Counselling Skills for Nurses, Midwives, and Health Visitors

By Dawn Freshwater | Go to book overview

One of the main purposes of using counselling skills in nursing is to enable the patient to recognize and explore feelings, thoughts and behaviours in greater depth. This can only be achieved in an environment in which the patient feels safe enough to do so, one that is free from criticism and judgement and has clear physical, professional and personal boundaries.

Providing time and space for patients to understand and clarify their problems and make meaningful choices of their own is a complex process, whether this is listening to a patient's fears about waking up from an anaesthetic, taking their worries seriously, or facilitating access to appropriate information about natural childbirth therefore enabling informed decisions to be made. The skill of the helper is to create an environment that can facilitate this process. This chapter addresses some of the personal, physical and professional boundaries that need to be considered, so that an environment conducive to the application of counselling skills can be fostered.

The use of counselling skills within a work environment also has professional, ethical and personal implications. Clinical supervision has been promoted as a method of ensuring safe and accountable practice in nursing (UKCC 1996). While various attempts have been made to define and describe clinical supervision, with an emphasis on standards, quality of care, patient safety and staff support, to date its implementation has been

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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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