Gill-Meeley Nicola, Hernon Orlaith, Frawley Timmy, Cuddihy Ciaran, Smyth Siobhan
School of Nursing and Midwifery, University of Galway, Galway, Ireland.
UCD School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
J Clin Nurs. 2025 May;34(5):1555-1579. doi: 10.1111/jocn.17489. Epub 2024 Nov 27.
To understand the extent and type of evidence that exists related to nurses' and midwives' experiences of participating in clinical supervision and ascertain how clinical supervision is defined in the literature.
A scoping review of peer reviewed research.
CINAHL Complete (EBSCOhost), MEDLINE (Ovid), PsycINFO (EBSCO), Embase (Elsevier) and the Cochrane Library were searched for relevant articles published between 2010 and 2024.
The scoping review followed the JBI methodology.
PRISMA-ScR.
Forty-three articles were included, qualitative, quantitative, mixed methods studies and three reviews were found describing nurses' and midwives' experiences of clinical supervision. The studies identified were carried out across 15 countries and reported on experiences of group clinical supervision, one to one clinical supervision or both, more recent studies included a focus on group clinical supervision. All definitions found are reported, and although these varied, there were frequently used terms common in many.
Although some evidence exists on how nurses and midwives experience clinical supervision gaps in evidence and detail of supervision practices remain. Inconsistencies of approach to this practice remain and specific detail relating to clinical supervision explored in existing research is frequently lacking. The lack of a universally accepted definition highlighted may influence inconsistences in clinical supervision, key terms identified in this review may assist in the development of a definition. Further research into this support is required to establish its value in practice.
This scoping review progresses the ongoing debate that clinical supervision is a valuable support for nurses' and midwives' but the absence of evidence is an indication that clinical supervision is not fully understood nor is visible in practice. To this end, this review highlights that the lack of consensus on a clinical supervision definition causes ambiguity thus reducing the use of this support for nurses and midwives.
There was no patient or public contribution to this paper as it is a review paper that seeks information on research available on a professional support. Protocol registration@ Open science Framework: identifier 10.17605/OSF.IO/QNKUR.
了解与护士和助产士参与临床督导经历相关的证据范围和类型,并确定文献中对临床督导的定义。
对同行评审研究的范围综述。
检索了CINAHL Complete(EBSCOhost)、MEDLINE(Ovid)、PsycINFO(EBSCO)、Embase(Elsevier)和Cochrane图书馆,以查找2010年至2024年期间发表的相关文章。
范围综述遵循JBI方法。
PRISMA-ScR。
纳入了43篇文章,包括定性、定量、混合方法研究以及三篇描述护士和助产士临床督导经历的综述。所确定的研究在15个国家开展,报告了小组临床督导、一对一临床督导或两者的经历,近期研究更侧重于小组临床督导。报告了所有找到的定义,尽管这些定义各不相同,但许多定义中都有常用术语。
虽然有一些关于护士和助产士如何体验临床督导的证据,但证据和督导实践细节方面仍存在差距。这种实践方法的不一致仍然存在,现有研究中关于临床督导的具体细节也常常缺失。所强调的缺乏普遍接受的定义可能会影响临床督导的不一致性,本综述中确定的关键术语可能有助于定义的制定。需要对这种支持进行进一步研究,以确定其在实践中的价值。
本范围综述推进了正在进行的辩论,即临床督导对护士和助产士是一种有价值的支持,但缺乏证据表明临床督导在实践中没有得到充分理解也不明显。为此,本综述强调,对临床督导定义缺乏共识会导致模糊性,从而减少了对护士和助产士这种支持的使用。
本文没有患者或公众贡献,因为它是一篇综述文章,旨在获取有关专业支持方面现有研究的信息。方案注册@开放科学框架:标识符10.17605/OSF.IO/QNKUR。