Staff Nurse, Galway Hospice Foundation, Renmore Galway, Ireland.
Assistant Psychologist, London Borough of Sutton, Sutton Civic Offices.
Int J Palliat Nurs. 2020 Dec 2;26(8):413-423. doi: 10.12968/ijpn.2020.26.8.413.
Clinical supervision provides support and facilitates professional and personal development.
To identify and synthesise all available qualitative research on palliative care nurses' experiences of clinical supervision.
Guided by the 'enhancing transparency in reporting the synthesis of qualitative research' (ENTREQ) statement, eight databases were searched using a systematic search strategy (Cumulative Index to Nursing and Allied Health Literature (CINAHL), PubMed, PsycINFO, Medline, Web of Science, ProQuest, Embase, Psychological and Behavioural Sciences). The findings of all included studies were analysed guided by Thomas and Harden's approach. Confidence in the review findings was determined guided by Confidence in the Evidence from Reviews of Qualitative research (GRADE-CERQual).
Nine qualitative studies were included in this synthesis and four analytic themes were identified: negative experiences and misunderstandings of clinical supervision; clinical supervision needs structure and clarity; supervisor needs to be a conductor and a producer; finding your 'inner supervisor'.
The review illuminates the benefits of clinical supervision as a renewal process for palliative care (PC) nurses, but also highlights the challenges in its provision. Organisations should provide designated time and opportunities for PC nurses to attend clinical supervision sessions during working hours.
临床监督为专业和个人发展提供支持和便利。
识别和综合姑息治疗护士临床监督经验的所有可用定性研究。
根据“提高定性研究综合报告透明度”（ENTREQ）声明，使用系统搜索策略在八个数据库中进行搜索（护理和相关健康文献累积索引（CINAHL）、PubMed、PsycINFO、Medline、Web of Science、ProQuest、Embase、心理和行为科学）。根据托马斯和哈顿的方法分析所有纳入研究的结果。根据定性研究证据审查（GRADE-CERQual）确定对审查结果的信心。
本综合研究纳入了 9 项定性研究，确定了 4 个分析主题：临床监督的负面体验和误解；临床监督需要结构和清晰度；主管需要成为指挥家和生产者；寻找“内在主管”。
该综述阐明了临床监督作为姑息治疗（PC）护士更新过程的益处，但也强调了其提供的挑战。组织应在工作时间内为 PC 护士提供指定的时间和机会参加临床监督会议。
