Factors that influence the clinical supervision implementation for nurses: A scoping review.
clinical supervision
implementation science
nurse
work organization
Journal
Journal of advanced nursing
ISSN: 1365-2648
Titre abrégé: J Adv Nurs
Pays: England
ID NLM: 7609811
Informations de publication
Date de publication:
14 Aug 2024
14 Aug 2024
Historique:
revised:
10
06
2024
received:
16
02
2024
accepted:
31
07
2024
medline:
14
8
2024
pubmed:
14
8
2024
entrez:
14
8
2024
Statut:
aheadofprint
Résumé
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.
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024 The Author(s). Journal of Advanced Nursing published by John Wiley & Sons Ltd.
Références
Aparício, C., & Nicholson, J. (2020). Do preceptorship and clinical supervision programmes support the retention of nurses? British Journal of Nursing, 29(20), 1192–1197. https://doi.org/10.12968/bjon.2020.29.20.1192
Arvidsson, B., Löfgren, H., & Fridlund, B. (2001). Psychiatric nurses' conceptions of how a group supervision programme in nursing care influences their professional competence: A 4‐year follow‐up study. Journal of Nursing Management, 9(3), 161–171. https://doi.org/10.1046/j.1365‐2834.2001.00220.x
Blase, K. A., Fixsen, D. L., Sims, B. J., & Ward, C. S. (2015). Implementation science: Changing hearts, minds, behavior, and systems to improve educational outcomes. The Wing Institute.
Bauer, M. S., & Kirchner, J. (2020). Implementation science: What is it and why should I care? Psychiatry Research, 283, 112376. https://doi.org/10.1016/j.psychres.2019.04.025
Berg, A., & Welander Hansson, U. (2000). Dementia care nurses' experiences of systematic clinical group supervision and supervised planned nursing care. Journal of Nursing Management, 8(6), 357–368. https://doi.org/10.1046/j.1365‐2834.2000.00191.x
Brunero, S., & Stein‐Parbury, J. (2008). The effectiveness of clinical supervision in nursing: An evidenced based literature review. Australian Journal of Advanced Nursing, 25(3), 86–94.
Buus, N., Delgado, C., Traynor, M., & Gonge, H. (2018). Resistance to group clinical supervision: A semistructured interview study of non‐participating mental health nursing staff members. International Journal of Mental Health Nursing, 27(2), 783–793. https://doi.org/10.1111/inm.12365
Buus, N., & Gonge, H. (2009). Empirical studies of clinical supervision in psychiatric nursing: A systematic literature review and methodological critique. International Journal of Mental Health Nursing, 18(4), 250–264. https://doi.org/10.1111/j.1447‐0349.2009.00612.x
Buus, N., Lynch, L., & Gonge, H. (2016). Developing and implementing ‘meta‐supervision’ for mental health nursing staff supervisees: Opportunities and challenges. The Cognitive Behaviour Therapist, 9, 1–15. https://doi.org/10.1017/S1754470X15000434
Cross, W., Moore, A., & Ockerby, S. (2010). Clinical supervision of general nurses in a busy medical ward of a teaching hospital. Contemporary Nurse, 35(2), 245–253. https://doi.org/10.5172/conu.2010.35.2.245
Cutcliffe, J. R., Sloan, G., & Bashaw, M. (2018). A systematic review of clinical supervision evaluation studies in nursing. International Journal of Mental Health Nursing, 27(5), 1344–1363. https://doi.org/10.1111/inm.12443
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: A consolidated framework for advancing implementation science. Implementation Science, 4(1), 50. https://doi.org/10.1186/1748‐5908‐4‐50
Damschroder, L. J., Reardon, C. M., Widerquist, M. A. O., & Lowery, J. (2022). The updated Consolidated Framework for Implementation Research based on user feedback. Implementation Science, 17(1), 1–75. https://doi.org/10.1186/s13012‐022‐01245‐0
Department of Health. (2018). Clinical supervision for mental health nurses: A framework for Victoria.
