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基于地区综合医院的一组病房经理的临床监督的效果:一项评估性研究。

The effectiveness of clinical supervision for a group of ward managers based in a district general hospital: an evaluative study.

机构信息

Mayday Healthcare NHS Trust, Kingston University and St George's University of London, London, UK.

出版信息

J Nurs Manag. 2012 Sep;20(6):782-93. doi: 10.1111/j.1365-2834.2011.01277.x. Epub 2011 Aug 12.

Abstract

AIM

To present an evaluative audit assessing the effectiveness of clinical supervision for ward managers.

BACKGROUND

A year-long project to introduce clinical supervision to ward managers was implemented and evaluated. The objectives were to evaluate staff perceptions of implementing clinical supervision and determine its outcomes.

METHOD

An audit evaluation process was used.

RESULTS

Findings are presented against perceptions, implementation and reported outcomes of clinical supervision. Insights were gained into its relevance and importance to nurses and the organisation. Findings show that clinical supervision was perceived to be effective and helped improve patient care, but some feared it becoming a form of managerial control.

CONCLUSIONS

Ward managers perceived advantages for personal and professional development from adopting this process.

IMPLICATIONS FOR NURSING MANAGEMENT

There is a need for greater understanding of clinical supervision before Trusts implement it. The introduction of a resource pack for clinical areas would also be of value. Finally, there needs to be a named person who has a special knowledge of clinical supervision to act as a champion and change agent in effecting implementation at both the executive level and within each clinical area.

摘要

目的

介绍一项评估性审计,评估临床监督对病房经理的有效性。

背景

实施并评估了一项为期一年的将临床监督引入病房经理的项目。目标是评估员工对实施临床监督的看法,并确定其结果。

方法

采用审计评估流程。

结果

根据临床监督的实施、感知和报告结果呈现调查结果。深入了解了其对护士和组织的相关性和重要性。调查结果表明,临床监督被认为是有效的,并有助于改善患者护理,但有人担心它会成为一种管理控制形式。

结论

病房经理认为采用这一过程有助于个人和职业发展。

对护理管理的启示

在信托基金实施之前,需要进一步了解临床监督。为临床科室编制资源包也将具有价值。最后,需要有一个对临床监督有特殊知识的人,作为在执行层面和每个临床科室实施的拥护者和变革推动者。

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