Institute of Public Health, University of Southern Denmark, Institute of Public Health, Odense C, Denmark.
Int J Ment Health Nurs. 2011 Apr;20(2):95-101. doi: 10.1111/j.1447-0349.2010.00709.x.
This paper is a report of an interview study exploring psychiatric hospital nursing staff members' reflections on participating in supervision. Clinical supervision is a pedagogical process designed to direct, develop, and support clinical nurses. Participation rates in clinical supervision in psychiatric settings have been reported to be relatively low. Qualitative research indicates that staff members appreciate clinical supervision, but paradoxically, do not prioritize participation and find participation emotionally challenging. Little is known about these contradictory experiences and how they influence participation rates. Twenty-two psychiatric hospital nursing staff members were interviewed with a semistructured interview guide. Interview transcripts were interpreted by means of Ricoeur's hermeneutic method. The respondents understood clinical supervision to be beneficial, but with very limited impact on their clinical practice. Neither management nor the staff effectively prioritized clinical supervision, which added to a downward spiral where low levels of participation undermined the potential benefits of clinical supervision. The respondents embraced and used alternative forums for getting emotional support among peers, but maintained that formalized supervision was the only forum for reflection that could solve the most difficult situations.
这篇论文是一份访谈研究报告，探讨了精神科医院护理人员对参与监管的反思。临床监督是一种旨在指导、发展和支持临床护士的教学过程。据报道，精神科环境中的临床监督参与率相对较低。定性研究表明，工作人员赞赏临床监督，但矛盾的是，他们并没有优先参与，并且发现参与具有情感挑战性。对于这些矛盾的体验以及它们如何影响参与率，我们知之甚少。对 22 名精神科医院护理人员进行了半结构化访谈，并采用了 Ricoeur 的解释学方法对访谈记录进行了解释。受访者认为临床监督是有益的，但对他们的临床实践影响非常有限。管理层和员工都没有有效地优先考虑临床监督，这加剧了一种恶性循环，即低水平的参与削弱了临床监督的潜在好处。受访者接受并利用同行之间的其他论坛来获得情感支持，但坚持认为正式监督是唯一可以解决最困难情况的反思论坛。
