Counselling Skills for Nurses, Midwives, and Health Visitors

By Dawn Freshwater | Go to book overview

Chapter 2
The process of counseling

As highlighted in Chapter 1, counselling is a process that consists of stages and elements that can help to guide and understand the development of a facilitating relationship. This chapter briefly outlines the stages of counselling, exploring the influence of theoretical models with the aim of identifying a framework for the basic process of counselling. This is then linked with relevant nursing theories and concepts, with illustrations from clinical practice. Many counselling skills and nursing skills are generic and can be taught and practised without emphasis on a particular theoretical model. They can also be applied and adapted to suit a diversity of contexts and settings. Nevertheless the interrelationship between theory and practice is widely acknowledged, and in particular contemporary developments in nursing have been aimed at reducing the theory–practice gap (see for example Freshwater and Rolfe 2001; Rolfe et al. 2001).

The influence of reflective practice and clinical supervision on nursing is encouraging practitioners not only to develop intentional and conscious practice, but also to articulate their espoused theories and how they enact them. This clarification of values can be aided as the practitioner compares where their personal theories and those of others contrast and collide. This chapter, while not able to provide an in-depth examination of counselling theories, does aim to help the nurse to locate and clarify their view of the self and the self in relation to others.

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Counselling Skills for Nurses, Midwives, and Health Visitors
Table of contents

Table of contents

  • Title Page iii
  • Contents vii
  • Preface x
  • Chapter 1 - Introduction 1
  • Chapter 2 - The Process of Counseling 14
  • Chapter 3 - Beginning a Relationship 33
  • Chapter 4 - Sustaining the Relationship 49
  • Chapter 5 - Facilitating Change 62
  • Chapter 6 - Professional Considerations 76
  • Chapter 7 - Caring for the Carer 92
  • Appendix 107
  • References 112
  • Index 119
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