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Reflective practice and guided discovery: clinical supervision.

G Todd1, D Freshwater

  • 1Addenbrooke's Hospital, Cambridge.

British Journal of Nursing (Mark Allen Publishing)
|July 11, 2000
PubMed
Summary

Reflective practice offers a consistent model for clinical supervision in nursing. This approach parallels guided discovery techniques used in cognitive psychotherapy, enhancing patient care.

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Area of Science:

  • Psychology
  • Nursing Education
  • Clinical Supervision

Background:

  • Clinical supervision models face challenges in consistency and focus.
  • Reflective practice is proposed as a solution for nursing clinical supervision.
  • Guided discovery is a key skill in cognitive psychotherapy.

Purpose of the Study:

  • To explore parallels between reflective practice in clinical supervision and guided discovery in psychotherapy.
  • To propose reflective practice as a model for nursing clinical supervision.
  • To examine the processes of reflection and guided discovery through session extracts.

Main Methods:

  • Historical review of clinical supervision development.
  • Analysis of reflective practice in individual supervision sessions.
  • Examination of guided discovery via Socratic dialogue with a depressed patient.
  • Use of session extracts to illustrate discussion points.

Main Results:

  • Reflective practice provides a coherent framework for clinical supervision.
  • Guided discovery, using Socratic dialogue, is effective in cognitive psychotherapy.
  • Parallels exist in the processes of reflection and guided discovery.

Conclusions:

  • Reflective practice is a viable and effective model for clinical supervision in nursing.
  • The principles of guided discovery can inform reflective practice in supervision.
  • Integrating these approaches can enhance therapeutic and supervisory outcomes.

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