Cost and resource implications of clinical supervision in nursing: an Australian perspective

White, Edward; Winstanley, Julie

doi:10.1111/j.1365-2934.2006.00721.x

Cited by 16 publications

(22 citation statements)

References 12 publications

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“…Despite this exception, the vast majority of supervisors reported that they struggled to find the time to provide supervision within their existing workloads. The challenge of finding time for supervision is well documented as being a major barrier to effective clinical supervision practice (Dawson et al, 2012;LLoyd et al, 2014;White & Winstanley, 2006) and the current study reflects this frequent finding.…”

Section: Plan)" Brooklynsupporting

confidence: 58%

“…However, the number of inconsistencies found in the literature makes it difficult to draw firm conclusions (Crow, 2008;White & Winstanley, 2006). In Watkins and Milne's (2014) recent appraisal of the clinical supervision literature, they lament the dearth of process-outcome research, that is, studies that examine "the relationship between what was done and its effect" (p. 683).…”

Section: Resultsmentioning

confidence: 99%

“…Second, the study's findings demonstrate that lack of time was a consistent barrier to clinical supervision effectiveness. This is not a new finding as studies indicate that lack of time persists as one of the most unrelenting variables associated with clinical supervision ineffectiveness (White & Winstanley, 2006). For supervision to be effective, time for supervision needs to be protected by embedding supervision into standard work practices and workloads and viewing this time away from direct clinical duties as an intervention to ensure the safety and quality of clinical practice.…”

Section: Implications For Health Service Managementmentioning

confidence: 99%

“…Although propose that there is little difference in supervisory practices across the various human service disciplines, others have noted that the nursing profession can perceive supervision as hierarchical and punitive (Bogo, Paterson, Tufford, & King, 2011), have difficulty engaging in supervision (Fletcher, 2008;Stein-Parbury, 2013;White & Winstanley, 2006), and be reluctant to fully incorporate the practice (White, 2016). Dawson et al (2013b) have suggested that caution be exercised when generalising clinical supervision findings from nursing populations to the allied health professions.…”

Section: Literature Reviewmentioning

confidence: 99%

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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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Section: Plan)" Brooklynsupporting

confidence: 58%

Section: Resultsmentioning

confidence: 99%

Section: Implications For Health Service Managementmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

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

Saxby¹

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“…Managers refusal to pay time in lieu for attendance (White & Winstanley, 2009). Based on 14 hours of supervision per year, one-to-one, peer supervision the cost of clinical supervision for nurses is 1% of their annual salary (White & Winstanley, 2006). This would be decreased further if supervision was monthly and a group model was implemented.…”

Section: Critical Refl Ection To Generate Shared Understandingmentioning

confidence: 99%

Finding a way forward: A literature review on the current debates around clinical supervision

et al. 2013

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Nursing research increasingly calls for clinical supervision to support nurses and improve nursing practice. Despite this, clinical supervision is not well established in healthcare organisations. This paper employs a critical interpretive approach to review the clinical supervision literature. The review discusses the current debates and challenges exploring possible ways of moving beyond the current criticisms and limitations in the literature. The review concludes that despite some confusion about the quantifiable outcomes, clinical supervision presents a professionally enriching activity that provides a forum for sharing of knowledge and generation of shared understandings of health care. Through this shared experience it is possible that innovative and creative approaches to health care will be born.

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Group clinical supervision for allied health professionals

Gardner

McKinstry

Perrin

2021

Australian J Rural Health

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Objective To evaluate a group clinical supervision program for allied health professionals in a regional health service. Design This study used a mixed‐methods design including a cross‐sectional, quantitative survey of group clinical supervision participants and a focus group of facilitators. Setting A large regional health service in Victoria, providing hospital, community and mental health services. Participants Allied health professionals and managers employed at the health service. Interventions Group clinical supervision, based on a critical reflection model, was implemented in 3 settings. Main outcome measure The Clinical Supervision Evaluation Questionnaire was administered to group clinical supervision participants, with additional open‐ended questions included. The Clinical Supervision Evaluation Questionnaire tool consists of 3 subscales relating to the purpose, process and impact of group clinical supervision. A focus group was used to capture the perspectives of group clinical supervision facilitators. Results Fifteen survey responses were received. The overall Clinical Supervision Evaluation Questionnaire score was 56.53 (standard deviation 7.66). Scores for the Process Subscale were higher than the Purpose and Impact subscales. Themes from the open‐ended survey questions included the following: value of multiple perspectives, opportunities for reflection, peer support and group process and structure. Themes from group facilitators’ focus group included the following: need for group clinical supervision, value of facilitator training and support, and sustainability. Conclusion Group clinical supervision was perceived to be effective, enhancing reflection, learning and peer support. Organisational support, facilitator training, group structure and planning for sustainability were identified as critical factors for success. Interprofessional and cross‐organisational models of group clinical supervision are strategies that could help address issues relating to access to quality clinical supervision for rural allied health professionals.

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Cost and resource implications of clinical supervision in nursing: an Australian perspective

Cited by 16 publications

References 12 publications

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

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

Finding a way forward: A literature review on the current debates around clinical supervision

Group clinical supervision for allied health professionals

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