Values Alignment

In this chapter, we explore the role that values alignment plays in shaping the well-being of pediatricians. We begin by defining what values alignment is, as well as linking it to self-determination theory and authenticity in professional practice. We then identify three key areas in which values alignment can pose a challenge. At the micro, individual level, values alignment can become a point of contention in personal interactions of pediatricians with their patients and their families, or while navigating challenges pertaining to work-life balance. At the meso, institutional level, values alignment can be threatened by administrative pressures and dissonance between personal and organizational values. Finally, macro, structural level challenges to values alignment stem from policies and the cultural contexts that pediatricians work within. Our overall goal in this chapter is to demonstrate that while values alignment is primarily experienced at the personal level, it is largely shaped by organizational and socio-cultural factors that extend far beyond pediatricians’ control. We also provide recommendations on how values alignment can be facilitated to promote well-being among pediatricians.