Clinical Supervision: Challenging the Nursing Environment?

Marketa Vanclova,Zuzana Havrdova

doi:10.5539/res.v7n11p273

Abstract

Models of clinical supervision implementation generally focus on the importance of organisational culture. Questions remain regarding the detailed nature of such a culture. There is a scarcity of information related to the culture of the nursing environment in the Czech Republic; however, it is upon this culture that any future strategy must be based. The goal of this paper is to grasp the ways in which nurses in Czech hospitals perceive the culture of the nursing environment with regard to the implementation of clinical supervision. An explorative research design was used based on qualitative approach. Fourteen in-depth interviews were conducted face to face. The interviews were recorded, transcribed in full, and then coded. Thematic analysis and axial coding led to the paradigm model reversed face of the nursing environment which makes visible the contrasts between cultural features of the Czech nursing environment and the culture of supervision as perceived by informants. Given the research evidence regarding the similarities between nursing culture in various countries, the paradigm model might be a source of inspiration beyond the Czech context.

Highlights

IntroductionIt is mainly used to describe a formal process of professional support for the reflection on and development of the practitioner’s interaction with patients and team members to ensure that the best quality of care is provided
The term “clinical supervision” is used primarily in English-speaking countries
There is a scarcity of information related to the culture of the nursing environment in the Czech Republic; it is upon this culture that any future strategy must be based

Summary

Introduction

It is mainly used to describe a formal process of professional support for the reflection on and development of the practitioner’s interaction with patients and team members to ensure that the best quality of care is provided. In Central European countries, those in the field refer to the same concept as “supervision”, and this activity is regulated by national professional associations for supervision and the umbrella Association of National Organisations for Supervision in Europe. It is in this sense that we use the term “supervision”. With the term “clinical supervision”, we define supervision as non-authoritative external support provided to professionals to develop higher-quality practice. We mean the work of independent professionals who are outsiders to the organisation they are supporting

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Conclusion