The essay aims to explore the National Health Service Constitution (NHS) and discuss it in general. It will look at when, why and who it was established for including its expectations. One value of the constitution will be discussed with the support of evidence based literature and finally be followed by a conclusion.
Person-centred nursing is widely practised in clinical areas today, the original concept was developed from the work of psychologists such as Carl Rogers and Tom Kitwood. Rogers (1957.1961) considered empathy and unconditional positive regard to be core features of any therapeutic relationship in counselling. He developed the concept of person-centred therapy in counselling. Stein-Parbury (2009) writes about the use of interpersonal skills in nursing and places a focus on Roger’s model of person-centred therapy. She states that person-centred nursing models have been influenced by the work of Rogers. Stein-Parbury (2009) reports that, according to Rogers (1961); positive nurse-patient relationships promote a caring environment in which the patient can grow and develop.
Explain what person-centred thinking is, and how it relates to person-centred reviews and person centred planning?
Motivational interviewing is a collaborative, person-centred form of communication which focuses on the language of change. ‘It is designed to strengthen personal motivation for and commitment to a specific goal by eliciting and exploring the person’s own reasons for change within an atmosphere of acceptance and compassion’ (Miller et al., 2013, p.29). The technique of motivational interviewing was developed by two psychologists, Bill Miller and Steve Rollnick. Motivational interviewing is therapeutic to patients as it is based on a partnership, rather than a nurse-patient relationship (Heckman et al., 2010). There are four processes of motivational interviewing; engaging, focusing, evoking and planning. These processes of motivational interviewing are used daily in the nursing profession to facilitate in the delivery of high quality care to ambivalent patients. In this composition, I will critique my digital recording where I talked to a patient using the processes of motivational interviewing. I will focus on the processes of engaging and evoking.
Is a person centred care approach really that important when it comes to nursing an older person? The answer is simply, yes. Older people are susceptible to a range of vulnerabilities and threats to their personal identity. This essay sets out to prove how meaningful and imperative it is for nurses to provide the elderly with individualised patient care. Divided up into two sections, the first will include a discussion on how patient centred care immensely benefits an older adult by improving their experience while being looked after and taken care of. It will also take a look at some of the alternative methods of nursing to contrast with the patient centred approach. Included is also a description of Mc Cormack and Mc Cance (2010) Person Centred Practice Framework. This will lead into the second part of the essay, as it will demonstrate how nurses can employ a person centred approach in the clinical setting to promote and recognise older people as equal partners in their care.
Person centred counselling According to McLeod (2003) states that “the emphasis is on the client as an expert and the counsellor as a source of reflection and encouragement and this is captured in the designation of the approach as a ‘non-directive’ form of counselling.” Empathy, congruence (genuineness) and acceptance (unconditional positive regard) are known as the three ‘core conditions’. These core conditions are essential for effective counselling. According to Gillon (2007) “from a therapists’ point of view, an empathic attitude is a desire to understand a client’s perceptual world as if it was his or her own”. Meaning that the Therapist must listen and follow what the client is trying to communicate to them and that the therapist tries
This paper focuses on person-centered therapy. Person-centered therapy is an approach to help individuals develop a sense of self. This therapy is different from others as the client is responsible for improving his own life, not the therapist. However, it is important for the therapist to create a conducive environment for the client so that the client feels safe and secure and will be at ease to share problems or issues during therapy sessions. Three core conditions that will aid the therapist in doing so is being congruent, having unconditional positive regard and being emphatic. This paper explores the effectiveness of person-centered therapy in creating therapeutic alliance. It also explores the necessary conditions for constructive personality change to occur, exist and continue over a period of time as well as the personal characteristics that are most important for a person-centered therapist to be genuine and lastly the personal characteristics of the writer, which might assist or hinder ability to work with clients effectively.
Interpersonal interaction within the group is vital to effect change and the therapist’s role is to facilitate that experience in the here and now. By members feeling a sense of belonging, hope, safety and awareness they are not alone in their issues, provides a solid foundation. Interpersonal interaction within the group enables members to release previously repressed emotions promoting healing, and the sharing of information can help educate and empower a sense of value by helping others. Members can learn coping strategies from others and interpersonal teaching can help them to develop supportive interpersonal relationships and interpersonal skills, such as empathy and tolerance. The discussion of existential factors within the group helps promote awareness and acceptance and understanding of how to live with them. (Yalom & Leszcz,
There are several potential limitations when utilizing ethnographic interviewing. Time and expense are a limitation, a clinician must take the time to gain the trust and respect of the client. The format of ethnographic interviewing may feel somewhat aggressive, if pre-arranged questions are formulated, setting an unnatural therapeutic tone. Additionally, “the interviewer tries to minimize preconceived notions, diagnoses, and hunches about the client (Jordan & Franklin, 2011, p. 126), hoping to eliminate clinician distortion and
Underlying assumptions: empathy is a powerful tool that humans have and can be effective in client progress
Theoretical orientation is the concept of providing practitioners with theory based framework .The purpose of the theory is to help guide the social work professional in a setting while intervening with individuals, families and treatment. Theoretical Orientation also help the social worker to work with the clients to set their goals and ackwlodge certain techniques you may use while using a specific theory. In this reflection paper I will deliberate on developing a Theoretical orientation, Exploring your theoretical orientation, Integrating your theoretical at your field placement, and Task group techniques.
Motivational Interviewing is a patient centred approach which strengthens the patient’s motivation for and movement toward a specific goal by exploring and resolving ambivalence (Hettema et al. 2005). In the scenario in my digital recording, for example: the patient’s goal is to cut down/stopping drinking alcohol. A Nurse’s empathic and collaborative approach to this conversation technique supports the eliciting and discovering of the patient’s personal reasons to change (Miller & Rollnick, 2012). Four guiding principles (R.U.L.E) were devised in order for effective Motivational Interviewing to occur; resist the righting reflex, understand and explore patient’s own motivations, listen with empathy and empower patient providing hope and encouragement
Whether or not one could truly understand the inner world of another has been discussed for centuries and was spoken of by such philosophers as Plato and Aristotle (Gompertz, 1960). However, Carl Rogers (1957) is given credit for bringing this concept to life in the twentieth century. With respect to the counseling relationship, understanding through empathy is seen as a skill that can build rapport, elicit information, and help the client feel accepted (Egan, 2010; Neukrug&Schwitzer, 2006). Because empathy is seen as an important personal attribute as well as a critical skill to
Additionally, as a counselor, it is important to be genuine with whatever feedbacks one presents to the patient and what one believes regarding the situation of the client. Mrs. Perez believes the more authentic and genuine he is with her patients, the more help he will be able to offer the clients. As a counselor, it is important to have a fine and professional interaction with one 's client but boundaries must be maintained. Through this, a counselor is able to demonstrate their focus on helping the patients by showing the client that they understand their problems. It also through such engagements that counselor is able to use the non-judgmental attention that does not require words for illustration in helping the patient. Lastly, being a
Goals of this particular client is: to become sober through intervention, and get custody of her children back so they could all live together, be the mother that her children need, and provide health environment. It is important for this client to set her goals into being her primary objectives and work through interventions in order to accomplish them.