Supervision Of Nurses Research Articles

The Impact of Clinical Supervision on the Mental Health Nursing Workforce: A Scoping Review.

Clinical supervision is a psychologically safe practice that aims to provide support and training for workers within the healthcare industry, including mental health nurses. Over the years, clinical supervision has been cited as a practice to improve workforce outcomes for both individual mental health nurses and the organisations they work in. The aim of this scoping review is to examine the evidence exploring the relationship between clinical supervision and workforce outcomes for mental health nurses. Twenty-eight articles sourced from six databases were included in this study. The most frequently evaluated workforce outcomes were competence (n = 14), workplace culture (n = 13) and compassion (n = 7). Studies reported that the association between clinical supervision and workforce outcomes was predominantly positive, but there were mixed results for competence, workplace culture, job satisfaction and burnout. Details on the type of clinical supervision received by participants were limited, and most of the evidence included in this review included qualitative research and participants self-reporting their perceived benefits from clinical supervision, as opposed to using validated instruments in experimental and/or longitudinal study designs. Organisations should be hesitant to implement mandatory clinical supervision within workplaces, as this could have the opposite effect on workforce outcomes for mental health nurses who are already time-poor and overworked, as well as those who are indifferent or hostile to clinical supervision.

Characteristics of Clinical Supervision for Mental Health Nurses: A Survey Study Using the MCSS-26.

To describe the characteristics and perceived effectiveness of clinical supervision mental health nurses are receiving and further explore any statistical correlations between the perceived effectiveness and satisfaction with the supervisee, supervisor and supervision characteristics. A cross-sectional survey. An online survey was distributed to nurses working in public mental health services in Victoria, Australia. A universal recruitment approach was used, and 422 nurses participated in the survey. Of these, 220 nurses who are participating in clinical supervision were eligible for the MCSS-26 survey. A licensed MCSS-26 questionnaire. Mental health nurses in the studied environment were likely to receive individual supervision from a senior mental health nurse, with the most common frequency being monthly for 31-60 min, and half receiving it within their workplace location. Half of the participants chose their own supervisor. Our findings indicate that nurses who engage in clinical supervision outside of their immediate workplace and receive individual supervision from a nurse of the same grade perceive higher effectiveness. We also found that clinical nurses may find it most difficult to engage in effective clinical supervision due to time constraints. This study uniquely contributes to the current clinical supervision literature by reporting the uptake and detailed characteristics of supervision, a facet often overlooked in existing research. This study reported the characteristics of the supervision, supervisor and the supervisee that are associated with the effective clinical supervision. These insights can lead to tailored implementation strategies that consider the specific roles and settings of nurses. CROSS (Sharma etal. 2021). No patient or public contribution.

Psychometric evaluation of the Chinese version of the Nursing Student Contributions to Clinical Settings scale and analysis of factors influencing nurses' perceptions of nursing students' contributions: a cross-sectional study

BackgroundMost medical organizations accept many nursing students each year who gain clinical practice skills under the supervision of clinical nurses. However, there are no assessment tools to measure the contributions nursing students make to the clinical setting during clinical practicum. This study aimed to translate the 'Nursing Student Contributions to Clinical Settings' scale into Chinese and test its reliability and validity from the perspective of Chinese clinical nurses. And to explore whether nurses' personal and professional characteristics are related to nurses' perception of nursing students' contributions to the clinical settings.MethodsThe original scale was translated into Chinese following the Brislin translation model. A convenience sample of 935 clinical nurses was selected from January to March 2024 for the survey. The content validity of the scale was assessed by expert consultation and content validity index. Exploratory factor analysis and confirmatory factor analysis were performed to assess the construct validity of the scale. The reliability of the scale was measured using internal consistency, split-half reliability, and test–retest reliability. The measurement quality of the scales was assessed according to the COnsensus-based Standards for the selection of health Measurement INstruments. One-way analysis of variance was used to identify variables related to students’ contributions.ResultsThe content validity index of the scale was 0.983. Exploratory factor analysis supported a one-factor structure, and the cumulative variance contribution was 71.177%. Confirmatory factor analysis showed that the model fit indicators were all within the acceptable range. The McDonald's Omega coefficient and Cronbach's alpha coefficient for the scale were 0.983. Nurses perceive that nursing students' contribution to the clinical settings is influenced by nurses' personal characteristics, professional characteristics, and the hospital environment.ConclusionThe Chinese version of the Nursing Student Contributions to Clinical Settings scale has good reliability and validity and can effectively and reliably measure the contributions of Chinese nursing students to clinical settings.

