characteristics and problems of counselling 2.pptx

counselling

1. Characteristics of counselling, counselor and problems in counselling Presented to :- Mrs. Nidhi Sagar Vice-Principal Prof . & HOD ( Obst . & Gynae ) Subject Co- ordinator :-Nursing Education DMCH, Ludhiana Presented by :- Priya MSc(N) 1 st year Roll no-05 DMCH, Ludhiana

2. Introduction Counselling is a wider procedure concerned with emotion as well as giving information.

3. Definition Counselling is a helping process where one person purposefully gives his/her time, attention and skills to assist a client in exploring the situation, identifying and acting upon the solutions within the limitation of their given environment.

4. Characteristics of counselling

5. It is believed that guidance and counselling is as old as human existence and is found in each area and domain of human functioning (personal, professional, social, cultural and spiritual). Counselling is needed when people seek assistance to function optimally, both personally and professionally.

6. Some of the most essential characteristics of counselling are as follows: Continuous process Process of mutual interaction Definite purpose oriented processes Self realisation and self-direction Individual assistance Related with life events Meant for everyone Helpful in adjustment Need-based activity Assistance to solve the problems Work of an expert Prepares the individual for future Characteristics of counselling

7. Continuous process: Starting in childhood and continuing through adolescence, adulthood and old age. It is a dynamic process that helps individual understand themselves and use their capacities, interests and other abilities to a maximum. Individuals continue to struggle for adjustment in different life situations to develop their capacity for effective decision making.

8. Process of mutual interaction: It is a process of mutual interaction where a trained person helps another person who needs his help for a general or specific problem. Definite purpose oriented process: It is a well-planned, purpose oriented process where two individuals , the person who is offering counselling and the person who is receiving counselling, interact keeping in mind the specific purpose to be achieved.

9. Self realization and self-direction: During the process of counselling, individuals are assisted in a way such that they are able to develop their capacities to the maximum extent. It helps individual become familiar with their real self . Individual assistance: Guidance and counselling is a process of assisting individuals identify where to go, what to do, and how to do, to accomplish their goals. An individual’s personal development is promoted through guidance and counselling.

10. Related with life events: The process of counselling is related with life events as individuals get both formal and informal counselling in their lifetime. Meant for everyone: All individuals need counselling to reach their maximum potential. Helpful in adjustment: Counselling helps individuals adjust in different life situations.

11. Need-based activity: Counselling is centred on the needs and aspirations of students. It empowers individual to discover their natural strengths so that they can use them to their best advantage making the maximum out of life. Assistance to solve problems: It involves more than offering assistance in finding a solution to an immediate problem. Its function is to bring about changes in individuals and enabling them to deal with difficulties in a more productive and independent manner.

12. Work of an expert: Providing counselling is the job of an expert . The person offering counselling services must be fully equipped with the skills to provide effective counselling services. Prepares the individual for future: It is well known that prevention is better than cure ; therefore, individuals must be prepared and equipped to deal with future problems as quickly and efficiently as possible so that the problems can be assessed and managed before they become difficult to handle.

13. Counsellor is a person who perform counselling or a faculty member who advises students on personal and academic problems, career choices, and the like. INTRODUCTION OF COUNSELOR :-

14. “Counsellor is a person trained to give guidance on personal or psychological problems . ” Or   “A counsellor is a person whose job is to give advice to people who need it, especially advice on their personal problems .” DEFINITION:-

15. QUALITIES OF A GOOD COUNSELLOR G - Good technical knowledge . O –Obtaining appropriate information from the patient . O – Objectively answering questions . D – Demonstrating professionalism . C – Confidentiality maintenance . O – Observant . U – Unbiased . N – Non-judgmental . \ S – Sensitive to the needs of the patient E – Empathetic . L – Listen carefully . L – Lets the patient make decisions . O – Open minded . R – Respect the rights of the patient .

16. OTHER ARE:- Leadership Interpersonal relationship : Non-judgmental : Personal values Communication skills Respect for human being Pleasant personality

17. OTHER ARE:- 8. Energic 9. Active listener 10. Intellectual competence 11. Flexibility 12. Philosophy of life 13. Credibility and trustworthiness 14. Empathetic or compassionate 15. General characteristics

18. CHARACTERISTICS OF COUNSELOR… Personal characteristics: Should be imbibed with basic human qualities. Should be a person with cultural values & awareness. Should have a deep interest in helping people. Should patiently listen to others Should be sensitive to other’s attitude & reactions Should have a capability for being trusted by others. Should have respect for the personal autonomy of the patients. Should be tolerate of & accept the patient point of view. Interpersonal relationships: Friendly nature Sympathetic understanding Sincerity Tactfulness Patience Ability to maintain confidentiality Attentive listener Show concern Personal adjustment: Maintain emotional stability . Emotionally sound & healthy Able to accept criticism Knowledge of self Patience

19. CHARACTERISTICS OF COUNSELOR… Scholastic potentialities: Relevant knowledge Motivated & committed Aware of policies, beliefs, misconception & rumors in community Possess common sense Good judgment Health & personal appearance: Pleasing voice & appearance Vitality & endurance Free from any mannerism Leadership skills: Ability to stimulate Reinforce important information Direct the counselee to ways to solve the problem .

