An evaluative study of clinical supervision based on Proctor's three function interactive model.

Abstract:

:This paper reports on a study of the benefits reported from participation in clinical supervision by registered nurses (n=201) working in a large English community and mental health NHS Trust. It summarizes the emergent practical and theoretical 'key ingredients' of clinical supervision in the United Kingdom and argues that these provide a basis for generalizable research practice. The study is based on Proctor's three function interactive model previously commended as a guide for supervisory practice and evaluation. Within this study, the three functions underpin instrument design but are also a primary focus of evaluation. The development of this instrument through semi- structured interviews with supervisors and supervisees is described. The study aims to assess and compare reported benefits in each of the three functions of accountability, skill development and support in order to examine the effects of contract use, length of experience of clinical supervision and length of service as a registered nurse on reported benefits by using non-parametric statistical analysis. The results indicate that reported benefits are experienced in almost equal proportion across each of these three functions. Statistical analysis indicates a significant positive correlation between experience of clinical supervision and its reported benefits. An inverse correlation is reported between length of service and overall benefits; however, no similar reduction over time against normative benefits was found. There was no relationship between contract use and reported benefits. Limitations of the study are discussed with reference to bias, interview transcription and overlap between the three functions. The paper concludes that nurses report clear benefits from clinical supervision in each of the three functions. This validates the three function interactive model and demonstrates that clinical supervision is used to critically examine and change nursing practice. The content and usage of contracts is identified as an aspect that merits further study.

journal_name

J Adv Nurs

authors

Bowles N,Young C

doi

10.1046/j.1365-2648.1999.01179.x

keywords:

subject

Has Abstract

pub_date

1999-10-01 00:00:00

pages

958-64

issue

4

eissn

0309-2402

issn

1365-2648

pii

jan1179

journal_volume

30

pub_type

杂志文章
  • A critique of studies exploring the experiences and needs of parents of children admitted to paediatric intensive care units.

    abstract::This paper is based on a critique of studies exploring the experiences and needs of parents whose children are admitted to paediatric intensive care units (PICU). The majority of studies have been conducted in North America and attempt to quantify parental feelings and experiences. Few qualitative studies have been pu...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2648.1998.00705.x

    authors: Noyes J

    更新日期:1998-07-01 00:00:00

  • Pressure ulcer risk assessment: application of logistic analysis.

    abstract:AIM:The aim of this study was to investigate the relative importance of key factors affecting the likelihood of hospital acquired pressure ulcers, thus offering the groundwork for the development of an empirically-based risk assessment scale. It also evaluated the predictive performance of the underlying empirical mode...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.2003.02778.x

    authors: Papanikolaou P,Lyne PA,Lycett EJ

    更新日期:2003-10-01 00:00:00

  • Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover.

    abstract:AIMS:To examine the effects of two factors on the transmission of clinical information at nursing handover. These factors were: (i) an affective statement expressing concern about the information; and (ii) verbal reference to a written summary of the information. BACKGROUND:Quality of communication at patient handover...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jan.12484

    authors: Lee H,Cumin D,Devcich DA,Boyd M

    更新日期:2015-01-01 00:00:00

  • Do assistive devices, training, and workload affect injury incidence? Prevention efforts by nursing homes and back injuries among nursing assistants.

    abstract:AIMS:This paper is a report of a study of association between workplace injuries experienced by nursing assistants in nursing homes in the United States and four factors that may affect injury rates: initial nursing assistant training, training at the current facility, lifting devices, and time to execute daily duties....

