01 Values

Module 1 |Values
1 Background Reading
Why Values?
Values can be said to underpin everything we do and say in our work and life as
healthcare professionals. If we lose sight of our values, we may begin to experience
a loss of meaning in what we do and who we are, leading to a diminished sense of
self-esteem. Our work suffers, and we begin to suffer at work and, inevitably, in our
personal lives. With the demands placed on us it is easy to lose our vitality. By
consciously setting out to rediscover and strengthen our values, however, we can
renew our sense of purpose and revitalise confidence in our judgement. Our values,
after all, are the reasons we were drawn to work in the caring professions in the
first place.
Purpose of module
The purpose of this first module is to help us remember what our innermost values
are and to remind us about what drew us to our work and what inspired us. There
are certain core values that are relevant both to our conduct as individual moral
beings and to our practice in healthcare and related professions. The spiritual
approach to healthcare begins by taking time to identify and recognise these core
values.
Values represent an internal framework that has the potential to provide meaning to
our lives and the way in which we lead them. These inner beliefs can guide and
enhance our thoughts, and our external actions and relationships with others.
Knowing and living by our values enriches our self-development and leads to an
understanding of the purpose of our lives. Values are helpful in maintaining our
personal self-esteem in the face of challenge and disappointment. They are the
principles by which we choose to live in the outer world.
To bring effective positive change in the way we work means first making changes
within ourselves. It involves more than merely reading and talking about values. We
need to consider practical ways of weaving them into the fabric of everyday action.
As our values flourish, so do we.
Values in Healthcare © The Janki Foundation for Global Health Care 2004 51
Module 1 |Values
Introduction to the Values module

This module helps us to identify our own personal values and those values that
have particular relevance for healthcare. Central to the module is the notion that,
while professional practice depends crucially upon our training, skills, attitudes and
experience, the well-being of everyone involved in healthcare (practitioners and
patients/clients, administrators and managers alike) can be enhanced through an
explicit framework of values that forms the basis for how we view ourselves and
behave towards others.
52 Values in Healthcare © The Janki Foundation for Global Health Care 2004
Module 1 |Values
Themes of Exercises
My favourite things (1.1, 1.11)
Stopping and reflecting about the things we like is a way to identify the values that
influence our personal preferences. By asking ourselves questions like, ‘What is it
about a song, poem or book that I enjoy and get pleasure from?’, ‘What is it that
touches me and I consider being important?’, we can get a sense of the underlying
values. It can be difficult at first to find words to express these, but through reflection
and discussion with others we can begin to build a vocabulary of values to bring to
our exploration during the session.
What are values? (1.2)

Values can be described as core beliefs or principles. Our values form the foundation
of our judgements about what is good and bad, right and wrong, what we hold to
be admirable or important in life. In turn, they determine the basis of our actions,
particularly those actions where other people are involved.
However, everyday language involves a great deal of shorthand, and we are used to
denoting values in simple, one-word terms. For example, ‘compassion’, ‘co-operation’
and ‘peace’ seem to us to be values in the sense that they stand for beliefs or principles
concerning, for example, the goodness, rightfulness or importance of being compassionate,
co-operative or peaceful. In this sense, we can make a value out of any quality or
virtue.
While values are core beliefs, qualities or virtues tend to describe our actions or
behaviour. Sometimes, if a quality or virtue is an important feature of the way in
which we lead our lives, then it can be seen to be a core value. For example, a person
who decides to live their life by giving away their possessions may be said to be
upholding generosity as a core value. On the other hand, a person who from time to
time behaves generously is not necessarily upholding a core belief in the importance
of generosity; they may be acting out of pity or some other motive.
We have tried to distinguish between the words ‘values’, ‘qualities’, ‘beliefs’ and
‘virtues’ but accept that words can have different emphases of meaning for different
people, so the actual definition is not so important as getting a sense of the meaning.
A high point in my working life (1.3)

As healthcare professionals, we are all used to being highly critical of our work as a
way of maintaining high standards. We are also perhaps too critical of our colleagues
and ourselves. It can be refreshing to think of something we have done really well, as
Module 1 |Values
considering a ‘high-point’ brings feelings of success. It is often not so much what we

did but how we were at the time. It is when we have the courage to be truly ourselves
that we express our special qualities and underlying values.
Values that matter most to me (1.4, 1.10)

Having begun to explore values, we will perhaps have identified 10–20, or even
more. While all these values are likely to be important, some may matter more to
us than others. Yet we can acknowledge that we will each have a different mixture
of personal values and this is what makes us unique and special. Acting on these
personal values, we will demonstrate certain qualities that are likely to be important
for the delivery of healthcare and the well-being of others. This is why identifying
our personal values is important, as it determines the values we bring to our work
environment.
Experiencing personal values (1.5) and

