Lynch Lisa, Happell Brenda
Child and Adolescent Mental Health Services (CAMHS), Southern Health, Queensland, Australia.
Int J Ment Health Nurs. 2008 Feb;17(1):65-72. doi: 10.1111/j.1447-0349.2007.00512.x.
This paper presents the second part of the findings of an Australian study examining the implementation of clinical supervision in a rural mental health service. A qualitative, exploratory approach was adopted, which included the auditing of relevant documentation and interviews with the nurses who oversaw the implementation process. Within this organization, implementation happened through five stages. The first two stages (preimplementation) were described in Part 1 of this paper. Part 2 describes stages 3-5, including: the strategic plan; implementing the strategic plan; and reflecting on the past and moving forward. The implementation model developed as a result of this research is presented in Part 3. The main findings from these stages included: the role of the implementation committee; the need for a strategic approach; the necessity of education and training; the ongoing importance of assessing organizational culture and considering the sustainability of clinical supervision.
本文介绍了一项澳大利亚研究的第二部分研究结果,该研究考察了农村心理健康服务中临床督导的实施情况。研究采用了定性的探索性方法,包括对相关文件进行审计以及对监督实施过程的护士进行访谈。在该机构中,实施过程分为五个阶段。本文第一部分描述了前两个阶段(实施前阶段)。第二部分描述了第3至5阶段,包括:战略计划;实施战略计划;反思过去并向前迈进。第三部分介绍了基于本研究开发的实施模型。这些阶段的主要研究结果包括:实施委员会的作用;采取战略方法的必要性;教育和培训的必要性;持续评估组织文化以及考虑临床督导可持续性的重要性。