Clinical supervision of allied health professionals in country <scp>S</scp>outh <scp>A</scp>ustralia: A mixed methods pilot study

Kumar, Saravana; Osborne, Kate; Lehmann, Tanya

doi:10.1111/ajr.12231

Cited by 20 publications

(24 citation statements)

References 6 publications

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“…The findings of this study provided rich information on the importance of the supervisory relationship as well as the value placed on CS by occupational therapy supervisees. A further Australian study [20] of allied health professionals used focus groups and individual semi-structured interviews to explore participant experiences in their own words and descriptions. These studies called for further CS research with rural and remote allied health professionals to address existing knowledge gaps.…”

Section: Introductionmentioning

confidence: 99%

Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision

et al. 2019

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BackgroundThe benefits of clinical supervision are more pronounced for health professionals in rural and remote areas. Most clinical supervision studies to date have occurred in metropolitan centres and have used the survey methodology to capture participant experiences. There is a lack of qualitative research that captures participants’ lived experiences with clinical supervision at the frontline.MethodsParticipants were recruited from rural and remote sites of two Australian states using a purposive maximum variation sampling strategy. Data were collected through individual, semi-structured interviews with participants. Data were analysed using content analysis and themes were developed. Sixteen participants from six professions completed the interviews.ResultsEight themes were developed including the content of supervision, context of supervision, value of supervision, increased need for professional support and unique characteristics of rural and remote clinical supervision.ConclusionsThis study has highlighted the value of clinical supervision for the rural and remote health professional workforce. Furthermore, it has shed light on the unique characteristics of clinical supervision in this population. This information can be used by organisations and health professionals to ensure clinical supervision partnerships are effective thereby enhancing rural and remote workforce recruitment and retention.

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Section: Introductionmentioning

confidence: 99%

Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision

et al. 2019

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“…The connections between the conceptual framework and the methodological design were discussed in Chapter The professional discipline of the worker is also considered within the study in order to investigate whether outcomes are consistent across professions. It has been identified that there are both commonalities as well as differences between professions regarding the clinical supervision experience (Dawson et al, 2012;Kumar et al, 2015). In addition, the research questions seek information about any factors either within the clinical supervision relationship, or within the broader organisation, that affect, either negatively or positively, the effectiveness of clinical supervision in delivering the identified outcomes of support, professional development and guidance for clinical practice.…”

Section: Methodological Designmentioning

confidence: 99%

“…Methodological problems have impeded attempts to clarify the outcomes of clinical supervision (Bogo & McKnight, 2006;Roche et al, 2007) or to determine the characteristics of clinical supervision that are linked to effectiveness (Carpenter et al, 2013). In addition, as profession-specific differences are evident in clinical supervision practice (Dawson, Phillips, & Leggat, 2012), some have questioned whether a common supervision framework will be appropriate for a diverse range of allied health professionals (Kumar, Osborne, & Lehmann, 2015).…”

Section: Introductionmentioning

confidence: 99%

Clinical supervision, burnout and intent to leave: an Australian mixed methods study of community-based allied health professionals

Saxby¹

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ObjectiveClinical supervision is widely recognised for providing professional support, professional development and clinical governance for healthcare workers. Despite the growing uptake of clinical supervision, there have been few studies about the effectiveness of supervision for allied health professionals and fewer studies conducted within the Australian health context. This study aims to identify the perceived effectiveness of clinical supervision of allied health professionals in an Australian metropolitan community health setting. The study also sought to identify those factors that contribute to effectiveness and the relationship between clinical supervision effectiveness, burnout and intention to leave, as well as any profession-specific differences. MethodologyThe research has a two-phase, explanatory-sequential, mixed methods design. In Study 1, participants (n = 82) anonymously completed an on-line questionnaire, administered through the health service's intranet at 8 months post-implementation of the intervention, a structured model of clinical supervision. Study 2, commenced 12 months postimplementation and comprised several focus groups (n = 26), separately attended by supervisees (n = 15), and supervisors (n = 11). The sample was drawn from the population of allied health professionals (N = 120) who were receiving or providing supervision within the study location.The on-line questionnaire sought demographic data, work history and the number and length of supervision sessions. Clinical supervision effectiveness was operationalised using the Manchester Clinical Supervision Scale-26 (MCSS-26©); burnout was measured using the Maslach Burnout Inventory; and intention to leave was operationalised using the Intent to Leave Scale. ResultsEighty-two allied health professionals participated in Study 1, resulting in a 68% response rate. Ages ranged from 24 to 66 years, and females accounted for 89% (n = 71) of all respondents. The professions of occupational therapy, physiotherapy and social work together comprised 73% of the total number of participants. Twenty-six allied health ii professionals participated in the five focus groups of Study 2. All participants were female, with 81% belonging to the professions of occupational therapy, physiotherapy and social work.Overall, clinical supervision was perceived as effective. In the main, supervisee's responses illustrated that supervision provided effective professional support, education and guidance for professional practice.'Time', as well as specific procedural factors, were found to be important in relation to Significant associations were found between clinical supervision effectiveness and burnout and intention to leave. Highly efficacious supervision was significantly and negatively associated with Emotional Exhaustion and Depersonalization. In addition, higher scores on "Finding Time" were significantly correlated with lower scores of Emotional Exhaustion.Effective supervision was significantly and positively associated with Personal Accomp...

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“…The challenges include an aging population that will require significant health care resources, the rise of chronic conditions that impact on the mortality and morbidity of the population, limited health care resources due to efficiency measures necessitated by budgetary constraints, chronic shortage of health care professionals, especially in rural and regional areas, and an increasing focus on consumer-centred care, where the consumer is an active participant in health care decision-making and not merely a passive recipient. 1 , 2 …”

Section: Introductionmentioning

confidence: 99%

Tips for using students during times of change in health care: lessons from the literature and from practice

Kumar

Lensink

Turnbull

2017

AMEP

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BackgroundIt is often said that the only constant in health care is change. While change is inevitable, implementing change in health care is complex, and health care stakeholders are often confronted by numerous barriers and challenges. Historically, students have been an integral part of the health system through aspects such as clinical placements, and hence, may play a role during times of change.AimThe aim of this study is to provide strategies for using students as positive agents of change by discussing opportunities and highlighting challenges.MethodThe tips proposed in this commentary are derived from the literature, identified using a systematic search, and from our experiences at the “coal face” of engaging students during times of change.ResultsThis article highlights specific challenges, targeted opportunities, and critical success factors of using students as agents of change. Students can play an important role in enhancing service provision, providing opportunities for staff recognition, and being enablers to drive, implement, and evaluate change in the health system and wider community. However, in order to achieve these positive impacts, it is imperative to recognize and address staff concerns early and build upon a number of critical success factors. These critical success factors such as inter-sectoral engagement, clarity, collaboration, support, training, resources, and ongoing evaluation can “make or break” students’ involvement in a health service, and therefore, careful and regular consideration of these factors is recommended.ConclusionWe believe that these tips, synthesized from evidence from the literature and our first-hand experiences, will assist health care stakeholders in utilizing students as timely, effective, and practical agents of change.

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Clinical supervision of allied health professionals in country South Australia: A mixed methods pilot study

Abstract: The findings from this research highlight that while clinical supervision has an important role to play, it is not a panacea for all the ills of the health care system.

Cited by 20 publications

References 6 publications

Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision

Debriefing about the challenges of working in a remote area: A qualitative study of Australian allied health professionals’ perspectives on clinical supervision

Clinical supervision, burnout and intent to leave: an Australian mixed methods study of community-based allied health professionals

Tips for using students during times of change in health care: lessons from the literature and from practice

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