Implementation of clinical nursing supervision with the proctor and reflective models: literature review

Nursing supervision can impact nurses' ability to generate, direct, and maintain behaviors relevant to nurses’ work environment. However, the fact is that oversight has not been implemented optimally. The following are the sample inclusion criteria in this research article: i) Research articles published between 2018 and 2023. ii) The article's research design is experimental or publication. iii) Research studies examine how the process of establishing vision supervision is carried out. iv) The research article is about clinical nurse supervision. A systematic review was performed in this study to assess 12 journals that were studied and included in the inclusion criteria. The findings of this investigation were achieved. The framework and clinical supervisor’s perceptions are divided into three themes: organizing learning, supporting tool for understanding what nursing care is, and developing own supervision practice. Supervisors view the fundamentals of care framework favorably and utilize it to structure and stimulate students' contemplation on what nursing is and demands.

Factors that influence the clinical supervision implementation for nurses: A scoping review.

The aim of this review is to identify and map the evidence available on the factors that influence the implementation of clinical supervision for nurses. The scoping review was conducted and reported following the JBI methodology for scoping reviews. Searches were conducted on MEDLINE, PsycINFO, and CINAHL databases on 28 March 2023. A total of 1398 studies were imported into Covidence for screening. Researchers screened the papers according to the inclusion criteria. Empirical studies in English focusing on the implementation of clinical supervision for nurses were included, without year restrictions. Data from 16 studies were extracted and organized according to the constructs within the Consolidated Framework for Implementation Research (CFIR) domains: intervention characteristics, outer setting, inner setting, characteristics of individuals, and process. When compared with the CFIR constructs, it was found that the influence of the outer setting on implementation was less explored in the literature. Most of the reviewed data highlighted recurring factors, particularly logistical challenges of nursing work such as shift work and lack of control over work time. Organizational culture and managerial support were also identified as significant factors in the implementation. Another significant challenge in implementation was the variety in clinical supervision's design, purpose, and application, despite sharing the same label, leading to questions about whether studies are implementing the same practice. Policy documents should clearly define both the design and purpose of clinical supervision, beyond just its conceptual definition. Greater emphasis on equitable implementation of clinical supervision is necessary to prevent perpetuating existing inequalities. We conclude that implementation of such complex interventions is not linear, and the implementation strategies need to align with expected implementation challenges. The advantage of using the implementation framework lies not only in observing what exists as a form of evidence but also in identifying what is underdeveloped. Healthcare services and policy developers can utilize our review to recognize and address potential challenges in introducing, modifying, scaling up, or sustaining their clinical supervision implementation. No patient or public contribution.

Collaborative work on the activity of internship supervision by Ifsi trainers

Supervision of student nurses during internships is evolving towards learning-centered support, readjusting the roles of the players involved. An action-research project in Saint-Brieuc, France, highlights the complexity of this practice. A guideline encourages a flexible approach, fostering a relationship of trust. Confidentiality, respect and adaptability are essential for an environment conducive to learning. This work underlines the importance of internship supervision and offers recommendations for an individualized approach, while maintaining a balance between academic rigor and human qualities.