Rekindle the dream (1.7)
When we reflect at a deep inner level, we are more able to identify those values that
regularly inform what we do. This reflection can become a meditation which connects
us with our inner being. It allows us to explore whatever gives a sense of meaning
and purpose to our lives – the values that underpin our individual thoughts, impulses,
intentions, speech and actions. It holds the potential for a journey into who we are
and the place we occupy in the scheme of things. It may also allow us to feel
connected to a higher source, so that we can continually renew and refresh our values.
When we act in accordance with our personal values, we act from strength in a
humane and harmonious fashion. When we recognise and connect with these values,
we live our lives more co-operatively and find peace and contentment.
Heroes and heroines (1.6)

There are many people we admire; individuals who inspire us and who we would
wish to be like. What is it they do and say that influences us in a positive way?
What are the values that they are expressing, or just seem to have in their manner?
If we can develop these qualities perhaps we can be like them. In this process we may
discover that we already have many of their qualities, and perhaps we have a hero or
heroine within.
Values in healthcare (1.8)

Identifying group values can be a very effective way of team building; it can connect
us as human beings at a level deeper than the roles we play, and help us create a
Module 1 |Values
common vision for the group. Using a creative exercise is an ideal way of getting a
team to see beyond their work roles, building on ideas together.
When the focus of the exercise is to have a common set of values, we can create a
‘vision statement’ which reflects the values that we wish to work by. It can be an
inspiration for the team and those they care for. Morale in the team will improve
and patients will benefit as a result.
Taking values back to work (1.9)

For us to be able to function both as individual moral beings and professional
practitioners, we need to recognise that our values are an inner resource that we can
access and draw upon. By identifying our values we can go on to consider how we
can apply them at work when with patients and colleagues. We may hold in our
mind one value, such as patience or tolerance, and observe how we can embody
that value more, and what effect it has on ourselves and others. The values we
demonstrate are likely to be important for the delivery of healthcare and the well-
being of others. This is why identifying and giving priority to values in our work
environment is important.
Module 1 |Values
2 The Facilitator’s Guide to Module 1
Session I: Inner values
Aim
● To provide an opportunity for participants to explore and experience their
personal values
Process
In this session you will lead participants in an exploration of the concept of
values, providing them with an opportunity to identify their own personal values.
Identifying and feeling comfortable with our personal values and the qualities that
express them can lead to a greater sense of purpose and meaning in living and
working.
Through exploratory exercises in pairs, participants begin to identify their personal

values, first by reflecting on their favourite songs, poems, paintings etc, then by
discussing personal values in pairs. Further reflections on memorable experiences
at work and looking at the values that matter most to them pave the way for
participants to experience their personal values at a deep level through meditation.
Session II: Values at work
Aims
● To provide participants with the opportunity to explore, experience and
develop work-based values
● To identify ways of integrating these values into their practice
Process
This session focuses on the recognition of the values and qualities that healthcare
practitioners bring to their work and on the way in which they can be expressed.
The session begins with participants identifying the values of someone who has
inspired them in their work, followed by an exercise in which they are encouraged
to create their ideal working environment, through guided visualisation. Participants
then work together in groups to identify values important to healthcare and to
express these, in a creative way, as a values statement for their work. Action planning
and a closure exercise focus on looking at ways of expressing important values at
home and work.
Module 1 |Values
Programme/plan for Module 1 Values
Introduction 30 minutes
SESSION 1 Inner values
Exercise 1.1 My favourite things 20 minutes
Exercise 1.2 What are values? 35 minutes
Movement exercise 5 minutes
Break 20 minutes
Exercise 1.3 A high point in my working life 30 minutes
Exercise 1.4 Values that matter most to me 20 minutes
Exercise 1.5 Experiencing personal values 20 minutes
Lunch break
SESSION II Values at work
Exercise 1.6 Heroes and heroines 20 minutes
Exercise 1.7 Rekindle the dream 20 minutes
Exercise 1.8 Values in healthcare 60 minutes
Movement exercise 5 minutes
Break 15 minutes
Session review 10 minutes
Action planning
Exercise 1.9 Taking values back to work 30 minutes
Evaluation 10 minutes
Closure
Exercise 1.10 Living values 10 minutes
Total time 6 hours
Follow-on/homework
Exercise 1.11 Being creative with values 1 hour
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Materials ● Paper and pens