Edwards, D., Cooper, L., Burnard, P., Hanningan, B., Adams, J., Fothergill, A., & Coyle, D. (2005). Factors influencing the effectiveness of clinical supervision. Journal of Psychiatric and Mental Health Nursing, 12(4), 405–414. https://doi.org/10.1111/j.1365‐2850.2005.00851.x
Farkas‐Cameron, M. M. (1995). Clinical supervision in psychiatric nursing: A self‐actualizing process. Journal of Psychosocial Nursing and Mental Health Services, 33(2), 31–37. https://doi.org/10.3928/0279‐3695‐19950201‐08
Gonge, H., & Buus, N. (2016). Exploring organizational barriers to strengthening clinical supervision of psychiatric nursing staff: A longitudinal controlled intervention study. Issues in Mental Health Nursing, 37(5), 332–343. https://doi.org/10.3109/01612840.2016.1154119
Hession, N., & Habenicht, A. (2020). Clinical supervision in oncology: A narrative review. Health Psychology Research, 8(1), 8651. https://doi.org/10.4081/hpr.2020.8651
Howard, V., & Eddy‐Imishue, G. K. (2020). Factors influencing adequate and effective clinical supervision for inpatient mental health nurses' personal and professional development: An integrative review. Journal of Psychiatric and Mental Health Nursing, 27(5), 640–656. https://doi.org/10.1111/jpm.12604
Hughes & Morcom. (1998). Clinical supervision in a mental health in‐patient area … including commentary by Northcott N. NT Research, 3(3), 226–235. https://doi.org/10.1177/174498719800300310
Hyrkäs, K. (2005). Clinical supervision, burnout, and job satisfaction among mental health and psychiatric nurses in Finland. Issues in Mental Health Nursing, 26(5), 531–556. https://doi.org/10.1080/01612840590931975
Kenny, A., & Allenby, A. (2013). Implementing clinical supervision for Australian rural nurses. Nurse Education in Practice, 13(3), 165–169. https://doi.org/10.1016/j.nepr.2012.08.009
Kirk, M. A., Kelley, C., Yankey, N., Birken, S. A., Abadie, B., & Damschroder, L. (2016). A systematic review of the use of the consolidated framework for implementation research. Implementation Science : IS, 11(1), 72–72. https://doi.org/10.1186/s13012‐016‐0437‐z
Lakeman, R., & Glasgow, C. (2009). Introducing peer‐group clinical supervision: An action research project. International Journal of Mental Health Nursing, 18(3), 204–210. https://doi.org/10.1111/j.1447‐0349.2009.00602.x
Levac, D., Colquhoun, H., & O'Brien, K. K. (2010). Scoping studies: Advancing the methodology. Implementation Science, 5(1), 69. https://doi.org/10.1186/1748‐5908‐5‐69
Lynch, L. (2008). Clinical supervision for nurses. John Wiley & Sons.
Lynch, L., & Happell, B. (2008a). Implementing clinical supervision: Part 1: Laying the ground work. International Journal of Mental Health Nursing, 17(1), 57–64. https://doi.org/10.1111/j.1447‐0349.2007.00511.x
Lynch, L., & Happell, B. (2008b). Implementation of clinical supervision in action: Part 2: Implementation and beyond. International Journal of Mental Health Nursing, 17(1), 65–72. https://doi.org/10.1111/j.1447‐0349.2007.00512.x
Lynch, L., & Happell, B. (2008c). Implementation of clinical supervision in action: Part 3: The development of a model. International Journal of Mental Health Nursing, 17, 73–82. https://doi.org/10.1111/j.1447‐0349.2007.00513.x
Lynch, L., Happell, B., Sharrock, J., & Cross, W. (2008). Implementing clinical supervision for psychiatric nurses—The importance of education. The International Journal of Psychiatric Nursing Research, 14(1), 1785–1796.
Lyth, G. M. (2000). Clinical supervision: A concept analysis. Journal of Advanced Nursing, 31(3), 722–729.
MacLaren, J., Stenhouse, R., & Ritchie, D. (2016). Mental health nurses' experiences of managing work‐related emotions through supervision. Journal of Advanced Nursing, 72(10), 2423–2434. https://doi.org/10.1111/jan.12995
Masamha, R., Alfred, L., Harris, R., Bassett, S., Burden, S., & Gilmore, A. (2022). Barriers to overcoming the barriers': A scoping review exploring 30 years of clinical supervision literature. Journal of Advanced Nursing, 78(9), 2678–2692. https://doi.org/10.1111/jan.15283
McCarthy, V., Goodwin, J., Saab, M. M., Kilty, C., Meehan, E., Connaire, S., Buckley, C., Walsh, A., O'Mahony, J., & O'Donovan, A. (2021). Nurses and midwives' experiences with peer‐group clinical supervision intervention: A pilot study. Journal of Nursing Management, 29(8), 2523–2533. https://doi.org/10.1111/jonm.13404
Munn, Z., Peters, M. D. J., Stern, C., Tufanaru, C., McArthur, A., & Aromataris, E. (2018). Systematic review or scoping review? Guidance for authors when choosing between a systematic or scoping review approach. BMC Medical Research Methodology, 18(1), 143. https://doi.org/10.1186/s12874‐018‐0611‐x
Newman, C., Eason, M., & Kinghorn, G. (2023). Forensic mental health nurses' experiences of clinical supervision. Journal of Forensic Nursing, 19(1), 12–20. https://doi.org/10.1097/JFN.0000000000000377
Nilsen, P. (2015). Making sense of implementation theories, models and frameworks. Implementation Science, 10(1), 53. https://doi.org/10.1186/s13012‐015‐0242‐0
O'Neill, L., Johnson, J., & Mandela, R. (2019). Reflective practice groups: Are they useful for liaison psychiatry nurses working within the emergency department? Archives of Psychiatric Nursing, 33(1), 85–92. https://doi.org/10.1016/j.apnu.2018.11.003
Peters, M. D. J., Marnie, C., Tricco, A. C., Pollock, D., Munn, Z., Alexander, L., McInerney, P., Godfrey, C. M., & Khalil, H. (2020). Updated methodological guidance for the conduct of scoping reviews. JBI Evidence Synthesis, 18(10), 2119–2126. https://doi.org/10.11124/JBIES‐20‐00167
Platt‐Koch, L. M. (1986). Clinical supervision for psychiatric nurses. Journal of Psychosocial Nursing and Mental Health Services, 24(1), 6–9. https://doi.org/10.3928/0279‐3695‐19860101‐03
Proctor, B. (1991). Supervision: A co‐operative exercise in accountability. In M. Marken & M. Payn (Eds.), Enabling and ensuring: Supervision in practice (pp. 21–23). National Bureau and Council for Education and Training in Youth and Community Work.
