional
  behavior?
• Secondly High or low road?
• High road Broad, spreading values
• Low road Explicit lists of 2 dos/ ought not 2
  dos

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HIGH ROAD

• Unprofessional conduct
• (Health Professions Act, Act No 89 of 1997)
• means improper or disgraceful or dishonorable
  or unworthy conduct or conduct which, when regard
  is had to the profession of a person who is
  registered in terms of this Act, is improper or
  disgraceful or dishonorable or unworthy

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• LOW ROAD ESSENTIALLY CONTROVERSIAL
• CONTROVERSIAL ESSENTIALLY CONTROVERSIAL
  ESSENTIALLY CONTROVERSIAL CONTROVERSIAL
  ESSENTIALLY CONTROVERSIAL ESSENTIALLY
  CONTROVERSIAL ESSENTIALLY CONTROVERSIAL

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Cheat, lie mislead

• Misrepresentation cheating Applying for
  admission
• False/ misleading statements re own skills or
  efficacy of treatment prescribed or administered
• False, fraudulent or deceptive statements -
  documents, records, signatures

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Cheat, lie mislead, cont.

• Obtaining any fee by fraud or misrepresentation
• Plagiarism
• Impersonating another person licensed to practice
• Sabotage unauthorized interference with
  processes and events

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? Letting harm run free

• Disruptive behavior - verbal or non-verbal
• Inappropriate sexual conduct
• Excessive substance abuse
• Mistreat, ill-treat or not treat
• Violation of confidentiality
• Theft
• Creating risk(s) to self and others
• Conversion taking or destroying property

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? Not fitting snugly

• Unsuitable behavior dress, hygiene,
  greetings, interpersonal communication
• Offensive behavior - language, remarks, stark
  criticism, gestures
• Different sexual orientation/ preferences

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? Diagnosed and disposed

• Found mentally incompetent by a court of
  competent jurisdiction
• Convicted of any offense punishable by
  incarceration

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STUDENTS VERSUS PRACTITIONERS

• Link between unprofessional behavior among
  medical students and their subsequent
  unprofessional behavior undeniable
• Irresponsibility resistance to improvement
  significant predictors of unprofessional behavior
  (Kirk, Blank, 2005)
• Schools Affirm explicit expectations, monitor
  give feedback
• Measure professional behavior Challenging
• Watch hidden curriculum

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SOME MORE DISCONCERTING FINDINGS

• Medical students ?cynical ?compassionate over
  time
• We teach facts moral reasoning processes
  values are passively caught, not taught
• Students recall responses to problematic
  behaviors, not praise and positive feedback
• We identify problematic behaviors but let them go

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EARLY RECOGNITION OF UNPROFESSIONAL BEHAVIOR?

• Professional Behavior Incident Form - incidents
• Professionalism Evaluation Form NOT dos
• Professional Evaluation Form values
  appropriate behavior

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THE REAL DEBATE FOR THE STUDENT

• Me a professional
• Moral qualities to bring to my practice
• Conflicting values

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THE REAL DEBATE FOR THE STUDENT cont.

• Balance interests My-self, me--us-professional,
  client, community
• Special moral problems Practice in complex
  multicultural setting

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THE REAL DEBATE FOR THE EDUCATOR

• How to CARINGLY foster compassion, respect ,
  honesty
• How to stay focused objective in
  ever-increasingly disturbing health care world

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• Thank you