Snowdon David A, Kolic Jessica, Taylor Nicholas F
Peninsula Clinical School, Monash University/Peninsula Health, Melbourne, Victoria, Australia.
Allied Health Clinical Research Office, La Trobe University/Eastern Health, Melbourne, Victoria, Australia.
Physiother Can. 2021 Nov 1;73(4):370-380. doi: 10.3138/ptc-2019-0106. Epub 2021 Oct 20.
The purpose of this study was to evaluate change in the effectiveness of clinical supervision of physiotherapists who took part in a clinical supervision training programme. Our pre-post study design used both quantitative and qualitative methods. The programme consisted of three interactive sessions held with physiotherapists from a metropolitan public health network in Melbourne, Victoria, Australia. The effectiveness of clinical supervision of supervisees was measured using the Manchester Clinical Supervision Scale (MCSS-26). The effectiveness of clinical supervision from the supervisors' perspective was measured using a clinical supervisor questionnaire. The physiotherapists' experience of participating in the training programme was then explored in focus groups. A total of 36 physiotherapists participated in the training programme. Twelve weeks later, the physiotherapists (35) reported a moderate improvement in the effectiveness of clinical supervision, with a mean improvement of 5.4 units (95% CI: 2.0, 8.9; 0.003) on the MCSS-26 (score range 0-104). After training, a higher proportion of physiotherapists reported receiving effective clinical supervision (97% after vs. 53% before; 0.001). In the focus groups, the physiotherapists reported greater flexibility in their approach to clinical supervision and a more effective supervisory relationship. However, difficulty finding time for supervision remained a barrier. Physiotherapists reported an improvement in the effectiveness of clinical supervision after a clinical supervision training programme.
本研究的目的是评估参加临床督导培训项目的物理治疗师临床督导效果的变化。我们的前后对照研究设计采用了定量和定性方法。该项目包括与来自澳大利亚维多利亚州墨尔本一个大都市公共卫生网络的物理治疗师举行的三次互动会议。使用曼彻斯特临床督导量表（MCSS - 26）来衡量被督导者临床督导的效果。从督导者的角度，使用临床督导问卷来衡量临床督导的效果。然后通过焦点小组探讨物理治疗师参与培训项目的体验。共有36名物理治疗师参加了培训项目。12周后，35名物理治疗师报告临床督导效果有适度改善，在MCSS - 26上平均提高了5.4分（95%置信区间：2.0，8.9；P = 0.003）（分数范围0 - 104）。培训后，报告接受有效临床督导的物理治疗师比例更高（培训后为97%，培训前为53%；P = 0.001）。在焦点小组中，物理治疗师报告在临床督导方法上有更大的灵活性以及更有效的督导关系。然而，难以找到时间进行督导仍然是一个障碍。物理治疗师报告在参加临床督导培训项目后临床督导效果有所改善。
