Faculty of Medicine, Rural Clinical School, The University of Queensland, Toowoomba, Queensland, Australia.
Darling Downs Health, Baillie Henderson Hospital, Toowoomba, Queensland, Australia.
PLoS One. 2023 Jul 11;18(7):e0288314. doi: 10.1371/journal.pone.0288314. eCollection 2023.
Many healthcare workers have switched from face-to-face clinical supervision to telesupervision since the onset of the COVID-19 pandemic. Given the rise in prevalence of telesupervision and continuing remote working arrangements, telesupervision is no longer only limited to rural areas. As this remains an under-investigated area, this study aimed to explore supervisor and supervisee first hand experiences of effective telesupervision.
A case study approach combining in-depth interviews of supervisors and supervisees, and document analysis of supervision documentation was used. De-identified interview data were analysed through a reflective thematic analysis approach.
Three supervisor-supervisee pairs from occupational therapy and physiotherapy provided data. Data analysis resulted in the development of four themes: Benefits vs limitations and risks, not often a solo endeavour, importance of face-to-face contact, and characteristics of effective telesupervision.
Findings of this study have confirmed that telesupervision is suited to supervisees and supervisors with specific characteristics, who can navigate the risks and limitations of this mode of clinical supervision. Healthcare organisations can ensure availability of evidence-informed training on effective telesupervision practices, as well as investigate the role of blended supervision models to mitigate some risks of telesupervision. Further studies could investigate the effectiveness of utilising additional professional support strategies that complement telesupervision, including in nursing and medicine, and ineffective telesupervision practices.
自 COVID-19 大流行以来，许多医护人员已经从面对面的临床监督转变为远程监督。鉴于远程监督的流行率上升和持续的远程工作安排，远程监督不再仅限于农村地区。由于这仍然是一个研究不足的领域，本研究旨在探索主管和被监督者对有效远程监督的第一手经验。
采用案例研究方法，结合对主管和被监督者的深入访谈和监督文件的文档分析。通过反思性主题分析方法对去识别的访谈数据进行分析。
来自职业治疗和物理治疗的三对主管-被监督者提供了数据。数据分析得出了四个主题：好处与局限性和风险、并非总是单独的努力、面对面接触的重要性以及有效远程监督的特征。
本研究的结果证实，远程监督适合具有特定特征的被监督者和主管，他们可以驾驭这种临床监督模式的风险和局限性。医疗保健组织可以确保提供有关有效远程监督实践的循证培训，并研究混合监督模式的作用，以减轻远程监督的一些风险。进一步的研究可以调查利用补充远程监督的其他专业支持策略的有效性，包括在护理和医学中，并调查无效的远程监督实践。
