Counselling Skills for Nurses, Midwives, and Health Visitors

By Dawn Freshwater | Go to book overview

When patients experience themselves as free from the forces that have been restraining them, they are able to contemplate action. It is at this point that the practitioner, using counselling skills, may assist the patient to mobilize their resources (internal and external) and develop a plan of action. This action plan can be divided into two main stages, thinking about the change and carrying it through. Each stage consists of smaller manageable objectives and is subject to ongoing evaluation and readjustment as action is implemented.

Building on the existing therapeutic alliance and using the patient's new insights the practitioner uses counselling skills to facilitate action based on new understanding, including divergent thinking, decision-making processes and evaluation skills. This chapter explores these skills in more detail and identifies the role of teaching, advising and information-giving within the nurse–patient interaction, including ways in which the practitioner may assist the patient to seek further support through referral. The ending of the therapeutic relationship also requires specific skills, some of which are addressed in the latter part of this chapter.

The skills that have been discussed so far have been concerned with relationship-building and enhancing the emotional well-being of the individual, carefully avoiding telling the patient what to do. Action-oriented skills are more directive and

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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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