School of Professional Studies, University College of Bodø, 8049 Bodø, Norway.
J Nurs Manag. 2010 May;18(4):477-86. doi: 10.1111/j.1365-2834.2010.01085.x.
Increase understanding of nursing leadership in group clinical supervision (CS).
Leadership in CS has received little interest besides the theories in use and administrative CS.
Hermeneutic interpretation of written narratives of 24 clinical nurse supervisors.
Continuity in structuring, story and mission and reflection in group and leadership processes and theories of nursing and caring characterize leadership in CS. Leadership by inhibiting and creating fear, inapproachability and indistinctiveness were patterns in content brought to CS. Supervision when leadership was involved illuminated a reflexive change in focus from leadership to nursing care, from particular experiences to nursing and caring science, and from the unfamiliar to the well known and the well known to the unknown.
Continuity and reflective changes using nursing and caring theories seem to be core ideas of nursing leadership from the perspective of CS. The poles of separation and communion show opposites of nursing leadership as it is illuminated in CS. The findings add knowledge to Bondas' theory of caritative leadership.
CS is a reflexive practice of support and guidance that seems to have an impact on the trajectory of nursing care and staff development using nursing and caring theories.
增进对团体临床督导（CS）中护理领导的理解。
除了正在使用的理论和行政 CS 之外，CS 中的领导作用几乎没有引起关注。
对 24 名临床护士主管的书面叙述进行解释性解释。
在团体和领导过程以及护理和关怀理论中，结构、故事和使命的连续性以及反思特征化了 CS 中的领导。通过抑制和制造恐惧、难以接近和不明显的领导方式是 CS 中带来的内容模式。当涉及领导时，监督照亮了一个反思性的焦点变化，从领导到护理，从特定的经验到护理和关怀科学，从陌生到熟悉，从熟悉到陌生。
从 CS 的角度来看，使用护理和关怀理论的连续性和反思性变化似乎是护理领导的核心思想。分离和共同体的两极显示了 CS 中所阐明的护理领导的对立面。这些发现增加了对 Bondas 关爱领导理论的认识。
CS 是一种支持和指导的反思性实践，似乎使用护理和关怀理论对护理和员工发展的轨迹产生影响。
