McDonough Joshua, Rhodes Kate, Procter Nicholas
Mental Health and Suicide Prevention Research and Education Group, Clinical and Health Sciences, University of South Australia, Adelaide, South Australia, Australia.
Int J Ment Health Nurs. 2025 Feb;34(1):e13463. doi: 10.1111/inm.13463. Epub 2024 Oct 27.
Clinical supervision is a psychologically safe practice that aims to provide support and training for workers within the healthcare industry, including mental health nurses. Over the years, clinical supervision has been cited as a practice to improve workforce outcomes for both individual mental health nurses and the organisations they work in. The aim of this scoping review is to examine the evidence exploring the relationship between clinical supervision and workforce outcomes for mental health nurses. Twenty-eight articles sourced from six databases were included in this study. The most frequently evaluated workforce outcomes were competence (n = 14), workplace culture (n = 13) and compassion (n = 7). Studies reported that the association between clinical supervision and workforce outcomes was predominantly positive, but there were mixed results for competence, workplace culture, job satisfaction and burnout. Details on the type of clinical supervision received by participants were limited, and most of the evidence included in this review included qualitative research and participants self-reporting their perceived benefits from clinical supervision, as opposed to using validated instruments in experimental and/or longitudinal study designs. Organisations should be hesitant to implement mandatory clinical supervision within workplaces, as this could have the opposite effect on workforce outcomes for mental health nurses who are already time-poor and overworked, as well as those who are indifferent or hostile to clinical supervision.
临床督导是一种心理安全的实践活动，旨在为医疗行业的工作人员，包括精神科护士，提供支持和培训。多年来，临床督导一直被视为一种可改善个体精神科护士及其所在组织的劳动力成果的实践活动。本范围综述的目的是考察探索临床督导与精神科护士劳动力成果之间关系的证据。本研究纳入了从六个数据库中获取的28篇文章。最常评估的劳动力成果是能力（n = 14）、工作场所文化（n = 13）和同情心（n = 7）。研究报告称，临床督导与劳动力成果之间的关联主要是积极的，但在能力、工作场所文化、工作满意度和职业倦怠方面结果不一。关于参与者接受的临床督导类型的细节有限，并且本综述纳入的大多数证据包括定性研究以及参与者自我报告他们从临床督导中感知到的益处，而非在实验性和/或纵向研究设计中使用经过验证的工具。各组织在工作场所实施强制性临床督导时应谨慎，因为这可能会对本就时间紧张且工作过度劳累的精神科护士，以及那些对临床督导漠不关心或持敌对态度的护士的劳动力成果产生相反的影响。
