Gardner Marcus J, McKinstry Carol, Perrin Byron
La Trobe Rural Health School, PO Box 199, Bendigo, Vic 3552, Australia. Tel 03 5454 6387.
J Allied Health. 2018 Summer;47(2):126-132.
Clinical supervision (CS) is widely used by allied health (AH) professionals, although with limited supporting research evidence. The aim of this study was to evaluate the effectiveness of CS for AH professionals in a regional health setting and to investigate differences in CS perceptions between AH disciplines.
Within a participatory action research project, a quantitative cross-sectional survey was distributed to AH professionals at a regional Australian health service. Data were collected using the Manchester Clinical Supervision Scale (MCSS-26), and differences between disciplines were analysed with independent-samples t-tests and one-way between-groups ANOVA. Of a possible 258 participants, 106 responded to the survey (response rate 41%). The action research group assisted with the interpretation of findings.
The total mean for MCSS-26 scores across AH was 78.5 ± 13.9 (SD), which is above the recommended threshold score for effective CS (73). There were statistically significant differences in total scores between occupational therapy (82.8 ± 14.4) and physiotherapy (70.9 ± 11.3) and in the formative and restorative domains.
While CS was perceived to be effective, there were significant differences between some disciplines. The findings demonstrate that CS is effective when it is practised within a structured framework; however, flexible models of CS across disciplines need to be explored.
临床督导（CS）在健康 allied 专业人员中被广泛使用，尽管支持性研究证据有限。本研究的目的是评估在区域卫生环境中 CS 对健康 allied 专业人员的有效性，并调查不同健康 allied 学科之间对 CS 的认知差异。
在一个参与式行动研究项目中，向澳大利亚一个区域卫生服务机构的健康 allied 专业人员发放了定量横断面调查问卷。使用曼彻斯特临床督导量表（MCSS - 26）收集数据，并通过独立样本 t 检验和组间单因素方差分析来分析不同学科之间的差异。在可能的 258 名参与者中，106 人回复了调查问卷（回复率为 41%）。行动研究小组协助对研究结果进行解读。
健康 allied 专业人员 MCSS - 26 总分的均值为 78.5 ± 13.9（标准差），高于有效 CS 的推荐阈值分数（73）。职业治疗（82.8 ± 14.4）和物理治疗（70.9 ± 11.3）在总分以及形成性和恢复性领域存在统计学上的显著差异。
虽然 CS 被认为是有效的，但不同学科之间存在显著差异。研究结果表明，在结构化框架内实施 CS 是有效的；然而，需要探索跨学科的灵活 CS 模式。
