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A FREE online feature to print off and read. Written by Kathleenruth
 
   
   

The Coaching Corner series: Building and restoring confidence.

©The Practising Midwife.Reproduced with permission. An original article written by Ruth for The Practising Midwife Journal. This article appeared in the March 2002 issue (Volume 5 Number 3)

 

We meet Julie, a successful student midwife who has suddenly had a crisis of confidence

 

 

OUR CONFIDENCE in our clinical skills can sometimes leave us inexplicably. Sometimes it's when we move between clinical areas and /or when we've had a period of leave. Whatever the reason we know that once we fall into a cycle of panic and increasing doubt in our ability it will affect our performance and it is hard to break the cycle. Courage is needed to take remedial action to restore our confidence.

Coaching case study

Julie is a student midwife. She has been progressing very well and has had good reports from each of her placements. She is currently on delivery suite. The first three weeks went well, then she became ill with the 'flu and took time off sick. Since her return to delivery suite her confidence has plummeted. She feels she is fumbling everything, is hesitant and has expressed concern that she 'is on a downward slope'. She can't understand why suddenly everything seems to be going wrong and feels the qualified staff watch her every move, just waiting for her next mistake. She says 'the thing is I know they are right - I am making a hash of everything'.

 

The coaching conversation

Julie: I'm not sure, I can't understand what's going on. I was fine before I went off and I just seem to have gone downhill since I came back. Now everyone's watching me more closely. At my interim report the midwife said I was hesitant and lacking confidence and she was right. I'm getting worse and I don't know why, let alone what to do. I feel like they're just waiting for me to get it wrong now.

Coach: I see... have you discussed this with your mentor?

Julie: Yes. She was very kind and did everything she could to help but I don't feel any better. I'm getting worse.

Coach: One thing is for sure… if you believe you are 'worse' you will be. Do you believe you are worse?

Julie: Not really. Part of me knows I can do this… I just seem to have gone to pieces.

Coach: Julie, do you know that the 'learning curve' that we all hear about isn't a smooth upward curve at all? It's more like a series of steps. When you are learning something you sometimes have days when everything comes together and you perform like a master - that's what we call 'beginners luck'! It's as though nature is giving you a sneak preview of how good you will be when you have finished learning. For each one of those you will have many days when you just can't get it right at all. That's part of the process of learning. If you never got it wrong you wouldn't know what you were doing right when you got it right!

Julie: I understand that, but it is so difficult now.

 

 

The midwife said I was hesitant and lacking confidence and she was right

 

 

Coach: Why now?

Julie: Well, now that I've drawn attention to myself. They're all watching me now… just waiting for my next gaff!

Coach: Julie there is one thing I want you to hear.

Julie: Yes?

Coach: What other people think is none of your business.

Julie: Oh I like the sound of that.

Coach: Midwifery is a highly regulated profession. You would not be able to perform at all if you were conscious of each moment that others may or may not be judging you or what they are thinking of you. One thing is certain. There will always be people who think you walk on water and there will always be those who think you were born in the fires of hell. You can't approach your practice trying to please everyone. You must just be clear in your mind of what you are doing and why, and satisfy yourself that you are doing the best you can. It's all you can do.

Julie: Hmmm... I like the sound of that. The thing is though… I know I can do better… and have done… I just seem to have started panicking lately. This didn't used to happen… now a panic comes over me and I just know I'm going to fluff it.

Coach: When you begin to panic what do you notice first?

Julie: My face goes hot and I begin to blush.

Coach: Okay, now when you notice that, take three deep breaths and realise that in that very moment you have a choice. You can either succumb to the panic or you can call on your wise self to step forward and handle the situation. Do you know what I mean by that Julie?

Julie: I'm not sure…

Coach: Have you noticed that when you panic you can forget things, yet when you are relaxed you can recall what you have learned quite easily?

Julie: Yes! That's why I'm terrified of panicking because I know that's when I will forget what I'm doing and get it wrong.

Coach: Okay so how can you avoid that happening?

Julie: I don't know.

Coach: You can take a deep breath and choose to find that place of stillness within you, rather than succumbing to the panic. This takes practice but you can use relaxation and visualisation techniques to help you. Once you find the still place within, you can recall everything you ever learned. Then you can perform slowly and surely, making sure you get it right. Or you can rush into it without thinking, panic and risk getting it wrong of course. That's up to you.

Julie: Hmm… I look at the qualified midwives and feel like I'm just so slow.

Coach: You will be slow compared to them but believe me, they'd much rather you get it right than rush things and do it wrong anyway. You are better to do things slowly and get them right every time. Your speed will pick up with practice.

Julie: So how do I find the still place inside when the delivery suite is mad and everyone is rushing around.

Coach: Okay. First remember that you are there to learn. It may be busy and your best chance at being able to help is to get whatever you do right. Intend to recall what you learned. It is very important that you set out with a clear intention. Then take three deep breaths and invite your wise one to step forward and handle the situation. This way you are connecting with that part of you knows you can do it. Do you have an example?

Julie: Well I forget to take the baby's temperature before I bath it...

Coach: Now may I just stop you there? Can I draw your attention to something you just said?

Julie: Yes please do!

Coach: You just said: 'I forget' It sounds like it's become part of who you are. It's as though you're saying: 'Hi, I'm Julie, I'm the one who forgets to take the baby's temperature!' Can you see that?

