Dilworth Sophie, Higgins Isabel, Parker Vicki, Kelly Brian, Turner Jane
School of Nursing and Midwifery, University of Newcastle, Callahan, New South Wales, Australia.
J Adv Nurs. 2014 Feb;70(2):421-30. doi: 10.1111/jan.12211. Epub 2013 Jul 19.
This paper describes the research protocol for a study exploring if and how clinical supervision facilitates change in practice relating to psychosocial aspects of care for Health Professionals, who have been trained to deliver a psychosocial intervention to adults with cancer.
There is a recognized need to implement care that is in line with clinical practice guidelines for the psychosocial care of adults with cancer. Clinical supervision is recommended as a means to support Health Professionals in providing the recommended psychosocial care.
A qualitative design embedded within an experimental, stepped wedge randomized control trial.
The study will use discourse analysis to analyse audio-recorded data collected in clinical supervision sessions that are being delivered as one element of a large randomized control trial. The sessions will be attended primarily by nurses, but including physiotherapists, radiation therapists, occupational therapists. The Health Professionals are participants in a randomized control trial designed to reduce anxiety and depression of distressed adults with cancer. The sessions will be facilitated by psychiatrists experienced in psycho-oncology and the provision of clinical supervision.
The proposed research is designed specifically to facilitate exploration of the mechanisms by which clinical supervision enables Health Professionals to deliver a brief, tailored psychosocial intervention in the context of their everyday practice. This is the first study to use discourse analysis embedded within an experimental randomized control trial to explore the mechanisms of change generated within clinical supervision by analysing the discourse within the clinical supervision sessions.
本文描述了一项研究的研究方案，该研究旨在探索临床督导是否以及如何促进与癌症成年患者心理社会护理相关的实践改变，这些医护人员已接受培训，为癌症成年患者提供心理社会干预。
人们认识到需要实施符合癌症成年患者心理社会护理临床实践指南的护理。临床督导被推荐为支持医护人员提供推荐的心理社会护理的一种方式。
一项嵌入实验性阶梯楔形随机对照试验的定性设计。
该研究将使用话语分析来分析在临床督导会议中收集的音频记录数据，这些会议是作为一项大型随机对照试验的一个组成部分进行的。参加会议的主要是护士，但包括物理治疗师、放射治疗师、职业治疗师。这些医护人员是一项随机对照试验的参与者，该试验旨在减轻患有癌症的痛苦成年人的焦虑和抑郁。会议将由在心理肿瘤学和提供临床督导方面经验丰富的精神科医生主持。
拟议的研究专门设计用于促进探索临床督导使医护人员能够在日常实践中提供简短、量身定制的心理社会干预的机制。这是第一项使用嵌入实验性随机对照试验的话语分析，通过分析临床督导会议中的话语来探索临床督导中产生的改变机制的研究。
