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date: 16 June 2019

Abstract and Keywords

This chapter shows how a particular kind of meeting, called in isiZulu the indaba, contributes to Batho Pele, an African values-based practice. First, it explores the challenge of values diversity, including what it means to respect diversity of values, and the different responses to the challenge from regulatory ethics and from values-based practice. It then explores the challenge of diversity in an African context through the story of a real (though biographically disguised) person, Ms. Precious Pelo, her family members and clinicians. Ms. Pelo’s story shows the need for substantive (process-focused) rather than merely executive (outcomes-focused) communicative processes in responding to the challenge of values diversity in clinical decision-making. Finally, it describes part of an indaba convened for Ms. Pelo, its opening minutes illustrating many of the key features of Batho Pele. We conclude with an indication of the potential role of indabas in other areas of values-based practice.

Keywords: values diversity, respect, Batho Pele, indaba, clinical decision-making, ethics, family, process

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