La Trobe Rural Health School, La Trobe University Bendigo, PO Box 199, Victoria 3550, Australia.
Mt Alexander Hospital, PO Box 50, Castlemaine, Victoria, Australia.
Nurse Educ Pract. 2013 May;13(3):165-169. doi: 10.1016/j.nepr.2012.08.009. Epub 2012 Sep 12.
In a practice environment characterised by diversity and unpredictability, the role of rural nurses is described as challenging. Developing strategies to support rural nurses is important, for recruitment and retention, and to ensure that nurses provide quality services for rural communities. Most researchers recommend ongoing education as almost a panacea to the challenges that rural nurses face. In this Australian study, there was interest in exploring the potential for clinical supervision as a mechanism for supporting rural nurses. Clinical supervision has been identified as a useful means of reflecting on practice, building resilience, reducing stress and avoiding burnout. A six month clinical supervision programme was developed and implemented with twenty two rural nurses. Using an interpretive descriptive design, a group discussion on participant views of the programme was conducted. Using a thematic network approach, three themes; becoming reflective, understanding and commitment, and losing the client were developed. While in no way devaluing the usefulness of clinical supervision, the findings from this study provide guidance for others introducing similar programmes and indicate that clinical supervision must be focused, well planned and supported.
在一个以多样性和不可预测性为特征的实践环境中，农村护士的角色被描述为具有挑战性。制定支持农村护士的策略很重要，这有助于招聘和留住护士，并确保护士为农村社区提供优质服务。大多数研究人员建议将继续教育作为农村护士面临的挑战的几乎万能药。在这项澳大利亚研究中，人们有兴趣探讨临床监督作为支持农村护士的一种机制的可能性。临床监督已被确定为一种有用的反思实践、增强适应力、减轻压力和避免倦怠的方法。为 22 名农村护士制定并实施了一项为期六个月的临床监督计划。采用解释性描述性设计，对参与者对该计划的看法进行了小组讨论。使用主题网络方法，开发了三个主题：变得具有反思性、理解和承诺，以及失去客户。虽然绝不是贬低临床监督的有用性，但这项研究的结果为其他引入类似计划的人提供了指导，并表明临床监督必须有重点、精心计划和支持。