Determinants of Job Satisfaction of Nurses In The Partition Room of Toto Kabila Regional Hospital

Nursing is professions that play an role important in maintenance efforts to guard quality service health at home Sick. Service nursing becomes a factor decider of success in service. Remember that the nurse is one of the sources of Power man important at home sick, expected nurses Work with professionals in running work, so produce work satisfaction. Satisfaction Work is what people feel to work or emotions that are natural on-the-spot work, comfort feelings experienced to work. The aim of this study for analyze factor determinant satisfaction Work nurses in the Inpatient ward of Toto Kabila Regional Hospital. The research design uses Analysis observational with approach cross-sectional. A study was done in the month of January 2024 to March 2024 for 125 respondents in nurses Inpatient room at Toto Kabila Hospital. Research results show factor compensation on job satisfaction nurse n value Sig. of 0.002 (< 0.05). Motivational factors on nursing job satisfaction and value Sig. of 0.000 (< 0.05). factor leadership on nurse job satisfaction value Sig. of 0.000 (< 0.05) factor communication on nurses ' job satisfaction and value Sig. of 0.000 (> 0.05). factor supervision of nurses' job satisfaction. Sig value. of 0.000 (> 0.05). So you can conclude that factor compensation, motivation, leadership, communication, and supervision are influential to satisfaction Work nurses in the inpatient ward of Toto Kabila Regional Hospital. Analysis Multivariate variable dominant influence satisfaction Work is variable communication and supervision i. The conclusions of this research state compensation, motivation, leadership, communication, and supervision have significant influence on satisfaction Work nurse in the room take care stay Toto Kabila Regional Hospital. Therefore, hospital management needs to make development efforts to increase nurse job satisfaction.

Establishment and evaluation of the impact of a supervisory group for chemotherapy safety management in an oncology department.

The nursing model of establishing a chemotherapy safety management supervisory group has guaranteed the safety and effectiveness of intravenous chemotherapy while reducing the adverse effects of chemotherapy and improving patient satisfaction and quality of life. To explore the impact of establishing a nursing supervision group on improving the safety management of patients receiving chemotherapy in the oncology department. We selected a total of 60 patients who underwent chemotherapy at the oncology department between January and June 2021 and assigned them to the control group. They received conventional chemotherapy safety management nursing care. We selected another 60 patients undergoing chemotherapy in the oncology department between July and December 2021 and assigned them to the observation group. They received a nursing intervention model facilitated by the chemotherapy safety supervision team. We compared the intervention effects in the two groups. Patient satisfaction was significantly higher in the observation group than in the control group (P< 0.05); the incidence of post-chemotherapy nausea and vomiting was significantly lower in the observation group than in the control group (P< 0.05); and the self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores of patients in the observation group were reduced (P< 0.05) and significantly lower than in the control group (P< 0.05). We used the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-core 30 (EORTC-QLQ-C30) and found a statistically significant difference in the quality of life of patients before the nursing intervention and on the day of discharge (P< 0.05). The establishment of a chemotherapy safety management supervisory group was effective in reducing the incidence of post-chemotherapy nausea and vomiting as well as the patient's psychological burden; it could also improve the quality of life of patients and their satisfaction with nursing care.

Testing Construct Validity of the Clinical Supervision Scale in Intensive Care Units at Tertiary Care Hospitals in the Northeast of Thailand

Clinical supervision is the process by which supervisors treat their supervisees through interpersonal relationships to help supervisees develop their knowledge of the ability to perform clinical duties to provide quality service. However, from the literature review, it was found that a tool for assessing supervisors’ clinical supervision has not been clearly developed, especially in the context of the Intensive Care Unit (ICU), which requires close supervision and monitoring of nurses to provide the highest level of safety for patients. Therefore, the research objective was to analyze the construct validity of the clinical supervision scale in the care units of tertiary hospitals in Northeast Thailand. Methods Participants were 234 nurses in intensive care units at tertiary hospitals located in Northeast of Thailand. Data were collected using a questionnaire as perceived by registered nurses based on the framework of Proctor’s model using the 18-item Clinical Supervision Scale. Content validity was explored by seven experts, and the Cronbach’s alpha coefficient for reliability was .967. EFA was conducted to identify factors affecting the function of clinical supervision. CFA was used to ascertain the model fit. Results The EFA showed a three-factor clinical supervision and CFA. The results indicated that the hypothesis model of clinical supervision showed goodness of fit with empirical data throughout the sample (Chi-square = 103.501, df = 100, p-value = .385, CFI = .999, GFI = .955, AGFI= .923, RMSEA =.012). These results were within acceptable ranges, which indicated that the construct validity of the clinical supervision scale in the intensive care unit was consistent with Proctor’s functions: promoting professional accountability and quality control (normative function), skill and knowledge development (formative function), and providing support and personal well-being (restorative function).

