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Theoretical approach for counseling
Theoretical approach for counseling
Theoretical approach for counseling
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A range of models of clinical supervision There has been a number of broad extent of literature with respect to clinical supervision and there are a variety of existing models and approachable method of clinical supervision, for instance, practice-centred supervision, problem-focused model, cognitive behaviour psychotherapy model and work discussion group model. In this article, two models of clinical supervision will be described, they are proctor’s model and cognitive behaviour psychotherapy model supervision. Proctor’s model The report from Office of the Nursing & Midwifery Service Director (ONMSKD) in Ireland (2015),it recommends that proctor’s model is one of clinical supervision models to be utilised in mental health settings nationally
in Ireland. Moreover, this model has been applied mountingly in nursing and is possibly the repeatedly quoted supervision model in the UK (Graham & Hazel, 2002). There are three components including as follows, Formative function (educative/advancement of abilities) ; which denotes the part of clinical supervision that to be connected with the professional improvement of the supervisee. The supervisee has the capacity of comprehension on the service user better and how to investigate different methods for improving their practice under the supervision of someone with more highly skilled or capability than themselves by means of reflection on practice and having consciousness of self. In short, formative function is focused on strengthened the supervisee’s knowledge and skills improvement (Jones as cited it Graham & Hazel, 2002).
Having clinical supervision also gives the practitioner time to identify training to continue their development needs within the work place (Quality care commission,2013). According to the Cumbria Partnership NHS Foundation Trust Clinical supervision is vital in achieving and maintaining a high-quality practice which is safe and effective you should be promoting a good experience to the patient. This trust believes it would be best if clinical supervision was available to all clinical staff whether they are registered or not (Cumbria Partnership NHS Foundation, 2014). Supervision should include tasks such as having education and being able to develop skills essential for any tasks you will be involved in, you should always have guidance within your clinical area, if you need support and counselling this should always be available, if you are experiencing problems in care you should always be able to find assistance to help you with these difficult times and also at any given time you should be able to have a discussion on your skills and qualities that you need in the appropriate
Clinical Supervision is the life wire of any health are professional. It is the on the job teaching that takes place between the supervisor and supervisee. It is a lifelong learning used for personal and professional development which is useful both in nursing education and clinical practice. Its benefit cannot be overemphasized as it is known to improve job satisfaction and prevention of stress /burnout. Supervision is important because it allows the novice to gain knowledge, skill and commitment.
The goal in creating the position of Clinical Nurse Leader in inpatient psychiatric facilities is to reorient the health care system to reduce medical errors, increase patients’ safety, and improve health outcomes (Seed, Torkelson, & Karshmer, 2009). The CNL is not common in the psychiatric care setting right now because the role is fairly new (Seed, Torkelson, & Karshmer, 2009). However, the role has impacted other departments greatly and has the capacity to do the same in inpatient psychiatric care. Through describing the relevance and importance of the CNL role within the Medince/Psychiatric (Med/Psych) department, what the team would look like (the integration of the two departments), and future implications of the nursing profession, there will be a better understanding of the impact of the evidence-based model implemented through future CNL’s.
Nurses are able to reflect upon their past experiences of work and build and improve this ensuring their level of competence and skills is in line with NMC guidelines. Improving the quality of care provided to patients is an ongoing process and requires practitioners to contently reflect and improve their practice. (Howatson-Jones, 2013) One way in which reflection can improve the quality of care is through the use of professional supervision, as stated by (Daly, Speedy and Jackson, 2014) a focus for supervision should be enhancing a nurse’s skills and ability to reflect on practice. It should reflect on the standard of care provided and highlight areas for improvement such as further training. This, in turn, leads to a greater self-awareness of practitioners’ own abilities. The process is not about finding faults, but to improve and learn to ensure the quality of care is high and professional for all patients. Being self-aware is a skill important to reflection and the provision of quality of
The developmental model, summarized in an article by Stoltenberg (2005), summarizes a supervision approach that uses developmental framework in clinical supervision. The author, Stolenberg (2005) and Ursula Delworth created a developmental model titled Integrated Developmental Model of supervision (IDM). IDM provided specific details about the changes in the supervisee throughout their time in clinical supervision. It also provided specific details on the types of supervision environments and supervisor intervention for each level of development (Stoltenberg, 2005).
