Jones A
School of Nursing, Midwifery and Social Work, University of Manchester, North Wales Section of Psychological Medicine, Wrecsam, UK.
Eur J Cancer Care (Engl). 2006 May;15(2):155-62. doi: 10.1111/j.1365-2354.2005.00642.x.
This paper discusses the aspects of a small research study, which used mixed research methods. The study concerned group-format supervision as a means of helping five hospice nurses, four women and one man, discuss their work experiences. An aim of the study was to understand something of the professional work of hospice nurses and how they might best be supported. Ethical considerations and some benefits derived by group members from clinical supervision are summarized in the context. The research method entailed 12 sessions of group-format clinical supervision. The discussion explores the forming, management and dynamics of a small clinical supervision group. Hospice work is emotionally demanding of nurses. Nurses throughout this small study thought over issues concerning serious illness, death and bereavement, as well as working together as a supervision group. Group-format supervision is potentially helpful to nurses examining professional practice. However, group work can be as challenging to participants as it is helpful. The discussion concludes with an appraisal of the potential gains for nurses from clinical supervision in group-format. This paper proposes that supervision groups could help hospice nurses to identify and explore issues related to professional practice. Adequate preparation of nurses, organizational support and the competency of group facilitators should be considered critical to safe and effective management of professional groups.
本文讨论了一项小型研究的相关方面，该研究采用了混合研究方法。该研究关注小组形式的督导，以此作为帮助五名临终关怀护士（四名女性和一名男性）讨论其工作经历的一种方式。该研究的一个目的是了解临终关怀护士的专业工作情况以及如何能为他们提供最佳支持。文中在相应背景下总结了伦理考量以及小组成员从临床督导中获得的一些益处。研究方法包括12次小组形式的临床督导。讨论探讨了一个小型临床督导小组的组建、管理及动态情况。临终关怀工作对护士的情感要求很高。在这项小型研究中，护士们思考了与重病、死亡和丧亲之痛相关的问题，以及作为一个督导小组共同工作的情况。小组形式的督导对审视专业实践的护士可能有帮助。然而，小组工作对参与者来说既有益处也具有挑战性。讨论最后对小组形式的临床督导给护士带来的潜在收获进行了评估。本文提出，督导小组可帮助临终关怀护士识别和探讨与专业实践相关的问题。护士的充分准备、组织支持以及小组 facilitators 的能力应被视为对专业小组进行安全有效管理的关键因素。 （注：“facilitators”此处可能指“促进者”“引导者”等，具体含义需结合上下文确定）