Impact of clinical supervision on the mental health nursing workforce: a scoping review protocol

IntroductionMental health nurses work in potentially unpredictable, stressful and complex environments that can lead to burn-out and high staff turnover. Clinical supervision is a formal and professional agreement between two...

Usefulness of pedagogical design features of a digital educational resource into nursing home placement: a qualitative study of nurse educators’ experiences

BackgroundThe rapid advancement of technology-enhanced learning opportunities has resulted in requests of applying improved pedagogical design features of digital educational resources into nursing education. Digital educational resources refers to technology-mediated learning approaches. Efficient integration of digital educational resources into nursing education, and particularly into clinical placement, creates considerable challenges. The successful use of digital educational resources requires thoughtful integration of technological and pedagogical design features. Thus, we have designed and developed a digital educational resource, digiQUALinPRAX, by emphasizing pedagogical design features. The nurse educators’ experiences of the usefulness of this digital educational resource is vital for securing improved quality in placement studies.AimTo obtain an in-depth understanding of the usefulness of the pedagogical design features of a digital educational resource, digiQUALinPRAX, in supporting nurse educators’ educational role in nursing home placements in the first year of nursing education.MethodsAn explorative and descriptive qualitative research design was used. Individual semi-structured interviews were conducted with six nurse educators working in first year of a Bachelor’s of Nursing programme after using the digital educational resource, digiQUALinPRAX, during an eight-week clinical placement period in nursing homes in April 2022.ResultsTwo main categories were identified: (1) supporting supervision and assessment of student nurses and (2) supporting interactions and partnerships between stakeholders.ConclusionThe pedagogical design features of the digiQUALinPRAX resource provided nurse educators with valuable pedagogical knowledge in terms of supervision and assessment of student nurses, as well as simplified and supported interaction and partnership between stakeholders.

Influence of Perceived Clinical Supervision of Student Nurses on their Burnout Experience

Influence of Perceived Clinical Supervision of Student Nurses on their Burnout Experience

Clinical Supervision of Nursing Care Documentation at BRSUD Tabanan

Appropriate clinical supervision by the head of the room can improve the performance of implementing nurses in carrying out nursing care documentation. Supervision is an important part of management. This study aims to determine the clinical supervision of nurses in implementing nursing care documentation in the inpatient room of BRSUD Tabanan. The method used was quantitative with a descriptive design using a cross sectional approach with a population of executive nurses in 12 inpatient rooms with a sample size of 145 executive nurses. Data collection using a questionnaire. The results obtained clinical supervision of the head of the room in the inpatient room of Tabanan Hospital has effective supervision of 95 nurses (65.5%). the tendency of clinical supervision used in the inpatient room of Tabanan Hospital in implementing nursing care documentation with an average value of 32.53, the highest of which is the normative function. The recommendation of this study is that the program is expected in an effort to develop a policy and operational standards related to clinical supervision activities in implementing nursing care documentation.

