Nursing leadership from the perspective of clinical group supervision: a paradoxical practice

Bondas, Terese

doi:10.1111/j.1365-2834.2010.01085.x

Cited by 30 publications

(25 citation statements)

References 31 publications

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“…On the other hand, it could be seen as a weakness that the new participants focused on other development areas that were nearest to their own interest and professional expertise. Other studies have shown that continual changes in the health care sector organisations are a natural part of the reality, which is also mirrored in research projects [30,31] . Taking the initiative, led by the study leader, the participants engaged in exploring issues of their practice in order to find out what they need for future development [16] .…”

Section: Discussion Of Findingsmentioning

confidence: 97%

How the professionals can identify needs for improve- ment and improve Food Distribution service for the home-living elderly people in Sweden - an action research project

Pajalić¹,

Skovdahl²,

Westergren³

et al. 2013

JNEP

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Background: Making changes to municipal social care and service has been found to be challenging to realise and highly multifaceted. The aim of this study was to describe how the professionals can identify needs for improvement and improve Food Distribution (FD) service for the home-living elderly people in Sweden. Methods:This study is part of a larger project with an action research approach focusing on to municipal FD to older people living in their own home in Sweden. The professionals involved in FD invited the first author to assist them in this process. The study participants were comprised of the following groups: "The Identification focus group" that identified need for improvement of FD (n= 5); "The Action focus group" that planned and choose suitable 'action' for improvement (n=5); "The First Evaluation group" (n=4) that evaluated the content of planned improvement and finally "The Second Evaluation group" (n=29) that evaluated the changes following improvement. The data was gathered and analysed by Story Dialogue Method. Results:The need to update and increase the FD recipient's knowledge in nutrition by sending them informative letters was found to be an important area to focus on. The information letters (n=1700) were distributed to the all FD recipients in six municipalities in southern Sweden during April 2011. The results were evaluated during May 2011. The overall general estimation was that the content of the letters indicated that this was a suitable method for gaining information to make a nutrition competence update. Following this, "The Action focus group" decided: firstly, to continue preparing and distributing information letters to all FD recipients to be sent out twice a year, and secondly: to make the information letters accessible on the websites of the six municipalities and county councils involved. Conclusions:This study showed that systematic work inspired by an action research approach with motivated and involved participants can be beneficial and a starting point for the process of change in municipal service and care practice. The major conclusion of the study was that systematic reflection over everyday practice can be the vehicle for the future change of practice. The research process and the findings have implications for nursing, care of the elderly and gerontology.

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Section: Discussion Of Findingsmentioning

confidence: 97%

How the professionals can identify needs for improve- ment and improve Food Distribution service for the home-living elderly people in Sweden - an action research project

Pajalić¹,

Skovdahl²,

Westergren³

et al. 2013

JNEP

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“…It is the health organizations who are responsible for developing and maintaining clinical supervision for nurses [29]. Clinical supervision is a reflective practice where nurses are given support and supervision on practice, which then will contribute to the nurses' professional and personal development [30]. …”

Section: Discussionmentioning

confidence: 99%

“Values That Vanish into Thin Air”: Nurses' Experience of Ethical Values in Their Daily Work

Bentzen

Harsvik

Brinchmann

2013

Nursing Research and Practice

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The objective of this study was to examine how nurses experience ethical values as they are expressed in daily practice in a Norwegian hospital. A growing focus in Western healthcare on effectiveness, production, and retrenchment has an influence on professional nursing standards and nursing values. Lack of resources and subsequent ethically difficult prioritizations imply a strain on nurses. This study is qualitative. Data collection was carried out by conducting 4 focus group interviews. The data was analyzed using content analysis. The results are presented in two main themes: (1) values and reflection are important for the nurses; (2) time pressure and nursing frustrations in daily work. The results demonstrate that nurses believe the ethical values to be of crucial importance for the quality of nursing; however, the ethical values are often repressed in daily practice. This results in feeling of frustration, fatigue, and guilty conscience for the nurses. There is a need for changes in the system which could contribute to the development of a caring culture that would take care of both patients and nurses. In an endeavour to reach this goal, one could apply caritative leadership theory, which is grounded on the caritas motive, human love, and mercy.

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“…These anxieties can be exacerbated through open group format in which the group members vary from session to session (Brunero & Lamont, 2012) or when the group is multidisciplinary (Hyrkäs et al, 2002). This can be overcome and the group can build and enhance trusting and collaborative relationships (Bondas, 2010;Hyrkäs et al, 2002;Jones, 2006;Stevenson, 2005).…”

Section: Multidisciplinary Team Clinical Supervisionmentioning

confidence: 95%

“…The creation of shared meanings of care and experiences are described repeatedly (Cleary & Freeman, 2005;Cross et al, 2010;Holst, Edberg, & Hallberg, 1999;Stevenson, 2005). This creates the opportunity to develop consensual cohesive practices creating new ways of collaborating (Bondas, 2010; The discussion around on whose time clinical supervision should be held draws out further discussion around the need to legitimise this as real nursing work. The cost implications of clinical supervision are yet another excuse used to devalue or dismiss clinical supervision.…”

Section: Critical Refl Ection To Generate Shared Understandingmentioning

confidence: 96%

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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Nursing leadership from the perspective of clinical group supervision: a paradoxical practice

Abstract: CS is a reflexive practice of support and guidance that seems to have an impact on the trajectory of nursing care and staff development using nursing and caring theories.

Cited by 30 publications

References 31 publications

How the professionals can identify needs for improve- ment and improve Food Distribution service for the home-living elderly people in Sweden - an action research project

How the professionals can identify needs for improve- ment and improve Food Distribution service for the home-living elderly people in Sweden - an action research project

“Values That Vanish into Thin Air”: Nurses' Experience of Ethical Values in Their Daily Work

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

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