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Healthcare practitioners’ personal and professional values
Authors:Mpatisi Moyo  Felicity A Goodyear-Smith  Jennifer Weller  Gillian Robb  Boaz Shulruf
Institution:1.Department of General Practice and Primary Health Care, Level 2, School of Population Health, Tamaki Innovation Campus,University of Auckland,Auckland,New Zealand;2.Centre for Medical and Health Sciences Education,University of Auckland,Auckland,New Zealand;3.Department of Epidemiology and Biostatistics,University of Auckland,Auckland,New Zealand;4.Office of Medical Education,University of New South Wales,Sydney,Australia
Abstract:Personal and professional values of healthcare practitioners influence their clinical decisions. Understanding these values for individuals and across healthcare professions can help improve patient-centred decision-making by individual practitioners and interprofessional teams, respectively. We aimed to identify these values and integrate them into a single framework using Schwartz’s values model. We searched Medline, Embase, PsycINFO, CINAHL and ERIC databases for articles on personal and professional values of healthcare practitioners and students. We extracted values from included papers and synthesized them into a single framework using Schwartz’s values model. We summarised the framework within the context of healthcare practice. We identified 128 values from 50 included articles from doctors, nurses and allied health professionals. A new framework for the identified values established the following broad healthcare practitioner values, corresponding to Schwartz values (in parentheses): authority (power); capability (achievement); pleasure (hedonism); intellectual stimulation (stimulation); critical-thinking (self-direction); equality (universalism); altruism (benevolence); morality (tradition); professionalism (conformity); safety (security) and spirituality (spirituality). The most prominent values identified were altruism, equality and capability. This review identified a comprehensive set of personal and professional values of healthcare practitioners. We integrated these into a single framework derived from Schwartz’s values model. This framework can be used to assess personal and professional values of healthcare practitioners across professional groups, and can help improve practitioners’ awareness of their values so they can negotiate more patient-centred decisions. A common values framework across professional groups can support shared education strategies on values and help improve interprofessional teamwork and decision-making.
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