Rothwell, C., Kehoe, A., Farook, S. F., & Illing, J. (2021). Enablers and barriers to effective clinical supervision in the workplace: A rapid evidence review. BMJ Open, 11(9), e052929. https://doi.org/10.1136/bmjopen‐2021‐052929
Saab, M. M., Kilty, C., Meehan, E., Goodwin, J., Connaire, S., Buckley, C., Walsh, A., O'Mahony, J., McCarthy, V. J. C., & Horgan, A. (2021). Peer group clinical supervision: Qualitative perspectives from nurse supervisees, managers, and supervisors. Collegian, 28(4), 359–368. https://doi.org/10.1016/j.colegn.2020.11.004
Severinsson, E. I., & Hallberg, I. R. (1996). Systematic clinical supervision, working milieu and influence over duties: The psychiatric nurse's viewpoint—A pilot study. International Journal of Nursing Studies, 33(4), 394–406.
Shelton, R. C., & Brownson, R. C. (2023). Advancing the science and application of implementation science to promote health equity: Commentary on the symposium. Annual Review of Public Health, 45(1), 1–5. https://doi.org/10.1146/annurev‐publhealth‐062723‐055935
Smith, C., Bennett, C., Morgan, K., Carrier, J., Klugarova, J., & Klugar, M. (2022). Enhancing the clinical supervision experience of staff members working within primary and community care: A best practice implementation project. JBI Evidence Implementation, 20(S1), S23–S31. https://doi.org/10.1097/XEB.0000000000000317
van Dam, M., van Hamersvelt, H., Schoonhoven, L., Hoff, R. G., ten Cate, O., & Hennus, M. P. (2023). Clinical supervision under pressure: A qualitative study amongst health care professionals working on the ICU during COVID‐19. Medical Education Online, 28(1), 2231614. https://doi.org/10.1080/10872981.2023.2231614
White, E., Butterworth, T., Bishop, V., Carson, J., Jeacock, J., & Clements, A. (1998). Clinical supervision: Insider reports of a private world: Nursing and health care management issues. Journal of Advanced Nursing, 28, 185–192. https://doi.org/10.1046/j.1365‐2648.1998.00743.x
White, E., & Winstanley, J. (2009). Implementation of clinical supervision: Educational preparation and subsequent diary accounts of the practicalities involved, from an Australian mental health [corrected] nursing innovation. Journal of Psychiatric and Mental Health Nursing, 16(10), 895–903. https://doi.org/10.1111/j.1365‐2850.2009.01466.x
White, E., & Winstanley, J. (2010). Clinical supervision: Outsider reports of a research‐driven implementation programme in Queensland, Australia. Journal of Nursing Management, 18(6), 689–696. https://doi.org/10.1111/j.1365‐2834.2010.01071.x
Willson, L., Fawcett, T. N., & Whyte, D. A. (2001). An evaluation of a clinical supervision programme. British Journal of Community Nursing, 6(12), 614–623.
Yegdich, T., & Cushing, A. (1998). An historical perspective on clinical supervision in nursing. Australian and New Zealand Journal of Mental Health Nursing, 7(1), 3–24.
Zonneveld, D., Conroy, T., & Lines, L. (2024). Clinical supervision experience of nurses in or transitioning to advanced practice: A systematic review. Journal of Advanced Nursing, 80(9), 3547–3564. https://doi.org/10.1111/jan.16126