Barham Debbie, de Beer Wayne, Clark Helen
Palliative Medicine Specialist, Palliative Care Department, Waikato District Health Board, Hamilton.
Consultant Psychiatrist and Clinical Training Director, Clinical Education and Training Unit, Waikato District Health Board, Hamilton.
N Z Med J. 2019 Aug 30;132(1501):10-20.
Professional supervision (PS), a collaborative relationship that promotes reflection on contextualised work-related issues for the benefit of ongoing learning and development and improved professional practice, is not well understood in the medical context. This study aimed to explore the attitudes and experiences of PS among doctors working in palliative care in New Zealand.
Eighty members of the Australia New Zealand Society of Palliative Medicine (ANZSPM) participated in a cross-sectional quantitative survey.
Overall, PS was felt to be important, particularly by those currently participating in PS, for enhancing clinical functioning and supporting doctors' wellbeing. Barriers to undertaking PS included finding a supervisor, lack of funding and time, with the most significant factor being whether the workplace supported PS. Supervisees' responses showed PS to be a safe experience, addressing a wide range of issues, with a positive effect on personal coping.
Despite identified barriers, New Zealand-based palliative care doctors reported PS to be important and beneficial both personally and professionally. Further consideration should include the impact of professional and organisational culture on uptake of PS, future research and acknowledgment that palliative medicine may be in a position to highlight the benefits of PS for the wider medical community.
专业督导（PS）是一种协作关系，旨在促进对与工作相关的具体问题进行反思，以利于持续学习与发展并改善专业实践，但在医学领域中人们对此理解并不充分。本研究旨在探究新西兰姑息治疗领域医生对专业督导的态度及体验。
澳大利亚新西兰姑息医学协会（ANZSPM）的80名成员参与了一项横断面定量调查。
总体而言，专业督导被认为很重要，尤其是对那些目前正在接受专业督导的人来说，它有助于提高临床效能并支持医生的身心健康。开展专业督导的障碍包括难以找到督导者、缺乏资金和时间，其中最重要的因素是工作场所是否支持专业督导。受督导者的反馈表明，专业督导是一种安全的体验，能解决广泛的问题，对个人应对有积极影响。
尽管存在已确定的障碍，但新西兰的姑息治疗医生报告称，专业督导无论在个人层面还是专业层面都很重要且有益。进一步的考虑应包括专业和组织文化对专业督导接受度的影响、未来研究以及认识到姑息医学可能有能力向更广泛的医学界凸显专业督导的益处。
