Kilcullen Nora
School of Nursing, Dublin City University, Dublin, Ireland.
J Clin Nurs. 2007 Jun;16(6):1029-38. doi: 10.1111/j.1365-2702.2007.01661.x.
The aim of this study was to elicit clinical supervisors' and supervisees' experiences of clinical supervision while undertaking MSc/Graduate Diploma Programme in Renal and Urological Nursing.
Formal systems of clinical supervision have not been implemented in the Republic of Ireland. There is a growing awareness of their effectiveness in enhancing analytic skills and in helping to retain staff in clinical practice. Clinical supervision was incorporated in the MSc/Graduate Diploma Programme to enhance professional growth and development for students.
A qualitative descriptive research design was used in this study.
A purposive sample of 10 Registered Nurses participated in the study; five were clinical supervisors and the other five were supervisees. The study was undertaken at a large teaching hospital in the Republic of Ireland. Data were collected by semi-structured interviews and analysed using content analysis.
Following data analysis, six major categories emerged. These were, 'positive aspects''negative aspects', 'factors, which had an impact on the process of clinical supervision', 'support', 'formal systems of clinical supervision', 'reflective practice in groups'.
There was a general feeling that clinical supervision was a good experience for many members of this study group. The concept of clinical supervision was perceived as an inappropriate term to encompass the complexity of the clinical supervision sessions. This begs the question: is clinical supervision a practice with no name or should it be called something else? Giving a practice an appropriate name may empower registered nurses to implement this practice with confidence.
The findings of this study have implications for management and for the clinical environment, in terms of supporting and preparing practitioners to develop their critical and analytic skills.
本研究旨在了解临床督导人员和被督导人员在攻读肾脏与泌尿外科护理理学硕士/研究生文凭课程期间的临床督导经历。
爱尔兰共和国尚未实施正式的临床督导体系。人们越来越意识到其在提高分析技能和帮助临床实践人员留任方面的有效性。临床督导被纳入理学硕士/研究生文凭课程,以促进学生的职业成长和发展。
本研究采用定性描述性研究设计。
采用目的抽样法,选取10名注册护士参与研究;其中5名是临床督导人员,另外5名是被督导人员。研究在爱尔兰共和国的一家大型教学医院进行。通过半结构化访谈收集数据,并采用内容分析法进行分析。
数据分析后出现了六个主要类别。分别是“积极方面”“消极方面”“对临床督导过程有影响的因素”“支持”“正式的临床督导体系”“小组反思实践”。
总体感觉临床督导对该研究组的许多成员来说是一次不错的经历。临床督导这一概念被认为是一个不恰当的术语,无法涵盖临床督导课程的复杂性。这就引出了一个问题:临床督导是一种无名的实践,还是应该有其他称呼?给一种实践赋予一个合适的名称可能会使注册护士有信心地实施这种实践。
本研究结果对管理和临床环境具有启示意义,有助于支持和帮助从业者培养批判性和分析性技能。