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In health and social care settings, effective work relationships are based on professionalism and principles of care, which require workers to respect and promote the rights of everyone with whom they work. This includes team members, colleagues, other professionals, the individuals who need care and support and everyone who is important to them such as their families, friends and advocates.
Relationships are probably the most involved and emotionally charged area of life. We learn to identify individuals we like and don’t like; we learn that we need to relate differently to different individuals; and we learn that some relationships are satisfying and rewarding whilst others are almost impossible to navigate. However, relationships are a basic human need and something which the majority of us strive to develop and maintain throughout our lives.
It is important to be a positive role model when working in health and social care and that a worker’s practice is always safe and follows agreed guidelines.
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It is important that health and social care workers uphold public trust and confidence in the services provided. Certain behaviours, even if they take place outside the workplace, could question a worker’s suitability to work in the health and social care profession.
As a worker, making personal disclosures to individuals accessing care and support is considered to be questionable behaviour.
Whilst it’s not appropriate to make personal disclosures in a professional working relationship, some individuals supported may need to relax, especially if they are helped with personal care needs. Letting work relationships become more personal doesn’t mean that personal things should be disclosed or that personal questions should be asked. But, for example, mentioning holiday plans, remembering birthdays and asking after relatives can create a good relationship whilst maintaining clear professional boundaries.
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The general public depends on professional working relationships for support and care both for themselves and their loved ones. Health and social care workers are therefore perceived to be in a working relationship with the public. Unfortunately, events continue to undermine public trust in health and social care services. There is a responsibility to behave, both at work and outside, in such a way as to develop and maintain public trust and confidence in the profession.
This includes the wider use of technology such as mobile phones text messaging, e-mails, digital cameras, videos, web-cams, websites and blogs. Health and social care workers should not share any personal information with individuals. They should not request, or respond to, any personal information from the individual, other than that which might be appropriate as part of their professional role. Health and social care workers should ensure that all communications are transparent and open to scrutiny.
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All interactions between health and social care workers and individuals accessing care, by whatever method, should take place within clear and explicit professional boundaries.
Health and social care workers should be careful in their communications with individuals as to avoid any possible misinterpretation of their motives or any behaviour which could be construed as inappropriate. They should not give their personal contact details to individuals, including e-mail, home or mobile telephone numbers. E-mail or text communications between a health and social care worker and an individual outside agreed protocols may lead to disciplinary and/or criminal investigations. This also includes communications through internet based websites.
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The misuse of power and trust is linked to harm, abuse or neglect. Where individuals require care and support, there is the chance of abuse or neglect unless safeguards are put in place. It is important that those involved in service delivery are aware that this power imbalance can happen. All health and social care workers must adhere to certain standards of care and support, including maintaining professional boundaries and treating individuals with dignity and respect.
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