● Flipchart and marker pens
● CD player/tape recorder (optional)
Session I
● Worksheet 1.1 My favourite things
● Handout 1.4 List of values
● CD track no. 1 Experiencing personal values (or relaxing
background music)
● Sticky notes or small pieces of paper and pins/tape – 3 sheets
per participant
Session II
● Worksheet 1.7 Rekindle the dream
● Worksheet 1.9 Taking values back to work
● CD track no. 2 Rekindle the dream (or relaxing background
music)
● Values cards (see Part 5: Additional Resources)
● Pinboard and pins or Blu Tack to display work
● Poster-size paper or flipchart paper
● Coloured pens or paints
● Old magazines and/or collage materials
● Glue sticks and scissors
Follow-on/homework
● Worksheet 1.11 Being creative with values (A) Reflections
● Worksheet 1.11 Being creative with values (B) A reflective
poem
● CD/tape of relaxing background music (optional)
● Paper or coloured card, and pens
● Flipchart
Preparation
1 Read the introductory notes at the beginning of the session/s so that you are
familiar with the way in which the theme is being introduced and explored.
Review the list of references and resources for this module in Part 5:
Additional Resources and reflect on your own experiences.
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2 Familiarise yourself with the main learning tools which are being used in the
session (see Part 4: Spiritual Tools).
3 Read through the session guidelines and look at the suggested session
programme which will incorporate:
● Session introduction
● Exercises
● Movement breaks
● Breaks
● Session review
● Action planning
● Evaluation
● Closure
Plan each part of the session and timings in detail, using the session notes,
Part 2: Guidance for Facilitators and the optional exercises in Part 5:
Additional Resources for more detailed suggestions.
4 Photocopy any handouts and exercise sheets, and make sure that you have any
other equipment listed under Materials.
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3 Introducing the Module
30 minutes
Run through your planned introductory session which may include:
Quiet time
Introductions/optional warm-up exercise
Overview of session
● Theme of session
● Aims and learning outcomes
● Programme/plan for the session
● Practical considerations
● Any questions
Setting the tone
● Ground rules/principles
● Participants’ expectations
See Part 2: Guidance for Facilitators for further guidance on introducing

the session.
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4 The Exercises
Session I: Inner values
Exercise 1.1
My favourite things
Process:
Reflection
20 minutes
Learning At the end of this exercise participants should be able to:
outcome ✔ understand ways in which values can be identified through
personal preferences.
Materials ● Worksheet 1.1 My favourite things

Facilitating 1 Give out Worksheet 1.1 My favourite things and explain

the exercise to participants that they will be reflecting on some questions
and then sharing with a partner, as follows.
❝ For each question you will have a chance to give a response.

Approach the questions in a relaxed way, allowing your
choices to be spontaneous rather than considered. Don’t
worry if you can’t think of anything to write now; you can
reflect on it later if need be. ❞
Allow 10 minutes.
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2 Ask participants to join up with a partner and share their

responses to the questions on the worksheet. Allow 5
minutes for this.
Feedback In the main group, ask participants to share some of their

5 minutes responses. List the values they mention on a flipchart and display
for the rest of the session.
Module 1 |Values
Exercise 1.2
What are values?

Process:
Discussion in pairs
35 minutes
outcomes ✔ understand more clearly what is meant by the term ‘values’
✔ identify some of their personal values.

● Flipchart with the following questions written on it:
– What do you both understand by the term ‘values’?
– What particular values do you hold to be important in your
own life?
● Marker pens
Facilitating 1 Run through the learning outcomes for this exercise

the exercise explaining that understanding what we mean by the term
‘values’ helps us to clarify what our personal values are.
2 Ask participants to get into pairs, and lead the exercise as

follows, reminding them when it is time to move on to the
next part of the exercise:
❝ Sit with your partner and introduce yourselves – saying a

little about yourselves generally.❞
Allow 5 minutes.
3 Move participants on to the main exercise, displaying the

pre-prepared flipchart:
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❝ Now have a discussion with your partner on what you both

understand by the term ‘values’, and what particular values
you hold to be important in your own life.
After some discussion you may like to write down what you
agree by the term ‘values’ and some of your own, personal
❞
values.
Allow 10 minutes.
4 Ask participants to move into the final stage of the exercise:
❝ Turn to another pair and compare your definitions and lists

of values.❞
Allow 5 minutes.
Feedback Start by asking for examples of personal values and make a

15 minutes list on the flipchart. Use the remaining time to explore what
participants understood by the term ‘values’; use the Background
Reading paper as a benchmark for discussing their definitions.
Movement exercise
5 minutes
Z Break
20 minutes
Module 1 |Values
Exercise 1.3
A high point in
my working life
Process:
Appreciation and listening
30 minutes
outcomes ✔ identify values which underpin fulfilling work experiences
✔ recognise how values can be expressed in work.

