Reflective practice and guided discovery: clinical supervision.
This article explores the parallels between reflective practice as a model for clinical supervision, and guided discovery as a skill in cognitive psychotherapy. A description outlining the historical development of clinical supervision in relationship to positional papers and policies is followed by an exposé of the difficulties in developing a clear, consistent model of clinical supervision with a coherent focus; reflective practice is proposed as a model of choice for clinical supervision in nursing. The article examines the parallels and processes of a model of reflection in an individual clinical supervision session, and the use of guided discovery through Socratic dialogue with a depressed patient in cognitive psychotherapy. Extracts from both sessions are used to illuminate the subsequent discussion.
Todd
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G
Addenbrooke's Hospital, Cambridge.
Freshwater
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D
D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D016294:Models, Nursing; D009736:Nursing Process; D009740:Nursing Staff / Q000193:education / Q000523:psychology*; D009745:Nursing, Supervisory / Q000458:organization & administration*; D011568:Psychiatric Nursing / Q000193:education / Q000379:methods*; D013850:Thinking