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2011.05785.x

    authors: D'Arcy LP,Sasai Y,Stearns SC

    更新日期:2012-04-01 00:00:00

  • Exploring the roles of advanced practice nurses in the care of patients following fragility hip fracture: A systematic review.

    abstract:AIM:This study aimed to explore the role and impact of advanced practice nurses (APNs) in care of patients following fragility hip fracture by systematically reviewing the available evidence. REVIEW DESIGN:Systematic review. DATA SOURCES:A search of the databases Ovid Medline, CINAHL, Embase, Emcare, Cochrane Library...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1111/jan.14692

    authors: Allsop S,Morphet J,Lee S,Cook O

    更新日期:2020-12-15 00:00:00

  • Stress influence on genesis, onset and maintenance of cardiovascular diseases: literature review.

    abstract:BACKGROUND:Recent mortality profiles in Brazil show that circulatory diseases are the leading cause of death in Brazil. These disorders contribute to 34% of deaths, with 50% of those deaths occurring in people under 50 years of age, that is, in people who are still active in the workforce. We assume that the growing in...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1046/j.1365-2648.2003.02753.x

    authors: Franco GP,de Barros AL,Nogueira-Martins LA,Michel JL

    更新日期:2003-09-01 00:00:00

  • Recovery after coronary artery bypass surgery: effect of an audiotape information programme.

    abstract:AIM:The aim of the study was to test the effect of an audiotape giving concrete objective information and strategies to reduce symptoms, psychological distress and enhance physical functioning in patients having coronary artery bypass grafts. BACKGROUND:The period following hospital discharge is stressful for patients...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1365-2648.2010.05334.x

    authors: Utriyaprasit K,Moore SM,Chaiseri P

    更新日期:2010-08-01 00:00:00

  • A before and after study assessing the impact of a new model for recognizing and responding to early signs of deterioration in an acute hospital.

    abstract:AIM:To evaluate the impact of a new model for the detection and management of deteriorating patients on knowledge and confidence of nursing staff in an acute hospital. BACKGROUND:International evidence shows that clinical deterioration is not always recognized or acted on by nurses. The use of physiological track and ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2012.05986.x

    authors: McDonnell A,Tod A,Bray K,Bainbridge D,Adsetts D,Walters S

    更新日期:2013-01-01 00:00:00

  • 'Dropped from the system': the experiences and challenges of long-term breast cancer survivors.

    abstract:AIMS:The aim of this study was to explore breast cancer patients' experiences during survivorship. Particular attention is given to the role of specialist breast care nurses in supporting women throughout this phase. BACKGROUND:There is a relative lack of research involving long-term breast cancer survivors. Yet, many...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13237

    authors: Matthews H,Semper H

    更新日期:2017-06-01 00:00:00

  • Fear of patients related to coronary arteriography.

    abstract::The purpose of this paper is to describe and evaluate the ability of instruments to produce information about the presence and intensity of fear before, during and after coronary arteriography. Information about patient fear was measured from cognitive, physiological and behavioural dimensions. The sample of the study...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1998.00764.x

    authors: Heikkilä J,Paunonen M,Virtanen V,Laippala P

    更新日期:1998-07-01 00:00:00

  • The relationship between quality of nursing care and the ward as a learning environment: developing a methodology.

    abstract::This paper describes the development of a methodology to study the relationship between quality of care received by patients and the quality of the ward as a learning environment for nurses in training. Firstly, the literature review and background literature to the research question are described. Secondly, the metho...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1987.tb01350.x

    authors: Smith P

    更新日期:1987-07-01 00:00:00

  • The family interview: exploring experiences of family health and well-being.

    abstract::Health and well-being are basic concepts to nursing science and also important to practical nursing care: to provide effective nursing we need to have a good understanding of both health and well-being. Experienced health has been studied quite extensively at the individual level, but the family's point of view has be...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1996.21810.x

    authors: Astedt-Kurki P,Hopia H

    更新日期:1996-09-01 00:00:00

  • Predicting which patient will fall again ... and again.

    abstract::In order to compare the characteristics, preventive interventions and outcomes of single and multiple fallers, a retrospective cross-sectional study was conducted in a 680-bed acute-care hospital in Western Australia. Fifty patients falling more than once (multiple fallers) were randomly selected from all patients rep...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1993.18121895.x

    authors: Gaebler S

    更新日期:1993-12-01 00:00:00

  • The relationship of clinical practice and research.

