The tipping point for engagement in professional supervision by physiotherapy private practitioners

Abstract

The aim of this study was to explore the experience and perspectives of physiotherapists working in private practice in New Zealand regarding their decision to engage (or not) in professional supervision (PS). There is a scarcity of research on PS in the physiotherapy profession, despite recommendations by Physiotherapy New Zealand that all physiotherapists should engage in this professional development activity. Using a qualitative descriptive methodology, eight participants were interviewed who identified as either (1) having never experienced PS, or (2) previously but no longer engaged in PS, or (3) currently engaged in PS. Thematic analysis was used to analyse the data. Four themes were constructed: (1) PS and the capitalistic lens, (2) PS is not normal, (3) professional identity and vulnerability, and (4) the relationship in the supervisory context. The drive for increased productivity, cost-effectiveness, and, ultimately, profit continues to dictate practice habits. PS can require the practitioner to share uncertainties about practice, creating a tension in maintaining one's professional identity and credibility which can deter engagement. Balancing professional identity and vulnerability requires the supervisor to create a safe space for recipients to navigate these tensions and sustain their engagement in the process. A significant shift in practice habits and the value ascribed to PS would be required before PS is likely to be normalised as part of physiotherapy private practice culture.