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

Abstract

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.

Development of Supervision Model based Experiential Learning for the Implementation of Patient Safety Goals at Teaching Hospital in Surabaya

“…This is in accordance with the previous study by Hastuti (2014), which reported a significant relationship between nurse's perception about supervision with nurse's performance. This is also consistent with the study conducted by Amsrud et al (2015), which revealed that clinical supervision definitely influences the development of important skills for patient safety care, Brunero et al (2010) also asserted that clinical supervision promotes professional accountability, skill, and knowledge development. Clinical supervision was more positive evaluation where the sessions running for over one hour and took place on at least a once a month (Edwards, Hannigan, & Fothergill, 2005).…”

Patient Safety, Adverse Healthcare Events and Near-Misses in Obstetric Care —A Systematic Literature Review

“…Symon et al [28] underline the need for openness in clinical practice, as well as clinical support such as supervision. Clinical supervision allows time to reflect on and learn from experiences and has been reported to lead to improved competence development in form of increased interpersonal, professional and communication skills [33] [34]. From an ethical perspective Berggren and Severinsson [35] explored the decision-making style of nurse supervisors from an ethical perspective by focusing on their priorities and interventions in the supervision process.…”

Evaluation Nursing Students’ Views of Improved Competence Development after Clinical Supervision: An Educative Approach to the WHO Patient Safety Model

“…Studies conducted by the present research team identified the following effects of student nurse supervision; increased understanding of patient needs, preserving patients' integrity and ensuring participation by patients and family members [7] [8]. These findings emphasize the potential of CS to contribute to personal growth and a caring attitude towards patients, thereby strengthening the development of skills essential for patient safety [9].…”

“…A package of three standardized instruments was used to measure key variables [9]. The BSN students' views of whether or not professional development had improved after attending CS in their clinical placement were assessed by means of a questionnaire that included demographic items, the Manchester Clinical Supervision Scale (MCSS) [16], the Effects of Supervision Scale (ESS) [17] and the Focus on Empowerment Supervision Scale (FESS) [7].…”