Facilitating 1 Introduce the exercise as follows:

the exercise
❝ Sit with a partner but initially reflect on your own…
Look back on your working life and reflect on a ‘high point’,
a time when you worked at your best, a time that was
significant or meaningful for you, when you felt most alive,
creative or effective. ❞
Allow a couple of minutes for this.
2 Introduce the next step of the exercise as follows:
❝ Now, share the story of the ‘high point’ you identified with
your partner. What made it a successful or memorable
experience? What felt truly special about it? Take it in turns
to interview, for about 5 minutes each. ❞
Allow 10 minutes in total.
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3 Move participants on to the next stage of the exercise:
❝ Next describe to each other the values you saw in your

partner’s story, and then choose three values that you both
felt to be important and note them down. ❞
Allow 5 minutes.
Feedback Gather the main group back together.

10 minutes
Ask participants for values that they felt were most important
and list these on a flipchart.You could spend a few minutes
comparing it with the flipchart list generated in Exercise 1.2.
Participants may wish to share their stories with the main group.
If anyone chooses not to share their story, this choice should be
respected.
Module 1 |Values
Exercise 1.4
Values that matter

most to me
Process:
Reflection
20 minutes
outcomes ✔ identify their most important personal values
✔ recognise how values can be expressed through people’s
personal qualities.
Materials ● Handout 1.4 List of values

● Sticky notes or small pieces of paper and pins/tape (3 small
sheets per person)
Facilitating 1 Distribute copies of Handout 1.4 List of values and

the exercise ‘Post-it’ sheets (3 per person).
2 Ask individuals to reflect on the discussions they have had

in the previous exercises and, using the list as an additional
source of ideas, identify three values which matter most to
them.They should write each of the values on a ‘Post-it’ pad
(ie one per sheet).
Allow 5 minutes before moving on.
3 Ask everyone to stick their sheets up on a wall or board.
4 When they are all displayed, invite the group to suggest

which ones could be clustered together as being the same or
similar. Move the sheets around as they suggest similarities
and identify some of the most popular ones.
Allow 5 minutes before moving into feedback.
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Feedback Choose one or two of the most commonly mentioned values

5–10 minutes and discuss how people might express these values in their
personal qualities.Which of these values might be particularly
important for the well-being of others and the delivery of
healthcare?
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Exercise 1.5
Experiencing
personal values
Process:
Meditation
20 minutes
outcome ✔ experience their core values through meditation.
Materials ● CD track no. 1 Experiencing personal values (or relaxing

background music)
● CD player/tape recorder (optional)
● Paper and pens
Facilitating Let participants know that they will now have the opportunity
the exercise to experience the 3 core values they identified in the previous
exercise at a deeper, inner level.
1 Invite people to sit comfortably and to relax. Encourage
participants to sit upright, their hands held loosely in their
laps, legs uncrossed and feet placed firmly on the floor.
2 Play CD track no. 1 Experiencing personal values, or
read the following text to the group (read slowly and clearly
in a gentle voice pausing at ellipses (…) to allow time for
reflection), playing background music if you wish.
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❝ Sit comfortably on your seat… allow your body to relax. Let

your feet rest on the floor and your hands rest on your lap.
You can close your eyes or keep them open. Gently focus
your awareness on your body and breathing… Take a deep
breath… let go of any tension as you breathe out… repeat
this… then allow your breathing to settle into its own
rhythm… gently in… and gently out.
As you focus on yourself, begin to feel more relaxed… your
thoughts slow down… they become calm.
In your mind allow an image or feeling of your deepest inner
values to arise. Focus on one value. Does an image, colour, sound
or phrase come to mind associated with that value? Take time to
really experience it… What is it like to be that value? (long pause)
Choose another value… experience it as deeply as you can.
Does an image, colour, sound or phrase come to mind associated
with that value? What is it like to be that value? (long pause)
In your own time move to a third value… get a sense of what
it is like to be that value (long pause).
Now remember the three values, experiencing each in turn
(long pause).
Gradually, become more aware of your body… sitting on a chair
in this room… feel your feet on the ground… begin to wriggle
your toes and fingers… and when you are ready, open your
eyes… Have a stretch and shake, so you feel fully aware. ❞
Feedback Participants may wish to sit quietly or share how they felt,
5–10 minutes depending on whether they have practised any similar meditative
exercise before. If anyone had an image, colour or phrase that
arose for them they might like to share it with the group, or
Y
simply write it down or draw it for themselves.
Lunch break
Module 1 |Values
Session II: Values at work
Exercise 1.6
Heroes and heroines

Process:
Reflection
20 minutes
outcomes ✔ describe the values of someone who has inspired them and
influenced their work in a positive way
✔ illustrate the ways in which values are demonstrated through
behaviour and actions.

