The Lifetime Psychology Service, Sirona Care & Health, Bristol, UK.
Clin Child Psychol Psychiatry. 2021 Jan;26(1):191-206. doi: 10.1177/1359104520961431. Epub 2020 Oct 14.
Providing home care to children with complex physical health needs is an emotionally challenging role. Extant literature and documents such as the Cavendish Review (2013) have reported that a large proportion of care for this population is carried out by non-registered staff (support workers). Provision of clinical supervision for nurses working in palliative care is increasing, however, supervision needs of support workers are commonly neglected. This paper sought to synthesise what is known about clinical supervision practices for support workers in paediatric palliative care (PPC). A literature review was conducted in accordance with integrative review guidelines. 315 papers were identified initially, 15 studies were included in this review. Four commonalities were identified: importance of team cohesion, varying degrees of formality, self-awareness and practicalities. Support workers received varying forms of supervision and some facilitators faced organisational difficulties involving staff in supervision. Support workers who received staff support generally appreciated it in recognition that their work is complex and emotionally difficult. This paper highlighted that further research should investigate the efficacy of clinical supervision as a method of reducing stress and burnout for support workers. Any implementation of supervision should involve a considered approach to training and supervision to ensure fidelity.
为有复杂身体需求的儿童提供家庭护理是一项极具挑战性的工作。现有文献和文件（如 2013 年的卡文迪什审查）报告称，这一人群的大部分护理工作都是由非注册人员（支持人员）完成的。为姑息治疗护士提供临床监督的情况正在增加，但对支持人员的监督需求通常被忽视。本文旨在综合了解姑息治疗中支持人员的临床监督实践（PPC）。根据综合审查指南进行了文献综述。最初确定了 315 篇论文，本综述纳入了 15 项研究。确定了四个共同点：团队凝聚力的重要性、不同程度的正式性、自我意识和实际情况。支持人员接受了不同形式的监督，一些促进因素面临涉及员工监督的组织困难。接受员工支持的支持人员通常会对此表示赞赏，因为他们的工作复杂且情感困难。本文强调，应该进一步研究临床监督作为减轻支持人员压力和倦怠的一种方法的效果。任何监督的实施都应涉及到对培训和监督的深思熟虑的方法，以确保保真度。
