Milne Derek
Clinical Psychology Department, Newcastle University, UK.
Br J Clin Psychol. 2007 Nov;46(Pt 4):437-47. doi: 10.1348/014466507X197415.
The growing recognition of clinical supervision as the basis for high-quality mental health services is apparent in policy, research and clinical practice, but an empirical definition is required to progress research and practice.
A logical analysis was used to draft a working definition, and then a systematic review of 24 empirical studies of clinical supervision produced a best evidence synthesis, which was used to test and improve this definition.
The logical analysis indicated that the most popular definition (Bernard & Goodyear, 1992) failed all four necessary tests of a good definition: precision, specification, operationalization and corroboration. The systematic review synthesis was then used to test the working definition, which passed these tests (with two amendments).
These two complementary review approaches created a firmer basis for advancing research and practice.
临床督导作为高质量心理健康服务基础的认识在政策、研究和临床实践中日益凸显,但需要一个实证定义来推动研究和实践的发展。
运用逻辑分析起草一个工作定义,随后对24项临床督导实证研究进行系统综述,得出最佳证据综合结果,用于检验和完善该定义。
逻辑分析表明,最常用的定义(伯纳德和古德伊尔,1992年)未能通过一个好定义所需的全部四项必要测试:精确性、具体性、可操作性和确证性。然后使用系统综述综合结果来检验工作定义,该定义通过了这些测试(有两项修正)。
这两种互补的综述方法为推进研究和实践奠定了更坚实的基础。