Respectful Maternity Care

11/16/2017 Respectful Maternity Care

Today, we will be discussing respect issues.

What does it mean to be respectful?


We have all the same

• Human Beings• Feelings/emotions

• We all feel pain, we all bleed in we are cut

• Work to provide for ourselves and our families

• We expect to be treated with respect• At work,

• In public places,

• In Family,

• In the community too.


“Respect for ourselves guides our morals, respect for others guides our manners.”

-Laurence Sterne

“We don't need to share the same opinions as others, but we need to be respectful.”

-Taylor Swift


What is RESPECT“To take notice of,

to regard as worthy,

to honor,

to esteem for a personal quality or ability”


Start with “I”


Honor

ReverenceCourtesy

RecognitionDignity

Esteem

Regard ConsiderationRespect

Elements Of Respectful Approach11/16/2017 Respectful Maternity Care

CULTURE OF RESPECT

We agree to show respect for all with our words and actions that reflect that we recognize other people as human beings.


“Compassion, kindness and respect are the very

essence of dignified care. We must make sure

that these principles are at the heart of

everything we do.”

Anonymous


• Both respectful and disrespectful behaviors exist.

• Common acts of disrespectful care are reported by both the clientsand the Providers.

• Appropriate maternity care must be respectful and rights-based inorder to enhance access to skilled care at birth.

• Care Providers can make a difference by promoting women’srights and empowering women to give birth with dignity.

Behavior…….


CARE refers to

C – Effective Communication

A – Positive Attitude

R – Respect for patients, carers and staff

E – Environment conducive to care and recovery


CARE

Common respectful care:

• Freedom from discrimination

• Explanation of procedures/ answer to questions

• Consent Seeking

Common non-respectful care:

• Lack of information about the progress of labour,

• Lack of privacy,

• Verbal abuse.


Types of Disrespect

• Discrimination

• Stereotyping

• Harassment

• Bullying


Discrimination

• Discrimination – with our words or actions we treat certain individuals or groups differently

• Routine Care.

• Emergency Care.


Stereotypes

• We give everyone in a certain group the same attributes.

• The attributes do not have to be negative.

• We are all different, even within groups

• We put others in boxes


Harassment

• Harassment – with our words or actions we make the workplace uncomfortable and hostile for individuals or groups


Lets have a Clear Vision filled with values……..


Vision & Values

Value Human Rights Standard WE need to promise…..

Accessible

We will provide a range of services that reach

out into the community and meet individual

need where everyone counts; celebrating

diversity and valuing difference

Equity

• I will greet you with a smile

• I will introduce who I am

• will ask you by what name you

would like to be referred to

• I will listen to you carefully

• I will treat you as an individual


Vision & Values

ValueHuman Rights

StandardWE need to promise…..

Responsive

To listen and work with clients

to meet needs and improve

health and wellbeing.

Inclusion

• I will respect your rights and choices

• I will be sensitive and discreet in how I give you

information and handle your information

• I will keep my language jargon free

• Having listened carefully, I will respond to your

query in a helpful way, taking responsibility for

resolving it for you


Vision & Values

ValueHuman Rights


Quality

We will provide safe effective

personalised care to the highest

standard, providing information to

support service users and their carers

to make informed choices.

Fairness

• I will be supportive and be non-

judgemental in my approach

• I will ensure you have the relevant

information to allow you to make a

decision

• I will work to best practice where

possible and strive to improve

standards


Vision & Values

ValueHuman Rights


Caring

We will deliver our services with respect,

compassion and understanding where

people are values and we will act in their

best interest.

Respect

• I will respect your views and build

your trust through honesty,

openness, reliability and

consistency.

• I will give you my time and

attention

• I will treat you as an individual


Vision & Values

Value Human Rights Standard WE need to promise…..

Ethical

Promoting a culture of dignity and respect we

will make morally sound, fair and honest

decisions and be openly accountable. We

will commit to investing wisely whilst being

socially and environmentally responsible

Dignity

• I will work in a respectful and

dignified manner at all times

• I will explain my actions and explain

to you what is happening

• I will adapt my approach to you,

taking into consideration, and

valuing, your requirements and

opinions

• I will be fair and honest in my

approach and my decisions


Vision & Values

ValueHuman Rights


Commitment

Throughout actions and commitment

we will strive to make positive

difference to peoples lives. We will

value our staff, the commitment andcontributions they make

Autonomy

• I will make a personal

commitment to provide you with

the best service that I can give

• I will maintain a positive

approach and go the extra mile

to ensure your experience is

positive


Respectful Maternity Care ( RMC)


RMC– why does it matter? why does it matter?

• Reputation, Professionalism and Quality of Care,

• Patient Safety, Service Use and Health Outcomes,

• Provider's Safety, Satisfaction. and

• Client Retention,

• Enrichment of work culture.


A substantial barrier to progress in patient safety is dysfunctional culture rooted in widespread disrespect.

• Disruptive behavior;

• Humiliating,

• Demeaning treatment of nurses, residents, and students;

• Passive-aggressive behavior;

• Passive disrespect;

• Dismissive treatment of patients; and systemic disrespect.

Six categories for classifying disrespectful behavior in the health care setting:


“Contrary” to “ Respectful Care”

CATEGORY OF DISRESPECT AND ABUSE CORRESPONDING RIGHT

1. Physical abuse Freedom from harm and ill treatment

2. Non‐consented careRight to information, informed consent and refusal, and respect for choices and preferences, including the right to companionship of birth choice wherever possible.

3. Non‐confidential care Confidentiality, privacy

4. Non‐dignified care (including verbal abuse) Dignity, respect

5. Discrimination based on specific attributes Equality, freedom from discrimination, equitable care

6. Abandonment or denial of careRight to timely health care and to the highest attainable level of health

7. Detention in facilities Liberty, autonomy, self‐determination, and freedom from coercion


Respectful Care:

• Respect for beliefs, traditions and culture

• Empowerment of the woman and her family to become active participants in health care

• Continuity of care

• The right to information and privacy

• Good communication between client and provider

• Use of evidence-based practices


FIGO medical ethics guiding principle:


Key Stakeholders in RMC

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Pregnant women Families Communities

Training Institutions

Healthcare Providers Individual providers Professional associations

Policy MakersDonors

Women’s Advocates

Human Rights Activists

RESPECTFUL

MATERNITY

CARE

Source: USAID

Source: Hill K and Stanton ME, 2010

Contributors to and Impact of Disrespect and Abuse in Childbirth on Skilled Care Utilization

Key Action Points

POLICY

LEGAL ACTION

EDUCATION

SERVICE DELIVERY

HEALTH SYSTEM

RESEARCH

ADVOCACY

33

COMMUNITY/

SOCIAL ACTIVISM

RMC

Source: USAID

Final words….

• Inherent imbalance in power and knowledge between Providers and Clients results in.

• Increase in patients’ vulnerability.

• Also a concomitant dependency.

• It Obligatory on the part of Care providers to promote • independent and

• informed decision-making by patients .

• Violation of human rights destroys the trust essential to the health care and healing process.

• Adhere to Respectful Care.


RMC….


An opportunity – to care for and care about our commitments.

A challenge - to meet and exceed Client expectations.

A chance – for everyone to create the right impression for both clients and Providers.

Respectful Maternity Care

Healthcare

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