● Flipchart with the following questions written on it:
– Who has inspired you and influenced your work in a positive
way?
– What values do/did they demonstrate in the way they carry
out their work?
and marker pen
Facilitating 1 Ask participants to find a partner to share some reflections

the exercise with.
2 Lead the exercise as follows:
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❝ First of all, on your own, think of someone who has inspired

you and influenced your work in a positive way. For example,
it could be a colleague, manager or friend, or a public or
historical figure.
Write down their name on a piece of paper and the values
they demonstrate in the way in which they carry out their
work.❞
Allow 5 minutes before moving on to the next step.
3 Invite participants to share their reflections with their partner.

Allow a further 5 minutes.
Feedback Ask participants to name their person (if they wish to) and the
10 minutes values they have identified in this person, while you record them
on a flipchart. Invite participants to share and discuss ways in
which these people demonstrate particular values through their
behaviour and actions.
Module 1 |Values
Exercise 1.7
Rekindle the dream

Process:
Visualisation
20 minutes
outcome ✔ visualise their ideal values-based work environment.
Materials ● Worksheet 1.7 Rekindle the dream

● CD track no. 2 Rekindle the dream (or tape/CD of relaxation
music)
● Tape recorder/CD player
Facilitating 1 Introduce the visualisation as follows:

the exercise
❝ I think most of us have a dream of how we would want
things to be at work. That dream may be part of the reason
we choose to work where we do. For a few moments, you
will be led into a visualisation to rekindle that dream and see
what you come up with. It may resemble your current place
of work or it may be different. ❞
2 Ask participants to follow the words in their imagination
and be as relaxed and creative as they feel possible.
3 Play the CD track no. 2 Rekindle the dream or read the

following words, playing background music if you wish (speak
clearly and in a gentle tone, pausing at ellipses (…) to allow
time for reflection).
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❝ Sit comfortably on your seat… allow your body to relax. Let

your feet rest on the floor and your hands rest on your lap.
You may wish to close your eyes. Gently focus your awareness
on your body and breathing… notice your breathing and
follow the flow of your breath. After some moments, you
may notice your breath calming down. Let your body relax.
As you relax, imagine a large bubble softly floating down next
to you… This bubble has a door, and on the door there is a sign
which reads, ‘Step inside, and the bubble will float you to the
workplace of your dreams’.
Step inside the bubble… the bubble begins to float… It floats
above this building and begins to travel… Enjoy the scenery
below you… Gradually, the bubble reaches the workplace of
your dreams and starts to descend… As the bubble gently lands
on the ground, you see the building where you work. You notice
the plants outside and the shape of the building… You slowly
walk up the path, noticing how you feel…
It is early in the morning and a few staff are arriving… you watch
what they are doing… and how they interact with each other.
As you enter the building, you catch the expressions and feelings
of your colleagues as they say good morning… You start the day,
getting a sense of everyone’s attitude as they work.
You walk around the building, noticing the spaces, colours and
light… this is how you would really like it to be. You go to the
place where you usually work and observe the changes and
the way people are behaving… your colleagues, patients and
everyone involved in patient care… What does it look like…?
What is the atmosphere like…? You watch people work
together… and with you during the day… What is the feeling
at your workplace and how do you feel?
Picture the rest of the day in your mind… (pause for 20 seconds).
When you are ready, say good-bye… and step into the bubble
that is waiting for you…The bubble floats up above the building…
and begins to bring you back here…
You are back here now and as you feel yourself sitting in your
seat the bubble disappears… and you bring your attention back
to this room.❞
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4 Invite participants to form pairs, and distribute Worksheet

1.7 Rekindle the dream. Ask them to share their
experiences from the visualisation, using the prompt questions
on the sheet.
Allow participants to have free expression in their descriptions

but also encourage them to identify the underlying values and
how these were expressed in the environment and in people’s
attitudes and behaviour.
Allow 10 minutes for this final stage.
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Exercise 1.8
Values in healthcare
Process:
Creativity
60 minutes
outcomes ✔ describe core values which are important to healthcare
✔ create a values statement for work
✔ identify ways in which core values can be expressed at work.
Materials ● Poster-size paper or flipchart paper

● Coloured pens or paints
● Old magazines and/or collage materials
● Gluesticks and scissors
● Pinboard and pins (or wall surface and Blu Tack) to display
finished work
Facilitating 1 Invite participants to form small groups of four. If you are

the exercise facilitating one or more work teams, participants may wish
to work in their team/s.
2 Ask groups to spend the first few minutes discussing which
values they feel are most important in healthcare today and
to agree on two or three ‘top’ values.
Allow up to 5 minutes before moving on.
3 Next, encourage each group to produce a values statement
(sometimes called a vision statement) and ask them to write
it down.
This is an opportunity for participants to create a values
statement for the group, team, their unit or hospital. For
example, one general practice group used this exercise to
make a statement on their headed notepaper, ‘The friendly,
caring practice’.
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Allow up to 10 minutes for this part of the exercise.