Varcarolis, E. M., Carson, V. B., & Shoemaker, N. C. (2006). In Foundations of Psychiatric Mental Health Nursing (p. 283). St. Louis: Elsevier Inc.
This essay aims to critically discuss the evidence base for clinical supervision (CS) in mental health care practice. Against the current climate of rapid societal and organisational change in Ireland, mental health care providers are increasingly being challenged to ensure safer higher quality contemporary services based on best practice. It is vital that senior management fosters a culture of CS to assist in this process. The essay will focus on following themes to ensure that it covers supervision practices and assist this quality initiative to be introduced locally. In this regard, this essay explores CS through the lenses of Mental Health Policy and legislation, its functions, the supervision relationship /working alliance Competency
...r me to express how I am doing. The best way to utilize supervision is to know how to debrief effectively. Knowing what is triggering, what is stressful, and if the coping techniques are working, are important things to discuss during supervision. Utilizing colleagues within the agency is also a great support system. Even if you are not able to discuss the case, coworkers can still understand and help debrief feelings related to a case.
Supervisors are ultimately both ethically and legally responsible for actions of their trainees (Corey et.al, 2011). Supervisors should specify the responsibilities and expectations of both parties in the supervisory relationship in order to avoid boundary issues (APA, 2014). The supervisees and supervisor expectation for the supervisory relationship should be discussed and agreed upon. Ethical considerations need to be address to provide behavioral guidelines to supervisors, to protect supervisees from undue harm or neglect, and to ensure quality of client care (Corey et.al, 2011). The style/quality of interactions between supervisor and the practicum student is important in establishing a collaborative working relationship that encourages self-reflection and evaluation for the supervisees. As a result, the supervisor must make time to evaluate, give feedback, and process information after supervisory
Stuart, G. W. (2009). Principles and Practice of Psychiatric Nursing (9th ed. pp 561). St. Louis, MO: Elsevier Mosby.
Developmental Supervision, Supervisor Flexibility, and the Postobservation Conference. Hills, J. (1991). Issues in research on instructional supervision: A contribution to the discussion. Journal Of Curriculum & Supervision, 7(1), 1-12. Jones, N. B. (1995).
Holloway & Neufelt (1995) state that basic counseling skills are learned quickly by CITs, however, conceptualization and clinical judgment developments more slowly and is greatly supported by dyadic supervision. As the semester progressed, I came to the awareness, as my supervisees developed further professionally, showing strength in basic skills, conceptualization, and clinical judgment, that the next great leap as CITs were to bring their personhood into the room.. I felt as the that I believe my experiences as a supervisee allowed for my personhood in the supervisory relationship. This provided an environment for optimal growth as professional. As the skills of my supervisees progressed this semester, I increasingly focused on emphasizing bringing their personhood into the counseling session, while modeling this in supervision. In encouraging a CIT to bring themselves into session it is first necessarily to teach the student to trust themselves, or as I continually emphasized “trusting your
Supervision and feedback offers critique and support to improve trajectory in learning, education, knowledge and accountability. Given and used constructively it assists with potential development and enhances understanding (Kadushin & Harkness, 2002). It creates confidence, encouragement and emotional support; which helps relieve stress (Kirkland & Manoogian, 1998). To demonstrate professional commitment and taking responsibility to my practice I ensured I asked for personal feedback. To my delight the carer expressed she felt comfortable with me as I provided empathy and a sense of understanding just by listening. Also, core issues were discovered which lead to self-directed discussion based on solutions she wanted. This feedback was essential in providing me confidence and motivation.
The basic knowledge about supervision theories and processes would help them transition into a supervisory role. Even at sites that do not ask internship students to be supervisors, they are usually asked to take a part in a supervision group where they hear other clinicians’ cases and give feedback. In such situations, students need to demonstrate interpersonal skills, clinical skills, theoretical knowledge, and skills in giving constructive feedback. I believe that information provided in this course would assist them to be successful in these supervisory and consultant roles at their
The ability to effectively supervise instruction is every teacher supervisors’ aspiration. Supervision, in the field of educational practice with clearly delineated roles and responsibilities, did not fall from the sky fully formed. To be effective in instructional supervision, it is imperative to be grounded on varied supervisory theories and models to appropriately deal with educators in diversity. Ultimately, effectual supervision acts a bond that holds together individual teachers’ need and school goals.