Development of Nursing Clinical Supervision Application

ABSTRACT&#x0D; &#x0D; Nursing services require an effective and efficient nursing management system, so that nursing resources can be directed to produce quality nursing services, one of which is through nursing supervision. Supervision is a personal observation of functions or activities, in the nursing care process, and delegations of functions or activities to maintain accountability and evaluate nursing care appropriately.&#x0D; This research aims to develop a clinical supervision application to improve the quality of implementation of nursing supervision in Jambi city hospitals. Clinical supervision research is designed with an application as guidance and information for room heads, team leaders, and implementing nurses in carrying out clinical supervision so that it can improve the quality of nursing supervision in hospitals.&#x0D; Research design with a mixed methods approach, namely qualitative research on conceptual development and quantitative research used in the product development and testing phases. The research procedure uses analysis-design &amp; development-formative evaluation steps with the Dick and Carey procedure. The research was carried out in three hospitals in Jambi City, namely Abdul Manap Hospital, Bratanata Hospital, and Bhayangkara Hospital Jambi in April - August 2023 with the research subjects being all room heads totaling 16 people and team leaders totaling 24 people.&#x0D; There is a difference in user knowledge about nursing supervision before and after the development of the Android-based clinical nursing supervision educational application with a p-value of 0.000 &lt; 0.005.&#x0D; The model for developing nursing clinical supervision applications using the Dick and Carey learning design approach is a systematic learning design model for developing effective and efficient learning programs. Nursing clinical supervision educational applications can be applied in hospitals by room heads in carrying out supervision in inpatient rooms.&#x0D; &#x0D; Keywords: Development, education, clinical supervision, nursing&#x0D;

Nursing students' evaluation of clinical learning environment and supervision models before and during the COVID-19 pandemic: a comparative study.

The COVID-19 pandemic has required a rapid reorganization of clinical training and supervision models for nursing education. The aim of this study was to compare students' levels of perception of the quality of the Clinical Learning Environment (CLE) using two different clinical supervision models. A comparative design was implemented. A convenience sample of second and third-year undergraduate nursing students (n=127) in clinical training in the 2018/2019 Academic Year (AY) received the usual nursing staff supervision model, while during the COVID-19 pandemic in the following year, they (n=69) received an individualized supervision model. Data were collected using three instruments: the Clinical Learning Environmental Quality Evaluation Index (CLEQI); the Clinical Learning Environment, Supervision and Nurse Teacher Scale (CLES+T); and a socio-demographic tool. The mean total scores of both scales had increased in the second survey (CLEQI: M=57.88±11.8 vs. M=60.88±9.3, p=0.035; CLES+T: M=148.4±23.3 vs. M=154.5±21.9, p=0.037). The nursing students reported high levels of CLE quality with both supervision models, even though the individualized supervision model was rated significantly higher by the students than the staff supervision model. Students supported by a personal supervisor during clinical training had a more positive experience and rated the quality of the tutorial strategies, learning opportunities, safety and nursing care, leadership style of the ward manager and overall CLE more highly.

The effect of internet-based telehealth nursing on the quality of life in patients with atrial fibrillation and stroke

Background: The purpose of this study is to determine if patients with atrial fibrillation and stroke can benefit from receiving care at home under the supervision of remote specialist nurses through internet-based telehealth nursing. Methods: We selected a total of 168 patients with atrial fibrillation and stroke, who were treated in our hospital from January 2018 to December 2019. The patients were divided into a traditional at-home self-help nursing group (the control group) and an internet-based telehealth nursing group involving specialist nurses based on the post-discharge convalescence nursing modes (the experimental group). The patients were followed up and observed for 12 months, and the survival rate, readmission rate, daily life activities, limb motor ability, psychological state, cardiac function and rhythm control, adverse event rate, and the nursing satisfaction of the patients and their families were evaluated for the two different nursing modes. Results: Compared with traditional at- home nursing, internet-based telehealth nursing provided by specialist nurses resulted in a significant improvement in the survival rate of patients. Additionally, the readmission due to atrial fibrillation or stroke was significantly reduced, the daily activities and limb motor ability were significantly improved, the patients’ anxiety and depression were reduced, and the cardiac function index and rhythm control showed obvious improvement. In addition, the rates of bedsores and minor hemorrhage events were lower, and the nursing satisfaction levels of the patients and their families were significantly higher. Conclusion: Patients with atrial fibrillation and stroke benefit greatly from internet-based telehealth nursing provided by specialized nurses, both in terms of prognosis and quality of life. As a result, this approach to nursing care deserves wider adoption and dissemination.

Talking about falls: a qualitative exploration of spoken communication of patients’ fall risks in hospitals and implications for multifactorial approaches to fall prevention

BackgroundInpatient falls are the most common safety incident reported by hospitals worldwide. Traditionally, responses have been guided by categorising patients’ levels of fall risk, but multifactorial approaches are now recommended....