4 Now ask each group to work together on representing their
values statement as a painting or collage. Provide them with
large paper, paints and/or collage materials and a surface to
work on.
Allow up to 35 minutes.
Feedback 1 Ask each group to briefly show their work and explain how
10 minutes they represented their chosen values.
2 Invite a brief discussion about how each value might be
expressed in their healthcare practice. Encourage them to
share examples from their own experience.
Helpful hints Participants will already have identified important personal values
in Session I. Although personal and professional values may differ,
it may be helpful to discuss whether participants’ personal values
do play an equally important part in their professional lives.
Movement exercise
5 minutes
Z Break
15 minutes
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5 Session Review
10 minutes
Guidance notes
1 Briefly review the session by displaying the session aims, learning outcomes
and session programme. Remind participants of the activities they have
undertaken.
2 Pick out any highlights, referring to materials that participants have
produced and which you have displayed.
3 Hand out the Background Reading paper for participants to take away,
pointing out any references and resources for this module, should they
wish to explore the theme in more depth.
See Part 2: Guidance for Facilitators for further guidance.
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6 Action Planning
See Part 2: Guidance for Facilitators and Part 5:Additional Resources
for information and guidance on action planning. Below is a suggested action
planning exercise.
Exercise 1.9
Taking values back

to work
30 minutes
outcomes ✔ select values which can be integrated into different aspects
of working life
✔ describe practical ways of expressing these values.
Materials ● Worksheet 1.9 Taking values back to work

● Paper and pens
Facilitating 1 Distribute Worksheet 1.9 Taking values back to work

the exercise to participants and ask them to choose a value for each work
situation, looking back at the values they have identified during
the module.
2 Then invite them to consider some practical ways in which
they might express these values through their own behaviour
and any changes they could make, for example, to the physical
environment, administrative systems etc.
Allow 20 minutes to complete the worksheet and a further
10 minutes for feedback and sharing.
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Helpful hints Participants may wish to undertake this action planning in their
work teams, if appropriate.
Participants could also look at incorporating ideas which arose
during Exercise 1.7 Rekindle the dream.
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7 Evaluation
10 minutes
Materials
● Copies of evaluation pro forma (if being used)
● Pens
Guidance notes
Run though your planned evaluation activity (see Part 2: Guidance for
Facilitators and Part 5: Additional Resources for information and
guidance on evaluation).
As an alternative or additional activity, you may also want to give out a more
formal evaluation form at this point for participants to complete now or
return by a given date.
Remember to plan in some time as soon as possible after the session to

complete your own evaluation of how you think the session went.
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8 Closure
Lead the group in your planned closure activity (see Part 2: Guidance
for Facilitators and Part 5: Additional Resources for information and
guidance on closures), or use the suggested activity below.
Exercise 1.10
Living values
5–10 minutes
outcome ✔ choose further qualities/virtues that can be integrated into
all aspects of life
Materials ● Values cards (see Part 5: Additional Resources)

● Paper and pens for participants
● Relaxing background music on tape/CD (optional)
Facilitating 1 Lay the values cards out in the centre of the group in a fan
the exercise shape, perhaps around a candle or flower. Play some relaxing
music if you wish.
2 Ask each participant to choose two values that are important
to them as follows:
❝ Become very still and quiet and ask yourself:

● Which two values are important to you? Write them on a
piece of paper.
● What action could you take personally to start to live these
values? Decide on one action for each value, first at home
then at work. Write the actions down against each of the
two values.❞
Module 1 |Values
Helpful hints Take the opportunity to emphasise that this session has been
about acknowledging our own personal values. Each time we
remember our values, we make them more powerful.
Participants could also draw on the values they generated in
the previous exercises in this session.
Module 1 |Values
9 Follow-on/homework
Exercise 1.11
Being creative
with values
Process:
Creativity & Reflection
1 hour
outcome ✔ experience values using reflection and creativity.
Materials ● Worksheet 1.11 Being creative with values (A) Reflections

