Clinical supervision of general nurses in a busy medical ward of a teaching hospital
Wendy M Cross
School of Nursing and Midwifery, Faculty of Medicine, Nursing and Health Sciences, Monash University, Clayton VIC
Alan Moore
Southern Health, Clayton VIC
Sherene Ockerby
Southern Health, Clayton VIC
PP: 245 - 253
Abstract
Aim: To implement and evaluate group clinical supervision (CS) for Associate Nurse Unit Managers (ANUMs) in a busy medical ward of a tertiary teaching hospital.
Background: Nursing work at managerial level is characterised by high stress, depersonalisation and burnout often leading to job dissatisfaction. CS was introduced as a strategy to reduce such issues, through reflection and sharing experiences.
Method: Six ANUMs from an acute medical ward participated in weekly CS. The program was evaluated by a focus group conducted after six months to gather feedback about the ANUMs' experience of participating in CS.
Results: CS was viewed positively and five main themes emerged including Dedicated Time, I'm Not The Only One experiencing problems, Getting With The Program and having consistent approaches, Positive And Constructive Feedback, and That Word 'supervision'.
Conclusions: CS provides senior nurses an opportunity to debrief, reflect and share common experiences and develop alternate approaches to problems. CS may offer managers a useful tool for retaining experienced senior nurses.
Keywords
nursing; clinical supervision; management; reflective practice; burnout; stress
References
Cleary M and Freeman A (2005) The cultural realities of clinical supervision in an acute inpatient mental health setting. Issues in Mental Health Nursing 26(5), 489-505.
Clegg A (2001) Occupational stress in nursing: A review of the literature. Journal of Nursing Management 9(2), 101-106.
Cole A (2002) Someone to watch over you... clinical supervision. Nursing Times 98(23), 22-25.
Cutcliffe JR (2005) From the guest editor - clinical supervision: A search for homogeneity or heterogeneity? Issues in Mental Health Nursing 26(5), 471-473.
Driscoll J (2000) Practising clinical supervision: A reflective approach. London: Elsevier.
Edwards D, Burnard P, Hannigan B, Cooper L, Adams J, Juggessur T, Fothergil A and Coyle D (2006) Clinical supervision and burnout: The influence of clinical supervision for community mental health nurses. Journal of Clinical Nursing 15(8), 1007-1015.
Hyrkäs K (2005) Clinical supervision, burnout, and job satisfaction among mental health and psychiatric nurses in Finland. Issues in Mental Health Nursing 26(5), 531-556.
Hyrkäs K, Appelqvist-Schmidlechner K and Haataja R (2006) Efficacy of clinical supervision: Influence on job satisfaction, burnout and quality of care. Journal of Advanced Nursing 55(4), 521-535.
Jones A (2003) Clinical supervision in promoting a balanced delivery of palliative nursing care. Journal of Hospice and Palliative Nursing 5(3), 168-175.
Kitzinger J (2005) Focus group research: Using group dynamics to explore perceptions, experiences and understandings. In I Holloway (Ed) Qualitative research in health care. Maidenhead, UK: Open University Press.
Lyth GM (2000) Clinical supervision: A concept analysis. Journal of Advanced Nursing 31(3), 722-729.
McSherry R, Kell J and Pearce P (2002) Clinical supervision and clinical governance. Nursing Times 98(23), 30-32.
Menzies IEP (1970) The functioning of social systems as a defence against anxiety. London: The Tavistock Institute of Human Relations.
Mills JE, Francis KL and Bonner A (2005) Mentoring, clinical supervision and preceptoring: Clarifying the conceptual definitions for Australian rural nurses: A review of the literature. Rural and Remote Health 5(3), 1-10.
Proctor B (1986) Supervision: A co-operative exercise in accountability. In M Marken and M Payne (Eds) pp.21-23. Leicester: National Youth Bureau and Council for Education and Training in Youth and Community Work.
Sloan G (1998) Focus group interviews: Defining clinical supervision. Nursing Standard 12(42), 40-43.
Stevenson C (2005) Post-modernising clinical supervision in nursing. Issues in Mental Health Nursing 26(5), 519-529.
Williams B, French B and Higgs J (2005) Clinical supervision: Community nurses' experience. Primary Health Care 15(6), 35-39.
Winstanley J and White E (2003) Clinical supervision: Models, measures and best practice. Nurse Researcher 10(4), 7-38.
Yegdich T (1998) How not to do clinical supervision in nursing. Journal of Advanced Nursing 28(1), 193-202.
Yegdich T (1999) Clinical supervision and managerial supervision: Some historical and conceptual considerations. Journal of Advanced Nursing 30(5), 1195-1204.
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