20. CHARACTERISTICS OF COUNSELOR… Philosophy of life: Good character Integrated personality Faith in human values Professional dedication: Show enthusiasm Maintain helping relationship Have a nice sense of morality

21. Problems in counsellin g

22. Issues of counselling in nursing Counselling services in nursing education are quite essential but generally neglected, especially in Indian scenario. The several pertinent issues of counselling in nursing, which need immediate attention, are discussed next:

23. 6. Lack of interest and initiatives for counselling services 7. Poor counsellor-counselee ratio 8. Lack of funds for counselling services 9. Non compliance with counselling interventions 10. Ethical and moral issues

24. Scarcity of qualified and competent counsellors: Either in nursing education or nursing services . One can hardly find a qualified and competent counsellor working for nurses in educational institutions or practice setting. New selected student nurses are found to be in great need of guidance and counselling. Therefore, INC must ensure at least one part-time qualified & competent counsellor in each college .

25. Lack of awareness about needs and resources of counselling: Most of student nurses join nursing education without any formal preadmission counselling & face difficulties adjusting with demanding education, which leads to stress . In spite of all the odds, students and nurses are unaware about counselling services. In situations, where they feel the need, they are not aware about available resources . Therefore, nursing institutions must be proactive in improving the awareness.

26. Minimal pro counselling environment: Nursing institutions or hospitals do not give much importance to counselling services for nursing students and practising nurses. Very few health care institutions realise the importance . Hence, one cannot expect nurses or student nurses to receive standardised counselling services . Realise importance for better learning and job performance.

27. Lack of counselling training for nurses/nursing faculty: Nursing faculty or teachers could act as good counselling resources in institutions. Same is observed in hospital setting. It is therefore recommended, there must be adequate curriculum related to counselling. There must be regular continuing education to update with new aspects of counselling.

28. Poor organisational set-up for counselling services: A good organisational set-up is required such as infrastructure, money and manpower . There is very poor attention towards building a competent and quality organisation set-up.

29. Lack of interest and initiatives for counselling services: Poor interest and initiative among nursing faculty, nursing teachers, nurses and management in India. Interest brings about motivation to act and one can achieve initiatives. Therefore, they must be motivated to spark an interest so that standard and quality can be ensured.

30. Poor counsellor-counselee ratio: Few initiatives to establish counselling services in Indian institutions. Very poor counsellor-counselee ratio that has created a poor image and outcome of counselling services. Adequate ratio must be ensured to achieve a better counselling outcome .

31. Lack of funds for counselling services: Scarcity of funds in health care institutions. One cannot imagine anything positive happening in the field of counselling services. Therefore, the government & management must realise the importance of counselling services and dedicate adequate funds, so that actual objective be achieved.

32. Noncompliance with counselling interventions: Other most crucial issue . Because of several reasons such as lack of interest, incompetent counsellors, poor access to qualified counsellors, lack of time, inadequate funds, etc.

33. Ethical and moral issues: Because it may cause several serious problems . Some critically essential ethical principles must be followed such as autonomy of practice, anonymity of subjects and confidentiality of information to prevent ethical, moral and legal problems.

34. Others: Resistance to counselling: Either by counselee or by faculty . Counselling individuals of different cultures: Counselee have different cultures. The counsellor should be very careful in dealing counselee’s with different cultures. Lack of awareness of value of counselling by public.

35. Counselling individuals with strong emotions: Emotions such as depression, anxiety and so on may hinder counselling process. These emotions prevent in accurate diagnosis of problems. Counsellor burn-out: The symptoms such as restlessness, boredom, irritability, lethargy, fatigue, negative feelings, etc. can be managed by changing work environment, approach taking care of themselves, e.g., enough sleep, rest, diet, play, entertainment.

36. 36 Barriers to counseling: Disease state : dementia, stroke Language : verify primary language Hearing/vision problems Environmental : noise, lack of privacy Educational level (reading ability ) Patient motivation : disinterest in learning

37. Lack of counselor training/time Lack of confidence Poor counselor-counselee relationship Poor communication skills

38. concerns when thinking about counselling Does going to a counsellor mean I’m a failure? I don’t want to be reminded of how bad I feel I can sort my problems on my own No-one can understand how I feel I really must be in a bad way I don’t want to talk to a stranger Maybe I won’t like the counsellor It might make me worse It’s like saying I’m weak Once you start counselling it never ends Suppose I won’t know what to say? What would my friends think? I might get upset Counselling could get in the way of my studies If I go to counselling will it all be sorted? I feel ashamed of my problems

39. Any Query?

40. Summarisation Introduction Definition Characteristics of counselling Introduction of counsellor Definition of counsellor Qualities of counsellor Characteristics of counsellor Problems in counselling

41. Recaptulization :- Explain the characteristics of the counselling. What are the problems in counselling ? What do you think about the continuous process in counselling ? What are the ethical issues can arise ? What are the barriers in counselling ?

42. Bibliography Reena sharma Suresh K Sharma; “Communication and Educational Technology in Nursing”; Published by Elsevier Health Sciences: New Delhi; pg 112-114;2012. KP Neerja ; “Textbook of Nursing Education”; Published by Jaypee Brothers Medical Publishers (P) Ltd: New Delhi; Edition 1 st ; pg 466, 493; 2008. Basavanthappa BT; “Nursing Education”; Published by Jaypee Brothers Medical Publishers (P) Ltd: New Delhi; Edition 1 st ; pg 617; 2004. Nima Bhaskar ; “Textbook of Nursing Education”; Published by EMMESS Medical Publishers: Bangalore;