Martin Priya, Kumar Saravana, Lizarondo Lucylynn, Tyack Zephanie
Cunningham Centre, Darling Downs Hospital and Health Service, Toowoomba, Queensland, Australia.
International Centre for Allied Health Evidence (iCAHE), School of Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Aust Occup Ther J. 2016 Oct;63(5):338-346. doi: 10.1111/1440-1630.12314. Epub 2016 Aug 4.
BACKGROUND/AIM: Clinical supervision is important for effective health service delivery, professional development and practice. Despite its importance there is a lack of evidence regarding the factors that improve its quality. This study aimed to investigate the factors that influence the quality of clinical supervision of occupational therapists employed in a large public sector health service covering mental health, paediatrics, adult physical and other practice areas.
A mixed method, sequential explanatory study design was used consisting of two phases. This article reports the quantitative phase (Phase One) which involved administration of the Manchester Clinical Supervision Scale (MCSS-26) to 207 occupational therapists.
Frequency of supervision sessions, choice of supervisor and the type of supervision were found to be the predictor variables with a positive and significant influence on the quality of clinical supervision. Factors such as age, length of supervision and the area of practice were found to be the predictor variables with a negative and significant influence on the quality of clinical supervision.
Factors that influence the perceived quality of clinical supervision among occupational therapists have been identified. High quality clinical supervision is an important component of clinical governance and has been shown to be beneficial to practitioners, patients and the organisation. Information on factors that make clinical supervision effective identified in this study can be added to existing supervision training and practices to improve the quality of clinical supervision.
背景/目的：临床督导对于有效的医疗服务提供、专业发展及实践至关重要。尽管其很重要，但关于提高其质量的因素仍缺乏证据。本研究旨在调查影响在涵盖心理健康、儿科、成人身体及其他实践领域的大型公共部门医疗服务机构中工作的职业治疗师临床督导质量的因素。
采用混合方法、序列解释性研究设计，包括两个阶段。本文报告定量阶段（第一阶段），该阶段涉及对207名职业治疗师进行曼彻斯特临床督导量表（MCSS - 26）的施测。
督导会议频率、督导者选择及督导类型被发现是对临床督导质量有积极且显著影响的预测变量。年龄、督导时长及实践领域等因素被发现是对临床督导质量有消极且显著影响的预测变量。
已确定影响职业治疗师临床督导感知质量的因素。高质量的临床督导是临床治理的重要组成部分，且已证明对从业者、患者及组织有益。本研究中确定的使临床督导有效的因素信息可添加到现有的督导培训及实践中，以提高临床督导质量。
