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Achieve Predictable Excellence Creative Assoiates International实现可预测的卓越创意伙伴国际
Professionals and “Good” LeadershipA Case Study from East Africa USAID Democracy and Governance Partners ConferenceJune 12 and 13, 2008 Presenter: Stephen Schwenke, Ph.D. Creative Associates International Washington, DC Leadership is not a person or a position. It is a complex moral relationship between people, based on trust, obligation, commitment, emotion, and a shared vision of the good. Joanne Ciulla “Complex Moral Relationship”? A profession is a “disciplined group of individuals who adhere to high ethical standards and uphold themselves to, and are accepted by, the public as possessing special knowledge and skills … and who are prepared to exercise this knowledge and these skills in the interest of others. Inherent in this definition is the concept that the responsibility for the welfare, health and safety of the community shall take precedence over other considerations.” Australian Council of Professions “Largely negative assessments of [patients] treatment by nurses…from breaches of confidentiality to stigmatizing and rude behavior to lack of confidence in their medical training and knowledge.” “Widespread community distrust for nurses” “Nurses {are] considered rude, stigmatizing and judgmental and are distrusted by many community members.” “The thought of going to health clinic just kills us before going. Fearing what will happen [at the clinic] comes first before our illnesses...” * From BUILDING HEALTHY COMMUNITIES: The views of people living with HIV in ‘task shifting’ and health systems strengthening. Findings from a five-country consultation, HEALTH GLOBAL ACCESS PROJECT, INC., November 2007. Kenya Nurses Code of Ethics Core values: Health and well-being Choice Dignity Confidentiality Fairness Accountability Safe practice environment The disconnects Lack of leadership within and among professions Professional code of ethics versus actual professional ethical performance Weak knowledge of ethical norms Weak motivation to be
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