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

Abstract

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.

Clinical Supervision: Challenging the Nursing Environment?

“…Dilworth et al, 2013, Mantzoukas, 2004, which, based on our interpretation, suggests that similar differences might exist there between the nursing and clinical supervision cultures. In short, some important aspects of the nursing environment culture, which contrast with the culture of supervision identified in the Czech context, have also been found by researchers in other countries.…”

“…Given the research evidence regarding the similarities between some aspects of nursing culture in various countries (e.g. Dilworth et al, 2013, Mantzoukas, 2004), the paradigm model titled "Clinical Supervision: Challenging the Nursing Environment?" might be a source of inspiration beyond the Czech context from within which it arose.…”

Etisk refleksjon og bevisstgjøring i veiledning

“…The participants were employed at the same workplace and therefore faced many of the same challenges in their daily work. Having a common starting point can be a benefit in the supervision (1). Seven of the participants were affiliated with the centre's general psychiatric outpatient clinic, and two were affiliated with the substance abuse outpatient clinic.…”

“…The supervisor must recognise the contextually complex challenges experienced by professional practitioners in their work (1). Many decisions in nursing practice are taken intuitively.…”

“…The studies that do exist show that supervision can be most effective when the focus is aimed at relevant and contextual themes. Due to the complexity of supervision, qualitative studies are best suited to exploring the impact of supervision and its potential transfer value in practice (1).…”