Hallberg I R
Care Research and Development Unit, University of Lund, Sweden.
Arch Psychiatr Nurs. 1994 Feb;8(1):44-52. doi: 10.1016/0883-9417(94)90020-5.
The effects of systematic clinical supervision on all nurses (n = 11) at a ward for child psychiatric care was evaluated by means of open-ended questions, the tedium measure, Maslach's burnout inventory (MBI), and the satisfaction with nursing care at baseline, and after 6 and 12 months of supervision. Two main themes emerged: (1) being understood and understanding others led to improved cooperation and self-confidence and, (2) broadened and better knowledge base led to increased goal-oriented and active nursing actions in their clinical work. The nurses' satisfaction increased significantly regarding responsibility, organization, quality of care, cooperation, and comfort in the work group. The degree of tedium decreased significantly regarding mental exhaustion, whereas there were no significant changes in the degree of burnout as measured by MBI. The data point to the fact that systematic clinical supervision may be a way to show and use the knowledge embedded in practice and to improve the efficiency, the climate, and the cooperation of a work group.
通过开放式问题、倦怠量表、马氏职业倦怠量表（MBI）以及在基线时、监督6个月和12个月后对护理服务的满意度，对一家儿童精神病护理病房的所有护士（n = 11）进行了系统临床监督效果评估。出现了两个主要主题：（1）被理解和理解他人带来了合作的改善和自信心的增强，以及（2）更广泛和更好的知识基础导致了他们临床工作中以目标为导向的积极护理行动的增加。护士们在责任、组织、护理质量、合作以及工作小组中的舒适度方面的满意度显著提高。在精神耗竭方面，倦怠程度显著降低，而用MBI测量的倦怠程度没有显著变化。数据表明，系统临床监督可能是一种展示和运用实践中蕴含的知识并提高工作小组效率、氛围和合作的方式。
