精神科护士临床督导的特点：一项使用MCSS - 26的调查研究
Characteristics of Clinical Supervision for Mental Health Nurses: A Survey Study Using the MCSS-26.
作者信息
Ryu Hosu, Buus Niels, Naccarella Lucio, Gonge Henrik, Prematunga Roshani, Hamilton Bridget
机构信息
Centre for Mental Health Nursing, Department of Nursing, Faculty of Medicine, Dentistry, and Health Science, University of Melbourne, Melbourne, Victoria, Australia.
School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia.
出版信息
J Clin Nurs. 2025 Jul;34(7):2817-2829. doi: 10.1111/jocn.17480. Epub 2024 Oct 9.
AIM(S): To describe the characteristics and perceived effectiveness of clinical supervision mental health nurses are receiving and further explore any statistical correlations between the perceived effectiveness and satisfaction with the supervisee, supervisor and supervision characteristics.
DESIGN
A cross-sectional survey.
METHODS
An online survey was distributed to nurses working in public mental health services in Victoria, Australia. A universal recruitment approach was used, and 422 nurses participated in the survey. Of these, 220 nurses who are participating in clinical supervision were eligible for the MCSS-26 survey.
DATA SOURCE
A licensed MCSS-26 questionnaire.
RESULTS
Mental health nurses in the studied environment were likely to receive individual supervision from a senior mental health nurse, with the most common frequency being monthly for 31-60 min, and half receiving it within their workplace location. Half of the participants chose their own supervisor. Our findings indicate that nurses who engage in clinical supervision outside of their immediate workplace and receive individual supervision from a nurse of the same grade perceive higher effectiveness. We also found that clinical nurses may find it most difficult to engage in effective clinical supervision due to time constraints.
CONCLUSION
This study uniquely contributes to the current clinical supervision literature by reporting the uptake and detailed characteristics of supervision, a facet often overlooked in existing research.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: This study reported the characteristics of the supervision, supervisor and the supervisee that are associated with the effective clinical supervision. These insights can lead to tailored implementation strategies that consider the specific roles and settings of nurses.
REPORTING METHOD
CROSS (Sharma et al. 2021).
PATIENT OR PUBLIC CONTRIBUTION
No patient or public contribution.
目的
描述心理健康护士所接受的临床督导的特点及感知到的有效性，并进一步探究感知到的有效性与对被督导者、督导者及督导特点的满意度之间的统计相关性。
设计
横断面调查。
方法
向澳大利亚维多利亚州从事公共心理健康服务的护士发放在线调查问卷。采用全面招募的方法，422名护士参与了调查。其中，220名参与临床督导的护士符合MCSS - 26调查问卷的要求。
数据来源
一份获得许可的MCSS - 26问卷。
结果
在本研究环境中的心理健康护士很可能接受资深心理健康护士的个别督导，最常见的频率是每月一次，时长为31 - 60分钟，且一半的人是在工作场所接受督导。一半的参与者选择了自己的督导者。我们的研究结果表明，在直属工作场所以外接受临床督导且由同级别护士进行个别督导的护士，感知到的有效性更高。我们还发现，由于时间限制，临床护士可能最难进行有效的临床督导。
结论
本研究通过报告督导的接受情况和详细特征，为当前临床督导文献做出了独特贡献，而这一方面在现有研究中常常被忽视。
对专业和/或患者护理的启示：本研究报告了与有效临床督导相关的督导、督导者和被督导者的特征。这些见解可促成考虑护士特定角色和工作环境的针对性实施策略。
报告方法
CROSS（夏尔马等人，2021年）。
患者或公众参与
无患者或公众参与。
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