College of Nursing and Health Sciences, 1065Flinders University of South Australia, Adelaide, SA, Australia.
Rehabilitation, Aged and Palliative Care, 6677Southern Adelaide Local Health Network, Bedford Park, SA, Australia.
Health Serv Manage Res. 2023 May;36(2):102-108. doi: 10.1177/09514848221100747. Epub 2022 May 11.
This study investigated clinical supervision with Allied Health professionals in a public health setting. Staff perceptions and experiences were explored through focus group discussions. Key themes identified that supervisees "tip-toe into complexity" by engaging in reflective practice for incremental personal and professional development. In contrast, supervisors identified that reflexivity was required for the opportunity to "develop at a deeper level". Offering a choice of supervisor and providing supervisor training enhanced supervision experiences. Challenges to effective supervision were identified. Competing priorities, inconsistent modes of delivery, major organisational change and the role of clinical supervision in line with professional development confounded the experiences. Health managers could improve the processes and outcomes by implementing consistency with approach, timing, documentation, language, and structure of Clinical Supervision.
本研究调查了在公共卫生环境中对辅助卫生专业人员的临床监督。通过焦点小组讨论探讨了员工的看法和经验。确定的主要主题是，监督对象通过进行反思性实践来逐步实现个人和职业发展，从而“小心翼翼地涉足复杂性”。相比之下，督导员则认为需要进行反思，才有机会“更深入地发展”。提供主管选择和主管培训可增强监督经验。还确定了有效监督的挑战。竞争的优先事项，不一致的交付模式，重大组织变革以及临床监督在符合专业发展方面的作用，使这些经验变得复杂。通过在临床监督的方法、时间、文件、语言和结构方面保持一致，卫生管理人员可以改善流程和结果。