    abstract::This paper demonstrates, through a specific case study, the relationship of nursing practice and research. The author discusses how a clinical problem stimulated research and how the research findings, then, were utilized in practice. Client attrition in an obesity programme for high-risk clients was defined as the cl...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1984.tb00359.x

    authors: White JH

    更新日期:1984-03-01 00:00:00

  • The transformational experience of liver transplantation.

    abstract::Liver transplantation is now the treatment of choice for patients with end-stage chronic liver disease. However, few studies have examined the recovery of liver transplant patients and no qualitative research studies have examined the experiences of these patients. Therefore the purpose of this study was to explore an...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1995.tb03107.x

    authors: Wainwright SP

    更新日期:1995-12-01 00:00:00

  • Successful 'normalizing' tactics of parents of chronically-ill children.

    abstract::To be or to parent a chronically-ill child is a difficult experience. Parents can initiate 'normalizing' tactics that alleviate the child's feeling of being different and enable a sense of control with the possibility to influence the quality of life of the child and the family. Following up among 20 parents of chroni...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1980.tb03188.x

    authors: Krulik T

    更新日期:1980-11-01 00:00:00

  • A theoretical framework of caring in the Chinese context: a grounded theory study.

    abstract:AIM:This paper is a report of a study describing the components of nurse caring in the Chinese cultural context. BACKGROUND:The expressions, dimensions and patterns of caring vary in different cultures. Caring is deeply embedded in the Chinese culture and nurses are told to care for patients as if they were related by...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2010.05573.x

    authors: Meng M,Zhang X,Jiang A

    更新日期:2011-07-01 00:00:00

  • Hospital ward layout and nurse staffing.

    abstract::This literature review discusses the evidence that modern wards divided into small bedrooms or bays, require higher nurse staffing levels. Aspects of ward design and operation such as patient privacy, nursing efficiency, patient dependency and ward organization are outlined and methods for establishing staffing levels...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2648.1982.tb00231.x

    authors: Seelye A

    更新日期:1982-05-01 00:00:00

  • Knowledge and skills of cancer clinical trials nurses in Australia.

    abstract:AIMS:  This paper is a report of the development and testing of a questionnaire measuring knowledge and skills of cancer clinical trials nurse in Australia. BACKGROUND:  The role of cancer clinical trials nurse, widely acknowledged as an integral member of the clinical research team, has evolved in recent years. Eleme...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2011.05816.x

    authors: Scott K,White K,Johnson C,Roydhouse JK

    更新日期:2012-05-01 00:00:00

  • Nursing is different than medicine: ethical difficulties in the process of care in surgical units.

    abstract:AIM:This paper describes a study of the kinds of ethical difficulties nurses face in the process of care in surgical units. BACKGROUND:Nurses face ethically difficult situations in trying to find the most appropriate actions to take for patients. Differences of opinion with doctors about the treatment and care of pati...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2006.04013.x

    authors: Torjuul K,Sorlie V

    更新日期:2006-11-01 00:00:00

  • Folk concepts of mental disorders among Chinese-Australian patients and their caregivers.

    abstract:AIM:This paper reports a study of (a) popular conceptions of mental illness throughout history, (b) how current social and cultural knowledge about mental illness influences Chinese-Australian patients' and caregivers' understanding of mental illness and the consequences of this for explaining and labelling patients' p...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2006.03886.x

    authors: Hsiao FH,Klimidis S,Minas HI,Tan ES

    更新日期:2006-07-01 00:00:00

  • What are the differences in body image between patients with a conventional stoma compared with those who have had a conventional stoma followed by a continent pouch?

    abstract::This paper describes a qualitative study of seven patients which explored the perceptions of body image in patients with a conventional stoma, compared with those who have had a conventional stoma followed by a continent pouch. The operation of choice for patients with ulcerative colitis (the group of patients in the ...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1992.tb02006.x

    authors: Salter MJ

    更新日期:1992-07-01 00:00:00

  • Parents' experiences of having a child with cleft lip and palate.