Staff Perceptions on the Effectiveness of GRiP-S, a New Approach to Clinical Supervision Incorporating Safewards: An Interpretive Phenomenological Analysis

This study explored the impact of an innovative approach to clinical supervision for mental health nurses which integrates Safewards, named Group Reflective integrated Practice with Safewards – GRiP-S. Qualitative data was collected through 10 individual semi-structured interviews with nursing staff who had participated within the clinical supervision approach. Interviews provided insights into the nursing staff’s perception and experience of the clinical supervision approach. Through interpretive phenomenological analysis six themes emerged (i) illuminating embodied practice of Safewards, (ii) building confidence through empowering connections, (iii) creating a culture of positive change, (iv) identifying internal motivation for and external barriers to supervision engagement, (v) navigating a global pandemic, and (vi) the transformative role of reflection. Findings demonstrated that the GRiP-S approach assisted mental health nurses’ adoption of Safewards interventions in practice, while supporting the development of a cohesive staff team. The impact of COVID-19 within the study setting was addressed and nurses identified how the Safewards model assisted in navigating challenges during this time. Findings further supported prior research on the role of the supervisor and supervisee relationship. This study supports the integration of Safewards within reflective clinical supervision for mental health nursing staff to assist in Safewards fidelity and nursing staff personal and professional development.

A Scoping Review on the Clinical Supervision and Mentoring for Nurses in Maternal and Child Health

Purpose: This scoping review aimed to identify application methods, effectiveness, facilitating factors, and obstacles to clinical supervision for nurses in maternal and child health and to understand its discriminatory characteristics compared to mentoring.Methods: This study was based on the scoping review methodology and consisted of six stages: (1) identifying research questions; (2) identifying relevant studies (search strategy); (3) study selection; (4) charting of the data; (5) collating, summarizing, and reporting the results; and (6) consultation. From April to July 2022, 1,323 studies were searched in PubMed, CINAHL, Cochrane, and Open Gray, and finally eleven studies were selected through the literature selection process.Results: Because clinical supervision aimed to strengthen the professional capabilities of nurses, reflective practice was applied. However, mentoring was designed to acquire knowledge or skills that can be applied directly in practice. Therefore, indicators to measure the effects of clinical supervision consisted of psychosocial factors, such as job satisfaction and exhaustion, but the effects of mentoring were evaluated primarily using knowledge levels and skills. The model, which is applied mainly in clinical supervision, reflects the restorative function. When applying clinical supervision and mentoring, listening, supportive environment, and accessibility were identified as facilitating factors, while criticism, lack of time and space, and excessive workload were identified as obstacles.Conclusions: Time and space must be secured to provide effective clinical supervision. The confidentiality of the supervisee must be guaranteed, and sufficient information must be provided in advance so that nurses can accurately recognize the clinical supervision process. Finally, a policy for institutionalizing clinical supervision should be supported to ensure its applicability and sustainability.

The ESSENCE-Q: Can specialist supervision improve scoring agreement across specialist and public health nurses/nursery teachers?

This study aimed to explore whether the supervision of community public health nurses (PHNs) and nursery school teachers (NSTs) by a specialist, familiar with Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations (ESSENCE), improved the agreement of ESSENCE-Questionnaire (ESSENCE-Q) scoring, across raters. A PHN, two NSTs, and a speech-language pathologist (SLP), familiar with ESSENCE, independently assessed 32 children. The ESSENCE-Q results were divided into the first (child 1-18) and second groups (the 19th child and the following children). Changes in score discrepancies were analysed for ESSENCE-Q cutoff scores and total ESSENCE-Q scores across raters. The SLP scores were used as a reference to evaluate sensitivity and specificity. The total ESSENCE-Q scores of the PHN and NSTs showed higher concordance in the second group (p < 0.05). Comparisons of the differences between the PHN/NSTs and SLP in total ESSENCE-Q scores showed a significantly smaller difference in the NSTs' scores in the second group (p < 0.05). The findings suggest that specialist supervision may lead to a better agreement between PHN and NSTs regarding ESSENCE-Q scores.