Investigating How Trainee and Qualified Counsellors Navigate the Mental Toll of Working in a Hospice Setting.

Aim: Existing psychological literature regarding how counsellors navigate the mental toll of working in a hospice setting signifies that there are substantial gaps in empirical knowledge and understanding. To address this, the study aimed to explore lived experiences of counsellors working in a hosp...

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Published in:Counselling & Psychotherapy Research Vol. 25; no. 3; pp. 1 - 13
Main Authors: Jones, Olivia, Garrod, Teresa
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Sep2025
Online Access:View this record in EBSCOhost
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      dt: Sep2025
      vid: 25
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Investigating How Trainee and Qualified Counsellors Navigate the Mental Toll of Working in a Hospice Setting.
      aug:
        au:
          Jones, Olivia
          Garrod, Teresa
        affil: University of Lincoln, Lincoln, UK
      sug:
        subj:
          Mental Health Counselors Psychosocial Factors
          Interns and Residents Psychosocial Factors
          Burnout, Professional Psychosocial Factors
          Compassion Fatigue Psychosocial Factors
          Hospices
          Work Environment
          Support, Psychosocial
          Life Experiences
          Human
          Qualitative Studies
          Semi-Structured Interview
          Thematic Analysis
          Counseling
          Emotional Exhaustion
          Self Care
          Reflection
          Hospice Care
          Stress, Occupational
          Convenience Sample
          Empathy
          Grief
          Professional Boundaries
          Workload
          Home Visits
          Telehealth
          Hardiness
          Peer Group
          Organizational Culture
          United Kingdom
          Male
          Female
          Descriptive Statistics
          Data Analysis Software
          Adult
          Middle Age
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Aim: Existing psychological literature regarding how counsellors navigate the mental toll of working in a hospice setting signifies that there are substantial gaps in empirical knowledge and understanding. To address this, the study aimed to explore lived experiences of counsellors working in a hospice, including how they experienced and responded to the mental toll and how they were supported. Method: An inductive, qualitative approach was adopted to discover counsellors' unique lived experiences from the frame of reference of the experiencing persons. Six individuals participated in semi‐structured interviews, which were analysed using the heuristic framework. Through immersion, incubation, illumination, explication and reflexivity, significant findings between interview transcripts were determined. Findings: Four themes were identified: (1) Emotional intensity of counselling in a hospice setting; (2) Self‐care considerations in navigating the mental toll; (3) The importance of reflection in processing counselling in a hospice setting; and (4) The significance of counsellors feeling supported mentally when working in a hospice setting. Conclusion: Participants were able to recognise the significant emotional burden of working in a hospice setting and had identified self‐care and reflection techniques to manage their own emotional health and well‐being. However, participants felt that more could be done to support them in this work, and called for changes in training, hospice settings and professional bodies, and from colleagues to provide the support they need. Recommendations: Core counselling training needs to embed self‐care and reflection as an integral part of their programmes, to ensure trainees are equipped to face the emotional demands of working in placement settings. Strong networks of open communication in these settings is vital to promote open dialogue regarding counsellors' mental well‐being. The introduction of peer support systems between novice and more experienced counsellors could assist in encouraging openness in how the work impacts personal mental health and well‐being.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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