    abstract:BACKGROUND:Giving birth to a child with cleft lip and palate (CLP) can be emotionally traumatic for parents. The facial appearance awakens feelings and reactions in the family and other people. Feeding these children in the neonatal period is known to be difficult. Previous research has mainly dealt with visual defects...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.2004.03075.x

    authors: Johansson B,Ringsberg KC

    更新日期:2004-07-01 00:00:00

  • Accuracy of intuition in clinical decision-making among novice clinicians.

    abstract:AIMS:To assess the reliance on intuitive and analytical approaches during clinical decision-making among novice clinicians and whether that reliance is associated with accurate decision-making. BACKGROUND:Nurse educators and managers tend to emphasize analysis over intuition during clinical decision-making though nurs...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13202

    authors: Price A,Zulkosky K,White K,Pretz J

    更新日期:2017-05-01 00:00:00

  • Evaluating ethnography: considerations for analysis.

    abstract::The informed evaluation of ethnographic reports is essential to the practitioner who is working towards research-based practice. It is also part of the process of developing and refining nursing knowledge. While there are features common to the critical examination of all research, an understanding of ethnographic des...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/j.1365-2648.1994.tb01150.x

    authors: Mackenzie AE

    更新日期:1994-04-01 00:00:00

  • Parental uncertainty about transferring their adolescent with congenital heart disease to adult care.

    abstract:AIMS:To study parent's levels of uncertainty related to the transfer from pediatric to adult care in adolescents with congenital heart disease (CHD) and to identify potentially correlating factors. BACKGROUND:Parents acknowledge that during transition they struggle with finding ways of feeling secure in handing over t...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13852

    authors: Burström Å,Acuna Mora M,Öjmyr-Joelsson M,Sparud-Lundin C,Rydberg A,Hanseus K,Frenckner B,Nisell M,Moons P,Bratt EL

    更新日期:2019-02-01 00:00:00

  • Dual agency in critical care nursing: Balancing responsibilities towards colleagues and patients.

    abstract:AIM:To explore critical care nurses' decisions to seek help from doctors. BACKGROUND:Despite their well-documented role in improving critically ill patients' outcomes, research indicates that nurses rarely take decisions about patients' treatment modalities on their own and constantly need to seek advice or authorizat...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.13008

    authors: Trapani J,Scholes J,Cassar M

    更新日期:2016-10-01 00:00:00

  • Battle weary/battle ready: A phenomenological study of parents' lived experiences caring for children with autism and their safety concerns.

    abstract:AIM:The first aim of this study was to explore the lived experiences of parents caring for their autistic children and their experiences with safety for these children. The second aim was to elicit safety recommendations from the parents of autistic children. DESIGN:Hermeneutic phenomenology. METHODS:Fifteen particip...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1111/jan.14213

    authors: Celia T,Freysteinson W,Fredland N,Bowyer P

    更新日期:2020-01-01 00:00:00

  • The relationship between diabetes self-management and metabolic control in youth with type 1 diabetes: an integrative review.

    abstract:AIMS:The purpose of this integrative review was to describe the relationship between diabetes self-management and metabolic control in youth with type 1 diabetes and to explore factors which affect this relationship. BACKGROUND:In the past 15 years, research has indicated that youth with type 1 diabetes face considera...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章,评审

    doi:10.1111/j.1365-2648.2011.05697.x

    authors: Guo J,Whittemore R,He GP

    更新日期:2011-11-01 00:00:00

  • Caring and cancer nursing: framing the reality using selected social science theory.

    abstract::Despite the recent interest in caring for both academic and clinical nursing, the theoretical basis of this concept may appear somewhat elusive as the research and debate vary widely in their focus. As a result, the available literature may fail to consider the specific contextual issues which characterize caring as i...

    journal_title:Journal of advanced nursing

    pub_type: 杂志文章

    doi:10.1046/j.1365-2648.1998.00807.x

    authors: Kelly D

    更新日期:1998-10-01 00:00:00