Scanlon C, Weir W S
St Bartholomew's School of Nursing and Midwifery, City University (London), England.
J Adv Nurs. 1997 Aug;26(2):295-303. doi: 10.1046/j.1365-2648.1997.1997026295.x.
In recent years nursing as a whole has moved from a position of apparently little manifest concern in the issue of 'clinical supervision' to a veritable explosion of interest which is beginning to find expression in the literature. Beginning with a discussion of clinical supervision from within a psychodynamically informed interpersonal nursing framework this paper reports on a small scale qualitative inquiry which aimed to explore mental health nurses' perceptions and experiences of clinical supervision. Analysis of data derived from a series of semi-structured interviews provides very encouraging early indications that mental health nurses are becoming better able to reflect upon the nature of their own formative learning needs and so to take seriously their need for professional support as they strive towards a more therapeutic relationship with their patients. However, whilst all of the participants in the study had a positive perception of the potential value of clinical supervision, there is clear evidence to suggest that their actual experience was that 'good enough supervision' was more the exception than the rule. The participants' perceptions and experiences are described and the implications for research, practice, education and the management of service delivery systems are outlined.
近年来，护理行业整体上已从对“临床督导”问题明显不太关注的状态，转变为兴趣激增，且这种兴趣开始在文献中有所体现。本文从基于心理动力学的人际护理框架内对临床督导展开讨论入手，报告了一项小规模定性研究，该研究旨在探究精神科护士对临床督导的看法和体验。对一系列半结构化访谈所得数据的分析提供了非常令人鼓舞的早期迹象，表明精神科护士正越来越善于反思自身形成性学习需求的本质，从而在努力与患者建立更具治疗性的关系时，认真对待自身对专业支持的需求。然而，尽管该研究的所有参与者都对临床督导的潜在价值持积极看法，但有明确证据表明，他们的实际体验是“足够好的督导”更多是例外而非常态。文中描述了参与者的看法和体验，并概述了对研究、实践、教育以及服务提供系统管理的启示。
