Access to clinical supervision for registered nurses is an important way of maintaining and improving standards of patient care. Ten years ago clinical supervision only existed for the community nurse specialists within a group of hospices in the south east of England managed under one clinical governance framework. With the appointments of a lead nurse for patient safety and quality and an education and training co-ordinator the whole system of clinical supervision was reviewed to include all nursing staff (registered nurses, health-care assistants and community associate practitioners) from the inpatient, day hospice and community services. This article looks at the methods employed to initiate a reflective clinical supervision programme using a group model. Details in this article are provided on the processes for implementation addressing the practicalities of providing this valued service and how to overcome some of the difficulties encountered.
Appropriately skilled staff are required to meet the health and care needs of aging populations yet, shared competencies for the workforce are lacking. This study aimed to develop multidisciplinary core competencies for health and aged care workers in Australia through a scoping review and Delphi survey. The scoping review identified 28 records which were synthesized through thematic analysis into draft domains and measurable competencies. Consensus was sought from experts over two Delphi rounds (n = 111 invited; n = 59 round one; n = 42 round two). Ten domains with 66 core competencies, to be interpreted and applied according to the worker's scope of practice were finalized. Consensus on multidisciplinary core competencies which are inclusive of a broad range of registered health professionals and unregistered aged care workers was achieved. Shared knowledge, attitudes, and skills across the workforce may improve the standard and coordination of person-centered, integrated care for older Australians from diverse backgrounds.
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