(3 sheets)
● Worksheet 1.11 Being creative with values (B) A reflective
poem
● Paper and pens
● Tape recorder/CD player and tapes/CDs (optional)
Facilitating 1 Divide the group into pairs and ask each pair to team up
the exercise with another, so that they form groups of four.
2 Ask the group to choose a value from those they have
identified during the module – a value they think is important
in healthcare and one they would like to reflect on.
3 Explain that this is a reflective exercise which is in two parts.
In Part A participants will work alone, reflecting on a number
of images and scenes which capture the essence of the
underlying value, and then sharing it in pairs.You might like
to play some relaxing background music.
Module 1 |Values
Part A: Reflections (30 minutes)
1 Distribute Worksheet 1.11 (A): Reflections which contains

three separate sheets: Images, Snapshot of the past and
Snapshot of the future. For each sheet, follow the four
steps below, reminding participants to reflect on their own
and jot down words or phrases which come to mind on the
relevant part of the worksheet.
● Read aloud through the sheet, pausing after each question.
● Allow a few minutes for participants to complete their
notes.
● Invite individuals to share their responses briefly in pairs.
● After a few minutes, move on to the next sheet, until all
three have been addressed.
Encourage participants to give spontaneous responses rather
than to spend too long deliberating.
Allow 20 minutes in total for this part of the exercise.
2 Ask each group to share their individual images, assigning one

member to write them on a flipchart.
Allow 10 minutes before moving on to Part B.
Part B: A reflective poem (20 minutes)
Distribute Worksheet 1.11 (B): A reflective poem and ask

the small groups to continue working together on the task
described.
After 20 minutes, move into feedback.
Helpful hints Refer to the creativity tool in Part 4: Spiritual Tools.

Be confident in running this second part of the exercise; it has
been done by many workers who initially thought they were not
creative.You don’t need to tell them that the task is to write a
poem, but just let it emerge from the process…
The success of the poem-generating exercise depends on

accepting that there are no ‘right words’ or ‘wrong words’.
Participants should say whatever comes into their heads without
judgement or editing; it should be spontaneous and quick!
Module 1 |Values
If you want to give the groups some inspiration, or if a group

can’t seem to get going, read out the examples below written by
groups on the value of honesty:
❝ HONESTY
Honesty was the look in his eyes in a moment of silence.
Honesty is a plain, solid, average-sized oak tree.
Honesty is an ordinary green apple.
Honesty is rolling green hills on a cloudy day.
A bed in a hospital. White sheets, steel bowls.
Her words were honest, hard earned in the dying embers
of her life.
She asked my forgiveness for her years of judgement
The burden of my confusion slipped away
And love suffused us both.
Conflict at work
Now my name is missing from the board for the work of
that week
And I decide to be egoless about it.
Freedom.
Honesty is to climb to the top of the Himalayan mountains,
To leave my past behind.
Dishonesty is to stay in the valley with too much luggage
Including sweet memories.
An old man with cancer. Nobody speaking of cancer or death
Everyone fearful of hurting the other
Until suddenly Honesty enters the sick room
Suddenly Love is given a chance. ❞
Feedback Bring everyone back together. Invite each small group to read
10 minutes their poem aloud, one after the other, in order to create a
continuous poem.This is a contemplative exercise – that is,
participants should either sit in silence or with quiet background
music, and reflect as the words are read out. Encourage
participants to avoid ‘explaining’, asking for explanations,
interpreting or querying someone else’s experience.
Module 1 |Values
Worksheet 1.1
My favourite things
1 Think of the songs you love. What values are reflected through the words
and music? Write them down.
2 Think of poems, quotes, books that are important to you. What values are
reflected in them?
3 What images are important to you? Think of your favourite scenes, views,
paintings or perhaps statues. What values and feelings do they evoke?
Values in Healthcare © The Janki Foundation for Global Health Care 2004
Module 1 |Values
Handout 1.4
List of values
Acceptance Appreciation
Balance Benevolence
Centredness Clarity
Commitment Compassion
Co-operation Courage
Creativity Dependability
Dignity Enthusiasm
Flexibility Forgiveness
Generosity Gratitude
Honesty Hope
Humility Humour
Integrity Kindness
Listening Love
Loyalty Openness
Optimism Patience
Peace Positivity
Practicality Reflection
Respect Responsibility
Simplicity Tolerance
Trust Wisdom
Module 1 |Values
Worksheet 1.7
Rekindle the dream

In pairs, share your experience.This may include:
What was the environment like?
How did you feel?
What were the other people like?
What were their attitudes?
How did they behave (verbal and non verbal)?
What did you enjoy about the staff, colleagues and patients/clients?
What were the underlying values being expressed in this work environment?
Module 1 |Values
Worksheet 1.9
Taking values
back to work
Choose a value which you will take back to work for each situation below.
Note down some practical ways in which you could express this value through
your own behaviour, and any changes you might make, for example, in the
physical environment, administrative systems, etc.
1 Which value will I use with patients/clients?
How?
2 Which value will help with my manager/colleagues?
How?
3 Which value will inspire me throughout my working day?
How?
Module 1 |Values
Worksheet 1.11
Being creative
with values
(A) Reflections
Images
Think of your chosen value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Imagine that it is a flower or plant – describe it
Imagine that it is a fruit – describe it
Imagine that it is a sculpture – describe it
Imagine that it is a landscape – describe it
Imagine that it is a person – describe her or him
Module 1 |Values
Worksheet 1.11 (continued)

