'Here and now' focused counselling: A model for nurses
Judi Weaver
Lecturer, Department of Family and Community Nursing, University of Sydney, NSW
PP: 239 - 248
Abstract
Nurses refrain from engaging in spontaneous, opportunistic counselling interactions for many reasons. However, the culture within clinical environments is a significant factor. To enact relational aspects of their role in clinical settings nurses need beliefs and values that are congruent with communication skills and compatible for use in a culture that favours physical over the phenomenological care.
A counselling model designed to help nurses facilitate subjective exploration, help patients manage immediately distressing experiences and specific to the needs of nurses working in general clinical environments is detailed. Divided into three stages, this paper describes the goal, focus, process, skills and examples of each stage.
Keywords
clinical practice; communication skills; physical care; counselling model; subjective exploration
References
Bohart AC, Todd J.(1988) Foundations of Clinical and Counselling Psychology. Harper Collins, New York.
Byrne, G. Heyman, R. (1997) Patient anxiety in the accident and emergency department. Journal of Clinical Nursing 6 (4) 289-95.
Cade B, O'Hanlon W.H. (1993) A brief Guide to Brief Therapy. Norton & Co., New York.
Corey, G. (2001) Theory and Practice of Counseling and Psychotherapy Brooks/Cole, USA.
Egan, G.(1998) The Skilled Helper: A Problem- Management Approach to Helping, 6th ed. Brooks/Cole, Monterey, California.
Egan G. (1990) The Skilled Helper: A Systematic Approach to Effective Helping, 4th ed. Brooks/Cole, Pacific Grove, California.
Engerbreston J (1997) A multi-paradigm approach to nursing. Advances in Nursing Science 20 (1) 21-33.
Fagerstrom L, Eriksson K, Engberg I.B. (1998) The patient's perceived caring needs as a message of suffering. Journal of Advanced Nursing 28 (5) 978-87.
Hatrick G.(1997) Relational capacity: the foundation for interpersonal nursing practice. Journal of Advanced Nursing 26 (3) 523-8.
Jarrett N, Payne S. (1995) A selective review of the literature on nurse-patient communication: has the patient's contribution been neglected? Journal of Advanced Nursing 22 (1) 72-8.
Lauder W.(1996) Constructing meaning in the learning experience: the role of alternative theoretical frameworks Journal of Advanced Nursing 24 (1) 91-7.
McSherry, W. (2000) Making Sense of Spirituality in Nursing Practice: An Interactive Approach Churchill Livingstone, London.
Mitchell A, Cormack M. (1998) The Therapeutic Relationship in Complementary Health Care Churchill Livingstone, Edinburgh.
Nelson-Jones, R.(1997) Practical Counselling and Helping Skills, 4th ed. Cassell, London.
Stein-Parbury, J (2000) Patient and Person: Developing Interpersonal Skills in Nursing 2nd ed. Harcourt, Australia.
Tschudin, V.(1995) Counselling Skills for Nurses, 4th ed. Bailliere Tindall, London.
Weaver, J (2001) Nurses Stress Senate Inquiry Submission Australian Parliament, Senate papers Canberra.
Weaver, J (2000) A model for nurse-client/patient counselling Therapeutic Relationships in Nursing Topic Readings Faculty of Nursing University of Sydney, Australia.
Williams, A, Irurita, V.F. (1998) Therapeutically conducive relationships between nurses and patients: an important component of quality nursing care Australian Journal of Advanced Nursing 16(2) 36-44.
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