Julie: (laughing) Yes I see what you mean.

Coach: Okay, so first: it's just something you will learn how to do, so go easy on yourself. Now, have you tried any techniques to help you remember?

Julie: No.

Coach: Okay. Dominic O'Brien (1993) suggests you should think of something really ridiculous that will make you laugh, and then you'll remember. Are you willing to try this with me now?

Julie: Sure!

Coach: Great! Close your eyes and visualise a delivery room. Can you see one?

Julie: Yes, delivery room 2.

Coach: Okay good. Now picture this, you are standing outside delivery room 2 and someone calls you to come in and bath the baby, so you open the door.

Julie: Okay.

Coach: Right away you see an enormous baby… have you ever seen The Dancing Baby in that show Ally McBeal? (Channel 4, 2002)

Julie: (laughing) Yes!

Coach: Okay! This is exactly like it… an enormous 10 foot high dancing baby… only this one is chasing you with a huge thermometer… can you see it?

Julie: (laughing) Yes!

Coach: Great! So close the door quickly and you're standing outside again.

Julie: Wow thank-you, that's really helpful.

Coach: You're welcome. That visualisation technique was designed to help you remember and you can design one to help you perfect a skill.

Julie: How?

Coach: I'll show you. Give me an example of a technique, which you felt you fumbled this week.

Julie: (sigh) Oh... I was asked to run a drip through... and I messed it up.. I was so slow and my hands were shaking...

Coach: Okay let me stop you there. This is a great example. In theory, do you know how to do it?

Julie: Yes, the midwives have shown me umpteen times.

Coach: Great! So you just lack practice at actually doing it?

Julie: Yes, but when they're watching me I'll do it wrong.

Coach: If you think like that you will! What we're doing here is getting you to the point where you believe you'll do it right - and then you will!

Julie: How?

Coach: Are you willing to play again?

Julie: Yes!

Coach: Okay! Close your eyes and this time imagine you are setting up for an IV infusion. You are alone in the delivery room… can you see it?

Julie: Yes!

Coach: Okay now this is your visualisation. You are in control and you can make this go perfectly. So collect together everything you need.

Julie: Yes, done it.

Coach: Okay, so very slowly, connect it up… and run it through.

Julie: Yes, done it!

Coach: Brilliant, well done! Now can I make a request of you Julie?

Julie: Yes!

Coach: I request that you combine the techniques we've discussed today. Practice that visualisation every day for 10 minutes together with your 'baby' visualisation. Also create a visualisation for every other procedure where you lack confidence. Then when you are in the clinical area and you feel panic, pay attention, consciously relax and do it exactly like you would in your visualisation. Are you willing to do that?

Julie: Yes I am - this feels great!

Coach: Good. I'd love to hear how you get on

 

 

Review points

Let's look at what happened:

Julie came to the coaching call willing to explore new ideas and be playful.

The coach introduced several techniques to restore her confidence.

Julie was able to distinguish between that part of herself that might panic, and that part of herself that believed she could do it.

The coach made a request.

Julie committed to action.

Inside each of us is the part of ourselves where we store our self-belief. That part of us that 'knows we can do it'. When we use relaxation and visualisation techniques it is amazing how quickly we can reconnect with our self-belief and restore our confidence. As with so many things, all it takes is practice.

 

Feedback from 'Julie' our client in the above article:

"I've meant for ages to get back to you to say whatever it was... it worked/works like magic! I got through the last 2 weeks placement with a much better spirit - using visualisation and affirmation. Now I am in college for 12 weeks and have already given a seminar to the class with the help of

1) noticing the first signs of tension/panic,

2)breathing and

3) affirmations,

and it was good. Thank you"

 

 

Reader Comments:

"I take the above publication although I am not a midwife but teach antenatal classes for the NCT. [National Childbirth Trust] Since Coaching Corner became a regular feature I have been riveted to it. Each month it is the first article that I turn to and am always hoping for more when I reach the end. It is so encouraging to see what other people can do to transform their lives and gives great hope to those of us who would dearly love to but are still summoning up the courage. From the very first article I thought that maybe this was what I needed but it took a few months to reach for the phone and call Ruth for a coaching session. We really are our own worst enemies and I need not have been worried. 

My session lasted about an hour and even in that short time learnt several things about myself that I was either unaware of or was unable to admit to myself. Ruth simply encourages you to work things out for yourself, with a few gentle prods to set you off in the right direction. She was most encouraging and has given me several things to think about and things to do. When I have finished those I may well be back for another session.

I feel both the articles and the coaching itself are extremely helpful, being removed from one's normal environment makes it feel somewhat safer to admit that things could be better, if only we knew how to change - well now we can find out."

     

"thank you so much for your assistance during our call, it highlighted so many areas of personal development, your a star!

From the session, I gained so many developmental points. Things such as:

1. how to manage a situation where you feel you need to discuss how it made you feel. Empowering yourself to be assertive but not rude or threatening to the other person, so achieving your aim. 

2.coping strategies for interpersonal relationships and how to protect and manage yourself to be constructive, but self developing. 

3.self value and worth to be right, and wrong     

4.that empowerment does not have to be critical of yourself and judgmental of yourself and others.   

5. what everyone else thinks is truely non of my business so why try to change and suit people, just be me.      

I cant tell you how much you helped me Ruth, thank you."

 

 

   
   
   

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