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影响初次接触物理治疗(FCP)角色中临床督导体验质量的因素——督导者与被督导者的观点——一项定性分析

Factors that influence the quality of the clinical supervision experience in a first contact physiotherapy (FCP) role - The perspectives of supervisors and supervisees - A qualitative analysis.

作者信息

Millington P M, Snaith B, Edwards L, Carus C A

机构信息

School of Allied Health Professions & Midwifery, Faculty of Health Studies, University of Bradford, Bradford, UK.

School of Allied Health Professions & Midwifery, Faculty of Health Studies, University of Bradford, Bradford, UK; The Mid Yorkshire Teaching NHS Trust, Wakefield, UK.

出版信息

Musculoskelet Sci Pract. 2024 Apr;70:102921. doi: 10.1016/j.msksp.2024.102921. Epub 2024 Feb 9.

Abstract

PURPOSE

First contact practitioner (FCP) roles have been developed to supplement the primary care workforce in managing the burden of musculoskeletal conditions. In order to quality assure and standardise capability of these clinicians an educational framework was developed by NHS England. The Roadmap to Practice (2020) was the curriculum designed to support and develop capability for FCP roles. This secondary analysis of a broader research project aimed to understand the factors affecting the supervisory experience from both a supervisor and supervisee perspective.

METHODS

A qualitative design using group interviews and an online survey was utilised to examine the experiences of these clinicians on their journey navigating and supporting the Roadmap to Practice portfolio process.

FINDINGS

Three principal themes were identified that affected the supervisory process; preparation of both supervisors and supervisee; the person (supervisor) and the practicalities associated with supervision.

CONCLUSION

There were numerous factors influencing the quality of clinical supervision. Adequate preparation of the supervisor and supervisee is critical to success. The attributes of the supervisor were important in the enhancing the quality of supervisory process. Time afforded to undertake supervision and access to appropriate supervisors need to be adequate and accounted for in workforce planning. A paradigm shift in workplace culture is required so clinical supervision is seen as an integral component in maintaining quality and assuring patient safety.

摘要

目的

已发展出首诊从业者(FCP)角色,以补充初级保健劳动力,应对肌肉骨骼疾病的负担。为了确保这些临床医生的能力质量并使其标准化,英国国民医疗服务体系(NHS)制定了一个教育框架。《实践路线图(2020)》是旨在支持和发展FCP角色能力的课程。对一个更广泛研究项目的二次分析旨在从监督者和被监督者的角度了解影响监督体验的因素。

方法

采用定性设计,通过小组访谈和在线调查来考察这些临床医生在参与和支持《实践路线图》档案过程中的体验。

结果

确定了影响监督过程的三个主要主题;监督者和被监督者的准备情况;监督者个人以及与监督相关的实际情况。

结论

有许多因素影响临床监督的质量。监督者和被监督者的充分准备对成功至关重要。监督者的特质对于提高监督过程的质量很重要。用于监督的时间以及获得合适监督者的机会需要充足,并在劳动力规划中加以考虑。需要在工作场所文化方面进行范式转变,以便将临床监督视为维持质量和确保患者安全的一个组成部分。

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