Being creative with values (A) Reflections
Snapshot of the past

Your chosen value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Let your mind go back to the very first time that you became aware of
this value
Where were you? In a room? In an open space?
What did the place look like?
What could you hear, smell, touch?
Who else was there?
What was happening?
What was the moment of understanding?
Can you paint the picture in words?
Module 1 |Values
Worksheet 1.11 (continued)

Being creative with values (A) Reflections
Snapshot of the future

Your chosen value . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Imagine a short scene in which the value comes into play.
Where are you?
Who else is there?
What is happening?
Is there a moment of understanding?
How do you feel inside?
Does it change anything for you?
Module 1 |Values
Worksheet 1.11
Being creative
with values
(B) A reflective poem
As a group, write a four-line poem or four short sentences or phrases which
communicate your images of the group’s chosen core value.
The aim is to write a short four-line poem that may not have any rhyme or
reason (ie it doesn’t have to make literal sense; it can be metaphorical).
You can work from the words you have already written; you can change them,
re-order them, add to them or start afresh.
Write the group’s poem on paper or flipchart.
Values in Healthcare: a spiritual approach Values in Healthcare: a spiritual approach
Acceptance Appreciation
© The Janki Foundation for Global Health Care 2004 © The Janki Foundation for Global Health Care 2004
Balance Benevolence
Centredness Clarity
Commitment Compassion
Co-operation Courage
Creativity Dependability
Dignity Enthusiasm
Flexibility Forgiveness
Generosity Gratitude
Honesty Hope
Humility Humour
Integrity Kindness
Listening Love
Loyalty Openness
Optimism Patience
Peace Positivity
Practicality Reflection
Respect Responsibility
Values in healthcare: a spiritual approach Values in healthcare: a spiritual approach
Simplicity Tolerance
Trust Wisdom

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Module 1 |Values

Introduction to the Values module

What are values? (1.2)

A high point in my working life (1.3)

considering a ‘high-point’ brings feelings of success. It is often not so much what we

Values that matter most to me (1.4, 1.10)

Experiencing personal values (1.5) and

Heroes and heroines (1.6)

Values in healthcare (1.8)

Taking values back to work (1.9)

2 The Facilitator’s Guide to Module 1

Session I: Inner values

Through exploratory exercises in pairs, participants begin to identify their personal

Session II: Values at work

Programme/plan for Module 1 Values

Exercise 1.11 Being creative with values 1 hour

Materials ● Paper and pens

3 Introducing the Module

See Part 2: Guidance for Facilitators for further guidance on introducing

Materials ● Worksheet 1.1 My favourite things

Facilitating 1 Give out Worksheet 1.1 My favourite things and explain

❝ For each question you will have a chance to give a response.

2 Ask participants to join up with a partner and share their

Feedback In the main group, ask participants to share some of their

What are values?

Materials ● Paper and pens

Facilitating 1 Run through the learning outcomes for this exercise

2 Ask participants to get into pairs, and lead the exercise as

❝ Sit with your partner and introduce yourselves – saying a

3 Move participants on to the main exercise, displaying the

❝ Now have a discussion with your partner on what you both

4 Ask participants to move into the final stage of the exercise:

❝ Turn to another pair and compare your definitions and lists

Feedback Start by asking for examples of personal values and make a

Materials ● Paper and pens

Facilitating 1 Introduce the exercise as follows:

2 Introduce the next step of the exercise as follows:

3 Move participants on to the next stage of the exercise:

❝ Next describe to each other the values you saw in your

Feedback Gather the main group back together.

Values that matter

Materials ● Handout 1.4 List of values

Facilitating 1 Distribute copies of Handout 1.4 List of values and

2 Ask individuals to reflect on the discussions they have had

3 Ask everyone to stick their sheets up on a wall or board.

4 When they are all displayed, invite the group to suggest

Feedback Choose one or two of the most commonly mentioned values

Materials ● CD track no. 1 Experiencing personal values (or relaxing

❝ Sit comfortably on your seat… allow your body to relax. Let

Session II: Values at work

Heroes and heroines

Materials ● Paper and pens

Facilitating 1 Ask participants to find a partner to share some reflections

2 Lead the exercise as follows:

❝ First of all, on your own, think of someone who has inspired

3 Invite participants to share their reflections with their partner.

Rekindle the dream

Materials ● Worksheet 1.7 Rekindle the dream

Facilitating 1 Introduce the visualisation as follows:

3 Play the CD track no. 2 Rekindle the dream or read the