Knollmueller R N
Waterbury Branch, Visiting Nurse and Home Care, Connecticut.
Nurs Clin North Am. 1988 Jun;23(2):353-62.
Reshaping supervisory practice in home care is not an if but a when issue. We need the best wisdom in how to reshape the practice so that it builds on the experience of the individual and the agency. It is time to deliberately plan to change from the paper-shuffling tendency among supervisors toward supporting more people-oriented activity and to rediscover the pivotal role that supervisors have in keeping a community healthy, staff stimulated, and the agency solvent. Some summary points to consider in reshaping supervisory practice include: (1) redefine supervision to reflect what is desired, needed, and possible, (2) recognize the contribution from change theory and apply it, (3) recapture the commitment and philosophy of supervision from the past, (4) reward the supervisor commensurate with the scope of practice expected, (5) reverse selection of supervisors from preservers of territory to manager as idea entrepreneur, (6) respond to varying and dynamic models of supervisory practice, (7) recharge the supervisor through timely in-service programs, continuing education, and formal academic study, (8) require educational content and practice from colleges and universities that stimulate creative supervisory skills and improve job satisfaction, (9) respect the work of the supervisor and provide appropriate support to achieve success, (10) reconsider current supervisory models and expand opportunities for professional growth among staff, and (11) reshape the supervisory role from one of controller to facilitator and innovator.
重塑家庭护理中的监督实践不是一个“是否”的问题,而是一个“何时”的问题。我们需要关于如何重塑实践的最佳智慧,以便它能建立在个人和机构的经验基础之上。现在是时候有意识地计划从监督人员中存在的文书工作倾向转变为支持更以人为本的活动,并重新发现监督人员在保持社区健康、激发员工积极性和确保机构财务稳定方面所起的关键作用。在重塑监督实践时需要考虑的一些要点包括:(1)重新定义监督,以反映期望、需求和可能性;(2)认识到变革理论的贡献并加以应用;(3)重新找回过去监督的承诺和理念;(4)根据预期的实践范围给予监督人员相应的奖励;(5)将监督人员的选拔从领地守护者转变为理念企业家式的管理者;(6)应对不同的和动态的监督实践模式;(7)通过及时的在职培训、继续教育和正规学术学习为监督人员充电;(8)要求学院和大学提供能激发创造性监督技能并提高工作满意度的教育内容和实践;(9)尊重监督人员的工作并提供适当支持以取得成功;(10)重新审视当前的监督模式并为员工提供更多职业发展机会;(11)将监督角色从控制者转变为促进者和创新者。