Public Health HW1
Chapter 3
Ethics and Servant Leadership in Public Health Practice
Ethics
Ethics / A code of thinking and behavior governed by a combination of personal, moral, legal and social standards of what is right
Basic ethical questions to ask before beginning a community project:
What are the positive and negative effects of the proposed project on the community?
What are the situations in which the project may be integrated with other community services and what interactive negative effects may result?
Would a focus on building the capacity of the community be more effective than the project slated to focus on health deficiencies and needs?
Will the resources allocated for the project be better expended differently than originally proposed?
Will incorporation of health practices into community life be even more beneficial than a one-time screening or medical service treatment program?
History of Ethics
Belmont Report / Explains three unifying principles that form the basis for fundamental ethics when approaching communities for applying public health practice:
Respect
Acknowledge autonomy
Protect those with diminished autonomy
Beneficence
Do no harm
Maximize possible benefits and minimize possible harm
Justice
The fair distribution of costs and benefits
The 12 Key Principles of Ethical Public Health Practice & Ethical Practice: Principles, Rationale, and Values
Read this document, Principles of the Ethical Practice of Public Health.
Principles of the Ethical Practice of Public Health, Version 2.2
Key Ethical Practices in CEOD (Know these terms)
Confidentiality
Consent
Disclosure
Competence
Conflict of interest
Grossly unethical behavior
Defining Servanthood and Servant Leadership
Servanthood / the leader develops and empowers the community residents, who then, in turn, assist the leader to edify the community. The focus is on the leader’s character and desire to serve and can be considered the first phase to servant leadership.
Servant Leadership / the leader builds the community by effectively using skills, such as vision-casting and team-building.
Effective public health practitioners (PHP) should rotate back and forth between Servanthood and Servant Leadership.
Professionalism
Definition: upholding standards and conduct expected of someone who has been trained in a profession
Maintaining high standards of excellence
Defining Professionalism: Professionalism is upholding the standards and conduct expected of those who have been trained in a profession.
5 Key Factors:
Character
Excellence
Attitude
Competency
Conduct
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Three Features of a Profession
Training that was intellectual and involved knowledge, as distinguished from skill
Work that was pursued primarily for others and not for oneself
Success that was measured by more than the amount of financial return
Brandeis states that professionalism has three features:
That was intellectual and involved knowledge as distinguished from skill
Work that was pursued primarily for others and not self
Success measured by more than financial return
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Historical Look at Professionalism: Defining Qualities (1 of 2)
Worked full-time and a principle source of income
See their work as a commitment to a calling
Set apart from others by signs and symbols that are readily identifiable
Organized with their peers for reasons other than money and other tangible benefits
Historical Look at Professionalism:
“Professions” occurred roughly in the sixteenth century. Mainly began with the recognized value of theology, law, medicine and university teaching.
Fundamental attributes are knowledge, organization, and ethic of professional service.
Terms that represent professionalism include altruism, accountability, advocacy, duty, ethical and moral standards, excellence, honor, integrity, respect, and service.
Community Health Education Profession Qualities:
Worked full time and is principle source of income
See work as a commitment to a calling
Set apart from others by signs and symbols that are readily identifiable
Organized with peers
Possess knowledge and skills
Service orientation
Proceed in their work by other their own judgment .
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Historical Look at Professionalism (2 of 2)
Possess useful knowledge and skills based on an education of exceptional duration and difficulty
Exhibit a service orientation that goes beyond financial motivation
Proceed in their work by their own judgment; are autonomous
Traits Consistent Across Disciplines
Excellence
Duty
Advocacy
Service
c. Traits consistent across disciplines:
Excellence
Duty
Advocacy
Service
d. Fluid. It resets on a continuum of practice through one’s career and requires an individual to maintain high standards of excellence.
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Guidelines for Professional Behavior
Certified Health Education Specialist Competency Areas
Unified Code of Ethics
Benefits of CHES certification:
Establishes a national standard
Attests to the individual’s knowledge and skills
Assists employers in identifying qualified health education practitioners
Sense of pride and accomplishment
Promotes continued professional development
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Qualities that Bring Professionalism
Passion about what you do
Caring
Respect
Life-long learning
Honesty and transparency
Dependability
Passion about what you do: believe in the importance
Caring: care about the well-being of all
Respect: equality
Life-long learning: continued growth
Honesty and transparency: do not hide or misrepresent
Dependability: follow through, do not procrastinate
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Beginning Steps (1 of 2)
Participate in the mentoring process
Join a health education member organization
Volunteer
Develop a career portfolio
Practice through health education competency areas
Develop a philosophical foundation for practice
Professionalism: Beginning Steps:
Participate in mentoring process: the best mentors share the same qualities. Can be opportunities for new growth and experiences.
Join a health education organization: networking and opportunities for growth
Volunteer: shows commitment
Develop a career portfolio: demonstrates past accomplishments and future potential abilities
Practice through health education competency areas: shows competencies in health education areas
Develop a philosophical foundation for practice: Shows that you are invested in your profession.
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Beginning Steps (2 of 2)
Practice ethical behavior
Develop multicultural competence
Establish technological skills and competency
Participate in service learning
Partake in civic involvement
Receive continuing education for lifelong learning
Practice ethical behavior: Ethics provide a framework of shared values within the health education profession
Develop multicultural competence: Understand and respect values, attitudes, beliefs and more that differ across cultures.
Establish technological skills and competency: Basic Technology Competencies for the Health Education Professional (Table 3-6 Pg 66)
Participate in service learning: Service learning is a collaborative partnership between an institution and the community it serves
Partake in civic involvement: Builds political and social engagement, citizenship, increases civic development, enhances leadership qualities & increases networking opportunities
Receive continuing education for lifelong learning: through online, journals and conferences
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CHES Competencies (1 of 2)
Assess individual and community needs for health education
Plan health education strategies, interventions, and programs
Implement health education strategies, interventions, and programs
Conduct evaluation and research related to health education
CHES Competencies (2 of 2)
Administer health education strategies, interventions, and programs
Serve as a health education resource person
Communicate and advocate for health and health education
Challenge:
Develop your philosophy statement of health education
Who do you hope to be as a health educator?
What areas of the human condition do you hope to affect?
What professional services do you hope to offer? How and why?
What differences do you hope to make?
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All health education professionals should possess a philosophy statement/ Health Education Organization Mission/ Philosophy Statement (Table 3-5, pg 62)