Efficacy of clinical supervision: influence on job satisfaction, burnout and quality of care

Hyrkäs, Kristiina; Appelqvist‐Schmidlechner, Kaija; Haataja, Riina

doi:10.1111/j.1365-2648.2006.03936.x

Cited by 81 publications

(76 citation statements)

References 52 publications

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“…In addition, this study reveals that CS definitely influences the development of skills important for patient safety care (see Table 2). The links between CS and patient safety are discussed in the literature [38,44,45] and Dawson [38] suggested that the former has some positive impact on the latter. Sullivan et al [29] highlighted that nurses need to be prepared for their future professional practice with tools in the form of knowledge, skills and attitudes, enabling them to continuously improve the quality and safety of care.…”

Section: The Relationship Between Cs and Patient Safetymentioning

confidence: 99%

The influence of clinical supervision and its potential for enhancing patient safety - Undergraduate nursing students’ views

Amsrud¹,

Lyberg²,

Severinsson³

2015

JNEP

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Objective: The clinical learning environment and supervision are crucial for the development of a professional stance and identity as well as for ensuring patient safety. This study aims to investigate the influence of clinical supervision provided to nursing students by nurse facilitators in hospital settings. An additional objective was to report the relationship between clinical supervision and patient safety. Methods: In this cross-sectional study, the sample consisted of 66 nursing students recruited after their clinical placement during the second year of the bachelor programme. Data were collected by means of questionnaires and analysed using a descriptive and explorative method. Results: Regarding the impact of clinical supervision, a moderately significant relationship was found between the three factors "Increased patient participation and problem solving", "User involvement in terms of patient integrity" (r = 0.48) and "Enabling patient and family member participation" (r = 0.42) and the following Effects of Supervision Scale (ESS) factors; "Interpersonal skills" (r = 0.47), "Professional skills" (r = 0.50) and "Communication skills" (r = 0.59). There was also a moderately significant relationship between the factors "Trust/Rapport" and "Influence of supervision" for the item "Supportive yet challenging relationships" (r = 0.60). In addition, there was a strong correlation between the factors "Supervision advice/support issues" and "Influence of supervision" (r = 0.73). The former correlated weakly with "User involvement", i.e., maintaining integrity (r = 0.33). Conclusions: The nursing students reported increased awareness and a strong improvement related to interpersonal, professional and communication skills. These findings emphasize the potential of clinical supervision to contribute to personal growth and a caring attitude towards patients, thereby strengthening the development of skills essential for patient safety care. A practical implication of the findings is that nursing students' clinical placement and clinical supervision can be better utilized to achieve the overall aim of nursing education, i.e., ensuring patient safety.

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Section: The Relationship Between Cs and Patient Safetymentioning

confidence: 99%

The influence of clinical supervision and its potential for enhancing patient safety - Undergraduate nursing students’ views

Amsrud¹,

Lyberg²,

Severinsson³

2015

JNEP

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“…7,8 There has been relatively little work to develop a framework for conceptualizing effective supervisory strategies in residency training in general and internal medicine in particular. International work in the field of psychology indicates that a lack of training in how to supervise not only impacts the performance of clinical supervisors but also that of their trainees.…”

mentioning

confidence: 99%

Strategies for Effective On-Call Supervision for Internal Medicine Residents: The Superb/Safety Model

Farnan¹,

Johnson²,

Meltzer³

et al. 2010

Journal of Graduate Medical Education

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Background Supervision is central to resident education and patient safety, yet there is little published evidence to describe a framework for clinical supervision. The aim of this study was to describe supervision strategies for on-call internal medicine residents. Methods Between January and November 2006, internal medicine residents and attending physicians at a single hospital were interviewed within 1 week of their final call on the general medicine rotation. Appreciative inquiry and critical incident technique were used to elicit perspectives on ideal and suboptimal supervision practices. A representative portion of transcripts were analyzed using an inductive approach to develop a coding scheme that was then applied to the entire set of transcripts. All discrepancies were resolved via discussion until consensus was achieved. Results Forty-four of 50 (88%) attending physicians and 46 of 50 (92%) eligible residents completed an interview. Qualitative analysis revealed a bidirectional model of suggested supervisory strategies, the “SUPERB/SAFETY” model; an interrater reliability of 0.70 was achieved. Suggestions for attending physicians providing supervision included setting expectations, recognizing uncertainty, planning communication, having easy availability, reassuring residents, balancing supervision, and having autonomy. Suggested resident strategies for seeking supervision from attending physicians included seeking input early, contacting for active clinical decisions or feeling uncertain, end of life issues, transitions in care, or help with systems issues. Common themes suggested by trainees and attending physicians included easy availability and preservation of resident decision-making autonomy. Discussion Residents and attending physicians have explicit expectations for optimal supervision. The SUPERB/SAFETY model of supervision may be an effective resource to enhance the clinical supervision of residents.

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“…For the most part, supervisees (n=62, 95.4%) received clinical supervision from someone other than their line manager. This is consistent with best practice principles that advise against having dual and hierarchical relationships in clinical supervision (Dawson et al, 2012;Hyrkas et al, 2006;. Avoidance of dual relationships in clinical supervision facilitates the development of a safe learning environment for the supervisee and prevents administrative and managerial functions dominating the process (Beddoe, 2010).…”

Section: Supervision Arrangementsmentioning

confidence: 59%

“…For example, some studies show positive links between clinical supervision and professional development (Butterworth, Bell, Jackson, & Pajnkihar, 2008;Martino, Ball, Nich, Frankforter, & Carroll, 2008;Roche, Todd, & O'Connor, 2007), as well as decreased intent to leave and decreased burnout of workers (Begat & Severinsson, 2006;Hyrkas, Appelqvist-Schmidlechner, & Haataja, 2006). However findings from clinical supervision studies have been mixed, with some reports that supervisees have perceived clinical supervision to be ineffective for their practice (e.g.…”

Section: Introductionmentioning

confidence: 88%

“…Even though researchers have operationalised clinical supervision effectiveness by various measures, findings suggest that the effectiveness of the supervision practice is an important variable in relation to worker intention to leave outcomes (Butterworth et al, 2008;Carson, 2007;Hyrkas et al, 2006). While it seems that supervision effectiveness is important in relation to outcomes, researchers are not always clear about details of the supervision intervention under investigation (Carpenter et al, 2013).…”

Section: Effectiveness Of Clinical Supervision and Intention To Leavementioning

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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Efficacy of clinical supervision: influence on job satisfaction, burnout and quality of care

Cited by 81 publications

References 52 publications

The influence of clinical supervision and its potential for enhancing patient safety - Undergraduate nursing students’ views

The influence of clinical supervision and its potential for enhancing patient safety - Undergraduate nursing students’ views

Strategies for Effective On-Call Supervision for Internal Medicine Residents: The Superb/Safety Model

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

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